Abstract
Background: Cesarean section is the most common done obstetric emergency and the outcome of surgery differs depending on various factors. Maternal and fetal outcome depends on proper follow up during antenatal period.
Objectives: To study them Maternal and fetal outcome and complications in rural referral patients (unbooked cases) undergoing emergency cesarean delivery and to compare them with booked cases undergoing emergency cesarean deliveries in Raipur Institute of Medical Sciences.
Purpose: This study was undertaken to find out the difference in maternal and fetal outcome between booked cases with proper antenatal follow up and unbooked cases referred from rural health centres.
Method: The study is a cross-sectional study conducted at Raipur Institute Of Medical Sciences from October 2013 – September 2015 over a period of 2 years.560 cases of rural referrals (unbooked cases) undergoing emergency cesarean delivery were the study group. The control group consisted of 420booked cases undergoing emergency cesarean delivery. Various parameters of maternal morbidity, neonatal morbidity and mortality were compared in both the groups.
Results: Of the various factors analysed in relation to type of Cesarean delivery statistically significant association were found between emergency ceasearean and younger patients multi -parity, irregular attendance at antenatal clinic, no prenatal care, indications, intra operative complications and low Apgar scores (P<0.05).
Conclusion: Cesarean delivery done in rural referrals on emergency basis associated with significant intraoperative, postoperative morbidity and neonatal morbidity and mortality.
Every effort should be directed to proper antenatal care and planned cesarean delivery, as determined during antenatal period. Importance of an effective health care package and timely referral from peripheral hospitals should be stressed so as to reduce the various problems associated with emergency cesarean delivery.
Keywords: Emergency cesarean delivery, booked and unbooked, maternal morbidity, neonatal morbidity and mortality.
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Corresponding Author
Dr Neerja Agarwal
Assistant Professor Department of OBG Raipur Institute of Medical Sciences Raipur
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.163
