Abstract
Objective: Our study was to evaluate mode of delivery, foetal and maternal morbidity and mortality in post caesarean section pregnancy and compared the maternal and foetal outcome between caesarean section delivery and vaginal delivery.
Methodology: A total of 100 cases of pregnant women with 28 weeks of gestation with or without previous history of single or multiple caesarean section delivery were enrolled. A detail relevant obstetric history, socio economic status, general examination, haemoglobin percentage, maternal condition, foetal conditions were assessed. Progress of labour was monitored minutely during trial of labour. Maternal pulse, BP, uterine activity, scar tenderness and foetal heart sound were recorded every ½ an hour, during 1st stage of labour. The progress of labour was assessed by dilatation of Cervix, and descent of presenting part at an interval of 3 hours. Elective caesarean section was done to those cases where patients were not allowed for labour or contraindicated for vaginal delivery. Condition of baby was assessed by apgar score at 1 min. and 5 minutes.
Results: Data was analyzed by using simple statistical methods with the help of MS-Office software.
Conclusions: Our study was to conclude that the majority of cases were undergone to caesarean section delivery. Commonest cause of caesarean section was cephalopelvic disproportion. Vaginal delivery was more common in cases with low socioeconomic status. Incidence of vaginal delivery was more in condition of pregnancy induced hypertension and babies with high birth weight, majority of cases were delivered by use of forecep.
Keywords: caesarean section, vaginal delivery, clinical outcome.
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Corresponding Author
Dr Chhavi Raman Baid
Assistant Professor, Department of Obstetrics and Gynaecology, Mata Gujri Memorial Medical College and Lions Seva Kendra Hospital, Kishanganj, Bihar, India
Contact: +91 8789430115. Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i9.148
