Obstetrics and Gynaecology
PREVIOUS CAESAREAN SECTION: MANAGEMENT AND OUTCOME
Caesarean section continues to be one of the most important surgical interventions performed in obstetric practice. Data was recorded on structured proformae for all cases of previous caesarean sections admitted in KEM Hospital from 1st August 2004 - 31st March 2005.
INTERIM ANALYSIS
| No. of Deliveries (Aug.04 - Mar.05) | : 5373 |
| Total no. of Caesarean section | : 1139 (21.2% of all deliveries) |
| Total no. of Previous Caesarean sections (n =) | : 512 (9.5% of all deliveries) |
| Avg. age of woman | : 26.2 ± 3.9 years |
| Avg. gravidity | : 2.5 ± 0.8 |
| Avg. parity | : 1.3 ± 0.6 |
| Avg. distance of residence from KEM Hospital | : 12.6 ±18.3 kms |
| Booked cases | : 501 (97.9%) |
| Referred cases | : 140 (27.3%) |
| In labour on admission | : 324 (63.3%) |
| Avg. time elapsed since last delivery | : 40 ± 21.3 months |
| Avg. weeks of gestation | : 37.4 ± 2.6 weeks |
| Avg. Hemoglobin on admission | : 10.0 ± 1.3 gm/dl |
| Total Repeat Caesarean sections | : 320 (62.5%) |
| Total vaginal deliveries | : 192 (37.5%) |
| Planned vaginal deliveries | : 278 cases (54.3%) |
| Successful Vaginal deliveries | : 189 cases (68%) |
| Elective Caesarean section | : 63 cases (19.7% of all sections) |
| Primary Indication of repeat caesarean delivery (n = 320): | |||
| CPD | 109 (34.1%) | Fetal distress | 69 (21.6%) |
| Previous 2 C.S. | 37 (11.6%) | Doubtful scar integrity | 30 (9.4%) |
| Malpresentation | 24 (7.5%) | Placenta Praevia | 10 (3.1%) |
| Non progress of labour | 8 (2.5%) | Rupture of uterus | 5 (1.6%) |
| Postdatism | 5 (1.6%) | Severe PIH/Eclampsia | 5 (1.6%) |
| Failed induction | 3 (0.9%) | Others | 15 (4.6%) |
| Post operative complications | : 52 cases (16.3% of all sections) |
| Outcome of pregnancy in caesarean section | : 315 live births (98.4%) |
| Outcome of pregnancy in vaginal delivery | : 182 live births (94.8%) |
| Avg. baby weight in caesarean section delivery | : 2606 ± 516 gms |
| Avg. baby weight in vaginal delivery | : 2511 ± 570 gms |
| Duration of hospital stay in caesarean cases | : 13 ± 7.32 days |
| Duration of hospital stay in vaginal delivery cases | : 6 ± 5.07 days |
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