Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Comparative Study of Incidence, Indications and Fetomaternal Outcome of Primary Caesarian Section in Primigravida and Multigravida Patients at A Tertiary Hospital
V. Pranavi, R. Sumathi and B. Hyndavi
Page: 386-390 | Received 02 Apr 2024, Published online: 28 May 2024
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Abstract
The first caesarian section performed in a patient is known as primary caesarian section, subsequent ones are referred to as repeat caesarian section. The two groups primigravida and multigravida show significant variations in terms of indications of primary caesarian section and require separate evaluation. Present study was aimed to compare incidence, indications and fetomaternal outcome of primary caesarian section in primigravida and multigravida patients at a tertiary hospital. Material and Present study was single‐center, prospective, comparative study, conducted women between 18‐25 years age, primigravida (or) multigravida with >28 weeks gestation, without previous uterine surgeries, underwent LSCS. Mean age in primigravida group was 23.07 ± 3.09 and in multipara group was 25.16±3.15, difference was statistically significant. (P<0.001). Fetal distress in primi is seen in 30% and in multipara seen in 10% of study group. Non progress of labour is seen in 7% primi (v/s) 40% in multi gravida which is statistically significant (P<0.001). Cephalopelvic disproportion was seen in 40% of primi group (v/s) 8% in multigravida which is statistically significant (P Value <0.001). Hemorrhage due to uterine atony/laceration is observed in 47% of multigravida and in only 15% of primigravida which is statistically significant (P<0.001). APGAR Score of >7 is seen in 94% primigravida and in 60% of multigravida. APGAR Score of new born <7 is seen in 6% of primigravida and in 40% of multigravida (P<0.001). NICU admissions of new born is observed in 25% of primigravida and in 51% of multigravida (P<0.001). Cephalopelvic disproportion followed by fetal distress & failed induction were common indications for LSCS in primigravida, while non progressive of labour followed by failed induction and malpresentation were common indications for LSCS in multigravida.
How to cite this article:
V. Pranavi, R. Sumathi and B. Hyndavi. Comparative Study of Incidence, Indications and Fetomaternal Outcome of Primary Caesarian Section in Primigravida and Multigravida Patients at A Tertiary Hospital.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.386.390
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.386.390