An analysis of factors responsible for caesarean section in a multigravida with previous normal vaginal delivery

Abstract

Background: The incidence of caesarean section has increased in the past few years in both developed and developing countries. The aim of the study is to analyse the factors responsible for caesarean section in a multigravida women with previous normal delivery. Methodology: This is an observational study involving 70 multiparous women with history of previous normal vaginal delivery during the period from September 2015 to September 2018 in the department of Obstetrics and Gynaecology of GCS Medical College and Research Centre, Ahmedabad. The various parameters analysed were presentation of foetus, weeks of gestation, elective v/s emergency caesarean section, indication of caesarean section.Results: In the study, majority of patients belong to age group of 28-32 years (47.14%) and were gravida 2 (75.71%). 48 out of 70 women were between 37 to 40 weeks. The most common indication of caesarean section is foetal distress followed by breech presentation in our study and most caesarean were performed in emergency.Conclusion: Caesarean sections are effective in reducing maternal and neonatal mortality only when done for obstetric or medical indications. Knowledge of the factors responsible for caesarean in multigravida with previous normal delivery may assist obstetrician in overall patient management which ultimately will reflect in better maternal and neonatal outcome necessary for psychological and social wellbeing.