Abstract
The complications of cesarean section are seen more commonly in emergency than in elective cases. The aim of this study was to find out the incidence of cesarean section in Nepal Medical College Teaching Hospital and to compare the maternal and fetal outcome in elective and emergency cesarean section. A prospective study of all the cases undergoing cesarean section in Nepal Medical College Teaching Hospital was carried out during the period of six months from Asar 2069 to Mangsir 2069. The incidence of cesarean section was 254 (22.30%) out of which emergency cesarean section accounted for 167 (65.7%) and elective cesarean section for 87 (34.3%). The usual indications of emergency cesarean section were fetal distress, previous cesarean section in labour, non progress of labour and prolonged second stage of labour. The usual indications of elective cesarean section were previous cesarean section, breech, cephalopelvic disproportion and cesarean section on demand. There was found to be no significant difference in age, period of gestation, blood loss and blood transfusion in emergency vs. elective cesarean section. There was significant difference seen in the length of hospital stay, fever, urinary tract infection, wound infection and low APGAR in five minutes indicating that these were more common in emergency cesarean section. Significant difference was also seen in the incidence of postpartum haemorrhage indicating that it was seen more in elective cesarean section. The incidence of cesarean section in Nepal Medical College Teaching Hospital is high and the overall complication rate is higher in emergency cesarean section than in elective cesarean section.
Highlights
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There were total of 1139 deliveries in Nepal Medical College Teaching Hospital (NMCTH) from Asar 2069 to Mangshir 2069 and the incidence of cesarean section was 254 (22.30%) out of which emergency caesarean sections (CS) was 167 (65.7%) and elective CS was 87(34.3%) (Table 1)
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Summary
A prospective study of all the cases undergoing cesarean section in NMCTH was carried out in this study. The study was carried out at NMCTH, Atterkhel, Nepal, during the period of six months from Asar 2069 to Mangsir 2069. All the cases that underwent lower segment cesarean sections in NMCTH were included and analyzed in the study while classical cesarean sections were excluded. Emergency cesarean section YCU FGsPGF CU VJG QPG RGTHQTOGF CU UQQP CU RQUUKDNG after the decision of operation was made without prior pre-operative preparation. Elective cesarean section YCU FGsPGF CU VJG QPG RGTHQTOGF CHVGT RTQRGT RNCPPKPI and pre-operative preparation. Data collection included maternal age, parity, indication of cesarean section, blood loss during the operation, number of blood VTCPUHWUKQP #2)#4 UEQTG CV sXG OKPWVG KPEKFGPEG of postoperative fever, urinary tract infection, wound infection and any other complications
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