DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20201786

Indications of primary caesarean section in multiparous women in patients of rural area of Western Maharashtra, India

Deepti Kiran Nene, Tushar Chandrakant Baheti, Vidyadhar B. Bangal

Abstract


Background: Caesarean section is commonly performed operation in women in last few decades and can be life saving for the child, the mother or both in certain cases. Primary caesarean section in the multipara means first caesarean section done in the patients who had previously delivered vaginally once or more. Aims and objectives of this study were to know the incidence and various indications of primary caesarean section in multipara.

Methods: This was a prospective study of primary caesarean section in multipara women admitted at tertiary care hospital in western rural Maharashtra during the period of 6 months from January 2018 to June 2018. Multipara with pregnancy of >28 weeks gestation (gravida 2 and above), each of whom has had a previous vaginal delivery of >20 weeks gestation were included. Women with previous abortions and previous section were excluded.

Results: Total no. of deliveries during this period were 4648.Total 1705 sections were performed during the same period. Thus, the incidence caesarean sections are 36.68%. Out of these sections 194 sections were performed in multipara for the first time, thus giving the incidence of 0.42% of total deliveries and 11.38% of total caesarean sections. Most common indication for caesarean section in multipara was malpresentation (19.6%) followed by foetal distress (16.49%) and severe pre-eclampsia (13.4%).

Conclusions: Present study concludes that proper antenatal care should always be given to multipara even though there was history of previous vaginal deliveries.

 


Keywords


Indications of primary caesarean section, Multipara, Primary caesarean section

Full Text:

PDF

References


Gary Cuningham F, Kenneth Leveno J, Steven Bloom L, John Hauth C, Lassy Gillstrap C, et al. Ceserean delivery and peripartum hysterectomy. In Williams Obstetrics, 23rd Ed. United States of America; Appleton and Lange; 2010:544-563.

Hickle EJ. The safety of caesarean section. In: Popkin DR and Peddle LJ, Eds. Women’s Health Today. London: Parthenon Publishers; 1994:65-70.

Rao JH, Rampure N. Study of primary caesarean section in multiparous women. J Evol Med Dental Sci. 2013;2(24):4-7.

Basak S, Lahri D. Dystocia in eutocic multigravida. J Obstet Gynecol India. 1975;25:502-7.

Desai E, Leuva H, Leuva B, Kanani M. A study of primary caesarean section in multipara. Int J Reprod Contracept Obstet Gynecol. 2013;2(3):320-4.

Jacob S, Bhargava H. Primary caesarean section in multipara. J Obstet Gynaecol India. 1972;22(6):642-50.

Rajput N, Singh P, Verma YS. Study of primary caesarean section in multigravida patients. Int J Reprod Contracept Obstet Gynecol. 2018;7:185-91.

Himabindu P, Sundari MT, Sireesha KV, Sairam MV. Primary caesarian section in multipara. IOSR-JDMS. 2015;14(5):22-5.