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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 10, Issue 3, April 2014 pp 502-505
Incidence of Caesarian Section in Primiparous Patients at Tertiary Care Institute
Nitin Naresh Kulkarni1, Laxmikant R. Kanade2
1Lecturer, 2Associate Professor, Department of OBGY, A.C.P.M. Medical College, Dhule, Maharashtra, INDIA.
Academic Editor : Dr. Aher K.R.
Introduction: The reasons for increased incidence of cesarean section in primiparous patients are obvious. Firstly, increased safety of this operation has widened the indications both maternal and fetal. Secondly, in the past, cesarean section used to be a last resort for delivery while now it is a method of choice over any unpredictable and unavoidable traumatic vaginal delivery. Also the increasing advances in assessing fetal maturity and fetal well being have improved the ability to use cesarean section in a more efficient manner. Aims and Objectives: To determine the incidence of cesarean section in primiparous patients admitted in tertiary care institute and to study factors associated with it. Materials and Method: The present study was conducted at ACPM Medical Hospital, Dhule. All the primiparous women attending the institute for the delivery were enrolled in the study. One thousand consecutive primiparous patients admitted in this institute during the study duration. Out of them 249 undergone cesarean section. Information regarding age, height, ANC registration and other obstetrics findings were noted in those who had undergone cesarean section. Hemoglobin status at the time of admission was also noted. Results: Incidence of cesarean section in primiparous women was 24.9%. Most common age group was young between 15 to 25 years. 64.25% women were having height less than 151cm. 67.88% were un booked. 75.9% were anemic, out of them 9.24% were having hemoglobin less than 6gm%. The estimation of gestational age was rough because majority of patients did not know the exact date of last menstrual period as most of the women were illiterate. PIH was diagnosed in 19.67% women followed by h/o previous abortion in 6.02. Conclusion: Incidence of cesarean section in primiparous women was 24.9%. Height less than 151cm, anemia and un booked ANC were the factors associated with these cases. PIH, previous abortion, Rh negative status of mother and long standing infertility were the common conditions associated with the primiparous women who undergone cesarean section