COMPARATIVE STUDY OF NEONATAL OUTCOME IN CEASAREAN SECTION DONE IN REFERRED CASES VS ELECTIVE CEASAREAN DELIVERY IN A RURAL MEDICAL COLLEGE HOSPITAL

CORRESPONDING AUTHOR:
Dr. Sowmya M,
Consultant,
Sri Shivarathri Rajendra Hospital,
Chamrajnagar, Karnataka, India.
Email: sowmyam2006@gmail.com

ABSTRACT: OBJECTIVES: To study the fetal outcome of rural referrals undergoing emergency caesarean delivery versus elective caesarean delivery in a tertiary care hospital METHODOLOGY: This comparative study was done at a rural medical college hospital, Karnataka, from October 2010 to October 2011. 50 patients referred to the hospital and who underwent caesarean delivery are emergency group and 50 patients admitted in our hospital who were posted for elective cesarean delivery were the other group in the study with emphasis on indications and perinatal outcome. RESULTS: obstructed labour (34 %) was the commonest indication in emergency and previous caesarean delivery (36%) being the commonest in elective group. The live birth was 88% in Emergency group as against 100% live births in Elective group. Perinatal mortality from emergency Caesarean sections accounted for 12%, with severe birth asphyxia responsible for most perinatal deaths. There was statistically significant difference in stillbirths, neonatal deaths, and severe neonatal morbidity between emergency and elective caesarean sections-probably related to prolonged labor, asphyxia, and sepsis than in elective caesarean delivery. CONCLUSION: The perinatal mortality was 12%, and the main cause of death was severe birth asphyxia. Emergency caesarean section was more likely than elective to result in a perinatal loss. The indication with the poorest fetal outcome was prolonged obstructed labor. Early diagnosis and timely intervention may result in decrease in incidence of morbidity and mortality. Emergency caesareans, when performed, are often too late to reduce perinatal deaths.

KEYWORDS: Emergency caesarean sections, Neonatal morbidity, Elective caesarean section.