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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 06
A Study of Primary Cesarean Section in Multiparous Woman
Dr. P. M. Rekha Rao, Dr. Dhanireddy Salini Sakuntala
Published: June 30, 2019 | 77 58
DOI: 10.36347/sjams.2019.v07i06.024
Pages: 2151-2156
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Abstract
Objective: To study the indications for the primary cesarean section in multiparous women who had atleast one vaginal delivery previously after period of viability and maternal and fetal outcome after primary cesarean section. Duration and place of Study: This study was conducted in labor room, RIMS, Kadapa from March 2018 to February 2019 for 1 year. Type of Study: Prospective Study. Materials & Methods: 100 cases of Primary Cesarean Section in Multiparous Woman. Result: Incidence is 4.4% of total cesarean section and 1.99% of total number of deliveries and indications, maternal postoperative complications, perinatal outcome, perinatal morbidity and mortality were obtained. Conclusion: Primary cesarean sections in multipara constitute only a small percentage of total deliveries (1.99%) but are associated with high maternal and fetal morbidity. High maternal morbidity (90.9%) in the study undergoing second stage sections and high perinatal mortality (56.25%) was seen in Antepartum Hemorrhage. Good Antenatal and intrapartum care and early referral will reduce the maternal and perinatal morbidity and mortality in Multipara.