A COMPARITIVE STUDY OF MATERNAL AND FETAL MORBIDITIES IN ELECTIVE VERSUS EMERGENCY CAESAREAN SECTION IN TERITIARY CARE HOSPITAL, VISAKHAPATNAM, AP.

Dr Nirupama Palakodeti, Dr Kavitha Gayak

Abstract


INTRODUCTION: Cesarean section is the most common surgical procedure done in obstetric unit. With advanced surgical and anesthesia
techniques, maternal mortality has come down in recent years. Still postoperative complications occur in these patients. Among the elective
caesarean and emergency caesarean groups, complications are slightly on the higher side in emergency group as compared to elective cases.
AIM: The study aimed to compare the maternal and fetal morbidities in elective as well as emergency caesarean section cases.
METHOD: The study was a retrospective one over a period of one year. Data were collected from case records and compared. In total, 300 women
were recruited for the study. Among these 150 had undergone elective caesarean and rest 150 had emergency caesarean section.
CONCLUSION: Both elective and emergency caesarean sections are associated with certain complications in mother and fetus. But on
comparing, both maternal and fetal complications were slightly higher in emergency caesarean cases than elective caesarean cases. Hence regular
antenatal check and picking up of high risk patients can reduce the incidence of emergency caesarean by prior planning.


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References


Clark Sl, Belfort M, Dildy G, Herbst M, Mayaers J, Hankins G. Maternal death in the 21st century: Am J Obstet Gynecol.2008 PubMed NCBI.

Cunningham FG, Hanth VC, Strong VD, Kappus SS. Infections and morbidity following cesarean section. Obstet Gynecol. 1978;52: 65661

Minkoff HL, Schwarz RH. The rising cesarean rate; can it safely be reversed? Obstet Gynecol. 1980 ;56: 135-43.

GasprovicElvedi, Klepac P, Peter B. Maternal and fetal outcome in elective versus. CollAnthropo. 2006- PubMed- NCBI.

Ghazi A, Karim F, Hussain A, Ali T, JabbarS.Maternal morbidity in eme. -J Ayub Med Coll Abbottabad.2012 Jan-Mar- PubMed NCBI. Journal of Ayub Medical College. Abottabad.2012 Mar;24(1):10-3

B Unnikrishnan. A recent way of evaluating cesarean birth. J O bstetGynecol India. November-December 2009; Vol.59(6): pp 547-51

Nwobodo E, Isaah A, Panti A. Elective cesarean section in a tertiary hospital in Sokoto,north western Nigeria Nwobodo E I , Isah A Y, Panti A Niger Med J .Nigerian Medical Journal. 2011; 52 (4):263-5

VillarJ,Valladares E, WojdylaD,Zavaleta N, CarroliG,VelazcoA,et al. Caesarean delivery rates and pregnancy outcomes: the 2005 WHO global survey on maternal and perinatal health in Latin America.Lancet. 2006; 367:1819-29.

Hassan S, Tariq S, Javaid MK. Comparative analysis of problems encountered between patients of elective caesarean section and patient for whom elective caesarean section was planned but ended up in emergency.Professional Med J .2008 ;15:211-5.

Leigh DA, Emmanuel FX,Sedgwick J, Dean R.Post-operative urinary tract infection and wound infection in women undergoing caesarean section: a comparison of two study periods in 1985 and 1987.Journal of hospital infection.1990;15(2): 107- 16.

VesnaEG,TajanaKP,Branimir P. Maternal and fetal outcome in elective versus emergency caesarean section. Coll Antropol.2006;30(1);113-8.

Rehana N, Reena S. Maternal and fetal outcomes in elective and emergency caesarean sections at a teaching hospital in north India. A retrospective study. Journal of Advance Researches in Biological Sciences. 2013; 5:5-9.

Najam R, Sharma R. Maternal and fetal outcome in elective and emergency caesarean sections. J Adv Res Biol Sci. 2013; 5 ;5-9.

Daniel S, Viswanathan M, Simi, Nazeema. Comparison of fetal outcomes of emergency and elective caesarean sections in a teaching hospital in Kerala. Academic medical journal of India. 2014;23.


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