A study on obstetric profile of mothers undergoing primary caesarean section and their neonatal outcome in a tertiary care centre, South Kerala

Abstract

Objectives : 1.) To studies the obstetric profile of mothers undergoing primary caesarean section in a tertiary care centre. 2) To study the associated maternal diseases in mothers undergoing primary caesarean section. 3) To study the outcome of the neonates delivered by primary caesarean section Materials and Methods : Cross sectional study was done on 150 women who underwent caesarean section for the first time during the period July2012 to July2013. Inclusion criteria : Women who underwent caesarean section for the first time either primi gravida or multi gravida are included. Exclusion criteria : Women who underwent previous caesarean sections are excluded. Study tool: Data collection method : All necessary details were personally collected from the records after obtaining permission from MRD incharge and maintaining confidentiality of the data Results : Compared to multipara, the nullipara has undergone more number of primary caesarean section. Induction patients have undergone more number of primary caesarean section when compared to spontaneous onset of labour. More number of mothers with GDM and PIH has undergone primary caesarean section when compared to other maternal diseases. The rate of emergency primary caesarean section is 88.7% which is very high when compared to elective primary caesarean section which is 11.3%. The leading indication for primary caesarean section is fetal distress followed by failure to progress. Only 27% of neonates needed NICU admission in mothers who underwent primary caesarean section.