World Journal of
Pharmaceutical and Life Sciences

EVALUATION OF MATERNAL COMPLICATIONS IN WOMEN UNDERGOING CESAREAN SECTIONS: A RETROSPECTIVE STUDY

Rashi Rashi*, Sipra Singh and Soma Bandopadhyaya

ABSTRACT

Objectives: To analyze trends in the LSCS rate and to analyze the indications and complications of LSCS in modern day practice. Place and duration: The study was carried out at Department of Obstetrics & Gynecology, Katihar Medical College and hospital, Katihar, Bihar from January 2017 to June 2017,, after approval of the study by institute ethical committee. Methodology: Total no of patients delivered were counted and total no. of LSCS done was found. For the LSCS patients parameters like elective or emergency, parity status, indications of LSCS, were noted and analyzed. Complete data records of all the subjects along with clinical and demographic details were recorded. Complications occurring in the subjects were recorded by assessing their follow-up records. All the results were compiled and analysed by SPSS software. Result: Frequency of LSCS in the study period was 2014/5871(34.3%) The indications of LSCS in order of frequency were previous one LSCS in 738 (36.64%) patients, followed by fetal distress in 270 (13.4%); failure to progress in 260(12.9%),previous 2 LSCS in 86(4.27%), Breech in 120 cases(5.95%)each, PIH in 120(5.95%) cases each, antepartum haemorrhage in 60(2.97%); and oligoamnios and/or IUGR in 96(4.76%). Out of 2014 cases, elective cesarean occurred in 28 percent of the cases while emergency cesarean occurred in 72 percent of the cases. Wound infection was the most commonly encountered complication in the present study 120(5.95). Urinary tract infection occurred in 100(4.96%) of the cases while post-surgical fever was present in 80(3.97%) of the subjects. Only sixty cases showed presence of post-operative headache. Conclusion: LSCS rate is higher than advised by WHO and previous LSCS is the commonest indication followed by fetal distress. Obstetrical audit will help us a lot in reducing the rate of LSCS andalso the complication rates.

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