Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 13 , ISSUE 1 ( January-February, 2021 ) > List of Articles

Original Article

Cesarean Section in Primiparous Women: A Retrospective Study

Anita Bablad

Keywords : Caesarean section, Complications, Indications, Maternal, Primipara, Rate

Citation Information : Bablad A. Cesarean Section in Primiparous Women: A Retrospective Study. J South Asian Feder Obs Gynae 2021; 13 (1):15-17.

DOI: 10.5005/jp-journals-10006-1864

License: CC BY-NC 4.0

Published Online: 00-02-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: A cesarean section is a surgical procedure that when undertaken for medical reasons can save the life of women and their babies. The primary cesarean section rate is increasing. Many cesarean sections are undertaken unnecessarily, however, which can put the lives and well-being of women and their babies at risk—both in the short-term and in the long-term. Aims and objectives: To determine the rate, antenatal risk factors, indications, intraoperative, and postoperative complications of cesarean delivery in primiparous women. Materials and methods: This was a retrospective study conducted from January 2019 to December 2019. The study included all primiparous women who delivered by cesarean section after 28 weeks of gestation. The detailed information was collected from the records and then analyzed. Results: The total number of deliveries during the study period was 790; out of which cesarean deliveries were 456 (57.72%), and the number of primiparous women who underwent cesarean section was 150 (18.98%). The most common age-group in the study group was 18–25 years. Out of 150 women, 32 (21.33%) were preterm, 86 (57.34%) were term, and 32 (21.33%) were postdated pregnancy, respectively. Most (101/67.34%) of them were unbooked, while 49 (32.66%) were booked cases. The most common antenatal risk factors were anemia (43.34%) and postdated pregnancy (21.34%). The most common indication of cesarean section was non-reassuring fetal heart rate (FHR) (22%). Out of 150 women, 103 (68.66%) had undergone emergency cesarean section. Intraoperative and postoperative complications were less. There was one maternal mortality (0.66%) postoperatively during the study period. Conclusion: When medically necessary, cesarean delivery can effectively prevent maternal complications. Hence, women who need cesarean section should be identified accurately to reduce the rate of cesarean section in primipara and also to reduce maternal complications in short and long terms.


PDF Share
  1. Daftary SN, Chakravarti S, Peri MV, et al. Caesarean delivery. In: Holland and Brews manual of obstetrics. 4th ed. vol. 74. 2016. p. 497–450.
  2. WHO recommendation: non-clinical interventions to reduce unnecessary cesarean section; 2018. ISBN:978-92-4-155033-8.
  3. ACOG-cesarean delivery on maternal request No-761; 2019. Available from: www.acog.org/womens-Health/Cesarean Delivery.
  4. Nair RV, Sowbharnika CP, Seetha PM. A clinical study on indication for cesarean section among primigravida in a tertiary care centre. Obstet Gynecol Rev 2019;5(2):119–124. DOI: 10.17511/Moog.2009.102.06.
  5. Gupta M, Gary V. The rate and indications of cesarean section in a tertiary care hospital at Jaipur, India. Int J Reprod Contracept Obstet Gynecol 2017;6(5):1786–1792. DOI: 10.18203/2320-1770.ijrcog20171530.
  6. Mesleh RA, Asiri F, Al-Naim MF. Cesarean section in primigravida. Saudi Med J 2000;21(10):957–959.
  7. Jaganath P, Himangshu M, Konyak P, et al. Primary cesarean section in primigravida: a clinical study. Sch J Appl Med Sci 2016;4(9B):3307–3311. DOI: 10.21276/sjams.2016.4.9.25.
  8. Kuntal N, Gupta S, Gupta VK, et al. To study indications for primary cesarean section in primigravida and multigravida. 2019;3(6):155–158. DOI: 10.33545/gynaec.2019.V3.16c.407.
  9. Ahmed SR, Alsheeha MA, Alsammani MA. Risks and indications for cesarean section in primiparous women: a case control study. Ann Trop Med Public Health 2013;6(5):541–544. DOI: 10.4103/1755-6783.133711.
  10. Organization WHO. WHO statement on cesarean section rates. Geneva, Switzerland: World Health Organisation, Department of Reproductive Health Band Research; 2015.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.