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Indian Journal of Obstetrics and Gynecology Research


Primary caesarean section in multiparous women: A clinical study from tertiary care centre in North East India


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Author Details: Surekha S. Mohan, Chamaraja Thippeveeranna, Laiphrakpam R. Singh, Naorem N. Singh

Volume : 4

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 420

Article End Page : 423


Abstract

Introduction: This study intends to analyse the primary caesarean section in multiparous women.
Objectives: To study the incidence, indications, maternal and fetal outcome in primary caesarean section in multiparous women.
Materials and Method: It is a prospective study of over 150 cases of primary caesarean section done in multiparous women with previous normal vaginal deliveries carried out in the department of Obstetrics and Gynecology at RIMS, Imphal, Manipur during the period from October 2010 to march 2012.
Results: Maximum incidence of caesarean section in parous women with previous vaginal deliveries was seen in 30-34 years age and majority were para 2. Malpresentations (23.3%), CPD (20%), antepartumhemorrhage (19.3%) and fetal distress (12%) were the main indications for primary caesarean section. The commonest intraoperative complication was Atonic PPH (6%) followed by extension of uterine incision (3.4%). Maternal morbidity was seen in 20 cases (13.3%). Febrile morbidity was the commonest postoperative morbidity followed by UTI. Perinatal morbidity was seen in 26 cases, common causes being meconium aspiration syndrome (5.19%) followed by birth asphyxia (4.5%) and perinatal mortality was seen in 13 cases. There were no maternal deaths in the present study.
Conclusion: Many unexpected complications occur in multiparous woman. Proper care during intra and postpartum period has reduced metrnal mortality and morbidity in our study. So multiparous women in labour should be managed with utmost precautions as that of primigravida.
 
Keywords: Primary, Multipara, Maternal morbidity, Neonatal outcome.