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COMPARISON OF INDICATIONS OF LOWER SEGMENT CAESAREAN SECTIONS IN PRIMIGRAVIDA VERSES MULTIGRAVIDA

Hafiza Fatima Naseem, Quratulain Khalil, Laraib Hafeez

Introduction: The incidence of cesarean section has doubled or tripled all over the world in the last 15 years. Though modern technology and facilities have made this operation remarkably safe, but stillcesarean section is associated with increased risk of maternal morbidity and mortality as compared to vaginal delivery as well as it also complicates the management of subsequent pregnancies.Objectives of the study: The purpose of this study is to compare the incidence, indication and complication of primary cesarean section in primigravida and multigravida so that the aspects which need due attention in either group could be differentiated and better obstetric management could be given to them.Methodology of the study:This cross sectional study was conducted at RHC Hajipur during January 2019 to July 2019. This study was based on the local female population of Pakistan. Total number of selected patients was 585. All patients who delivered vaginally or abdominally during this period were considered and were divided into two groups- primigravida and multigravida.Ist group contain 369 females and second group contain 216 females.Results: There were total 585 deliveries during this period of which 369 were primigravida and 216 were multigravida.On comparing the indications of cesarean section in two groups (table 2), fetal distress accounted for 112 cases in primigravida while it was an indication for 64 cases in multigravida (p value <0.001). Other indications were comparable in both the groups except for APE and APH. In primigravida, APE was responsible for 4.42% cesarean sections as compared to 0.73% cases in multigravida (p value <0.01).Conclusion: Thus, to conclude, the rate of primary caesarean section in primigravida is increasing as elsewhere and is higher than multigravida.

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