To Study the Mobidity and Mortality of Primary Cesarean Section in Multigravida

Aim: To study the mobidity and mortality of primary cesarean section in multigravida.

Method: In this study 58 cases of primary caesarean in multigravida over a period of two Years i.e. from August 2016 to April 2018 at the obstetric department of Sree Balaji Medical College And hospital, Chennai-44 were taken. Before surgery, indications for the cesarean section were observed. All problems have been observed and noted until the patient’s release. For primigravida and multigravida, calculations were produced individually and the outcomes were contrasted. Statistical analysis was performed by meaningful chi square test.

Results: During this era, the main cesarean segment supplied 58 multigravida. The most prevalent signs in multigravida were fetal distress and misrepresentation. Primary PPH was commonest intraoperative complication (17.34%) followed by extension of uterine incision (3.44%) in multigravida women. In multigravida women Maternal morbidity was seen in 20 cases and Perinatal morbidity seen in 45 babies. Major causes for perinatal morbidity are birthasphyxia 22 cases(38%), Prematurity 6 cases(10.34%). Perinatal Mortality seen in 2 cases with incidence of 3.44%.There were no maternal deaths in the present study.

Conclusion: Women’s first labour requires to be handled well to decrease the prices of cesarean section. Good antenatal check-ups can reduce the incidence of APE. Multigravida carries a greater danger of morbidity that highlights the need to improve women’s health status in the reproductive age category and to better implement family planning facilities.