EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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ISSN 2394-3211

Impact Factor: 7.065

ICV - 79.57

Abstract

COMPARATIVE STUDY OF CESAREAN SECTION INDICATIONS: ELECTIVE VERSUS EMERGENCY

Dr. Poonam Chouhan, Dr. Ankaj Sharma*, Dr. Rama Thakur, Dr. Suman Thakur and Dr. B R Thakur

ABSTRACT

Background: Caesarean section has been shown to be a safe operation, and in many countries around the world, there has been dramatic increase in its frequency. We conducted a study to compare the maternal and fetal indications of elective and emergency caesarean sections. Material & Methods: This was a Cross sectional comparative hospital-based study conducted at Kamla Nehru State Hospital for the Mother and Child, Department of Obstetrics and Gynecology, Indira Gandhi Medical College, Shimla from June 1, 2020 to May 31st, 2021). A total of 200 consenting participants (100 participants undergoing elective cesarean section & 100 participants undergoing emergency cesarean section) were enrolled. The analysis was performed using statistical package for social sciences (SPSS) version 21. Results: Majority (30%) of women had previous LSCS with refusal for TOLAC as maternal indication. Other maternal indication includes previous two LSCS in 7% cases, placenta praevia in 6.5% cases, NPOL in 4.5% cases and Pre eclampsia with severe features with failed inducation in 4% cases. Majority (16.5%) of women had breech presentation as fetal indication of cesarean section while 8% had severe IUGR, mal-presentation other than breech in 3.5% and GDM with big baby in 3% women. Other indication includes cephalo-pelvic disproportion in 4.5%, meconium stained liquor in 3.5, fetal bradycardia in 3%, non reassuring fetal heart rate in 2.5%, placental abruption in 1.5%, deep transverse arrest in 1%, fetal distress with failed forceps in 0.5% and absent/reversal diastolic flow in 0.5% cases. Conclusion: Most common maternal and fetal indication for emergency cesarean section was prior cesarean delivery and breech presentation respectively. Therefore, avoiding an un-indicated primary cesarean would be the most important step towards lowering overall cesarean rate.

Keywords: Comparative study, cesarean section indications, Elective versus emergency.

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