DOI: 10.36347/sjams.2016.v04i09.025

Pages: 3307-3311

The Primary caesarean section (CS) delivery rate is increasing due to public interest to avoid fetal complications and acceptance by most of the couple to complete their family with one or two children. This study was undertook to study 100 selected cases of primary CSs in primigravid women, keeping the objectives to study the risk of pregnancy, outcome of labour, indications for CS, maternal morbidity and mortality and fetal outcome, in the department of Obstetrics and Gynaecology, Gauhati Medical College and Hospital, Guwahati, Assam, over a period of one year w.e.f April 2015 to March 2016. Overall CS rate was 49.7% and 68.36% for primary CS among them. Most of the patients were in the age group of 20-25years (47%). Anaemia (67.68%), pregnancy induced hypertension (10.1%) were common among the antenatal complications. The rate of emergency CS was 85% while elective CS was 15%. Main indications for Caesarean section operation were: fetal distress (40%), pre-eclamptic toxaemia (12%) and disproportion (10%). Maximum number of caesarean operation was performed under Spinal anasthesia (95%).Maternal morbidity was 20%. Out of them, febrile 6(30%), post-operative infections 4(20%), were most common. The less common complications were post partum haemorrhage, spinal headache. There was zero maternal mortality. In this study, 87% babies were born with good APGAR (Appearance, Pulse, Grimace, Activity and Respiration) score. Perinatal mortality was observed in 5% cases. Severe asphyxia, very low birth weight, chorioamnitis and stillborn were the cause of death. Maximum number of the patients (86%) were discharged on 4th day post operatively.