CESAREAN SECTION INDICATIONS AND COMPLICATIONS: A PROSPECTIVE STUDY

Main Article Content

Dr Subhalaxmi Dash, Dr Chintamani Mahanta, Dr Sudhanshu Sekhara Nanda

Keywords

Caesarean section, Maternal out come, Neonatal complications.

Abstract

Background & Aim: Caesarean section rates have increased worldwide in recent decades. Caesarean section is an essential maternal healthcare service. However, it has both maternal and neonatal adverse outcomes. Therefore this prospective study aimed to estimate the indications, and outcomes of caesarean section in rural Odisha, India.Setting:This study was conducted at PRM Medical College, Baripada, Odisha, India from February 2019 to August 2020.Method: A total of 16120 deliveries were included in the study and the number of caesarean section , indication and complecations were tabulated and studied. Results: A total of 7898 (48.99%) cases under went caesarean section.Cephalopelvic disproportion(36.99%) was the mostcommon indication .Febrile morbidity was the commonest maternal complecation. Perinatal asphyxia was found in 0.68% and low APGAR score was present in 1.85% of cases. Conclusion: In this study, the rate of Cesarean section was high. Cephalopelvic disproportion, prior caesarean section , foetal distress , caesarean section on request were the most common indication of Caesarean section, There were increased cases of TTN(neonatal outcome) and increasing maternal morbidity following Caesarean section respectively.

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References


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