Study the Assessment of Risk Factor for Primary Caesarean Section in Multigravida

Abstract

Background: It is a study of the assessment of risk factor of primary caesarean section in multigravida women who has had previous vaginal delivery of viable neonates.
 Aim of Study: To study the risk factor of primary caesarean section in a multigravida.
 Methods: Prospective study, hospital based descriptive type of observational study conducted in department of Obstetrics & Gynaecology, SMS Medical College, Jaipur, India from June 2018 to August 2019 ,1000 multipara women previous delivered vaginally with gestational age >28 weeks with giving written and informed consent were included and excluded previous caesarean section and Labor was monitored by using partograph. Decision for caesarean section was based on clinical evaluation of progress of labor, fetal and maternal condition and complications were noted.
 Statistical analysis: Continuous variable was expressed as Mean and Standard deviation. Nominally / Categorized variable was summarized as Proportion. Parametric and Nonparametric Tests used for continuous and nominal variable as per yield of data.
 Result: 42.18% women in the age group of 26- 30 years and 71.90% were second gravida. 67.30% had emergency caesarean section. Among the various risk factor of caesarean section, malpresentation was commonest (12.79%).
 Conclusion: There are many cases where a caesarean section becomes mandatory for her. Many unforeseen complications occur in women who previously had a normal vaginal delivery.