A STUDY OF INDICATIONS OF PRIMARY CESAREAN SECTION IN MULTIPARA OTHER THAN PREVIOUS CESAREAN SECTION: A RETROSPECTIVE STUDY DONE AT TERTIARY CARE CENTER

Dr Janki Shingadia; Dr Amrita Patel; Dr Lalit D. Kapadia

Volume : IX, Issue : VI, June - 2020

A STUDY OF INDICATIONS OF PRIMARY CESAREAN SECTION IN MULTIPARA OTHER THAN PREVIOUS CESAREAN SECTION: A RETROSPECTIVE STUDY DONE AT TERTIARY CARE CENTER

Dr Janki Shingadia, Dr Amrita Patel, Dr Lalit D. Kapadia

Abstract :

Background: Cesarean section is one of the most commonly performed operations in modern obstetrics. The first operation performed on a patient is referred to as primary cesarean section, and when operation is performed in subsequent pregnancies, it is called repeat cesarean section. Primary cesarean section in multipara means cesarean section done for the first time in patients who had delivered vaginally once or more. Aims and objectives: Aim of the present study is the analysis of cases where cesarean section was done for the first time in parous women who had vaginal delivery once or more. Various indications for cesarean section were studied in relation to age, parity, fetal outcome, type of anesthesia were analyzed. Methods: It is a retrospective observational study of 110 cases of primary cesarean section done in multiparous women admitted at our department of obstetrics ,a tertiary care hospital at Ahmedabad during period of Dec 2019-May 2020. Cases requiring elective and emergency cesarean sections were included in the present study. Indications for cesarean section, Intra operative details, Maternal and fetal outcome were recorded. Analysis of cases in relation to different factors was done. Results: Most of the cases were unbooked and referred as emergency. Most common age group was 21-30 years and Majority were 2nd and 3rd gravida . Among the various indications for cesarean sections in multipara, fetal distress, APH and Abnormal presentations were the common causes. Conclusion: Even though parous women had previous normal vaginal delivery, there were many complications like increased incidence of malpresentations, CPD, placenta previa and others which would need cesarean section. Careful analysis of present pregnancy is needed to improve maternal and fetal outcome.