Abstract
Child birth is a universally celebrated occasion, yet everyday for thousands of women child birth is experienced not as a joyful event as it should be, but as a private hell that may even end in death. The objective of this study is to determine the complications of normal delivery and cesarean section on the mothers and new born. A descriptive study was conducted in two selected hospitals of Rupandehi district, Nepal. Data was collected as per pretested structured proforma from 550 respondents who were the mothers and new born delivered normally and through cesarean section randomly till the completion of sample size and analyzed by using SPSS, MANOVA and Chi-square test to determine associations between categorical variables. In a total of 550 deliveries,25.8% were cesarean delivery, 42.7% motherssuffered from delivery related complications, common were PPH (21.1%), prolonged labour (8.5%) and wound infection (7.6%). 35.5% of newborn had complications, common were respiratory distress (6.3%) and neonatal jaundice (4.2%). Delivery related complications were higher among Lower segment cesarean section compared to vaginal delivery in mothers and newborn.
Highlights
METHODSGlobally, 80% of maternal deaths are due to direct obstetric complication, 61% of which occur in the postpartum period, more than half of which take place during delivery or within 1 day of delivery
About 17% of maternal death happens during child birth itself
Similar study reported that total number of deliveries during the period was 1632, out of them 411 deliveries were by cesarean section thereby making a lower segment cesarean section rate of 25.18%
Summary
80% of maternal deaths are due to direct obstetric complication, 61% of which occur in the postpartum period, more than half of which take place during delivery or within 1 day of delivery. About 17% of maternal death happens during child birth itself. This can be attributed to pregnancy related complication occurring throughout the pregnancy, labour, childbirth and in the postpartum period. In developing countries complication of delivery and child birth are leading causes of death. Almost 8 million still births and early neonatal deaths occur.[1]. Child birth is a universally celebrated occasion, yet everyday for thousands of women child birth is experienced not as a joyful event as it should be, but as a private hell that may even end in death. The objective of this study is to determine the complications of normal delivery and cesarean section on the mothers and new born
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