Maternal and Fetal Outcome in Booked and Unbooked Patients Undergoing Emergency LSCS

Abstract

BACKGROUND:Caesarean section is the most commonly done Obstetric surgery and the outcome of surgery differs depending on various factors. Maternal and Fetal morbidity effects the quality of life, effect on maternal and foetal morbidity depends on proper follow up during antenatal period. PURPOSE: This study was under taken to find out the difference in maternal and fetal outcome between booked cases with proper antenatal follow up and un-booked cases. METHODOLOGY: This is a comparative study conducted at Rural Medical College in Telangana over a period of one year. Various parameters of Maternal Morbidity, Neonatal Morbidity, and Mortality were compared in both the groups. Comparison was done by using chi square test. And p value <0.05 was considered to be statistically significant. RESULTS: 389 patients were studied who underwent emergency LSCS during year 2014 in our rural medical college 190 were un-booked cases and 199 were booked cases, Indications for LSCS were similar in both the groups most common being one previous LSCS next being fetal distress. Abruption was the indication in 11 cases of un-booked group were as only one case in booked group. Post-partum haemorrhage and other post-operative complications were significantly higher in un-booked group. Perinatal mortality was more in un-booked cases. Low birth weight and need for NICU admission, perinatal morbidity was high in un-booked group. CONCLUSION: During our study period it was observed that booked cases had less maternal morbidity, perinatal morbidity and mortality when compared to the un-booked cases.