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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 2, February 2014 pp 46-50

Research Article

A Study of Various Indication of Caesarian Section in Primiparous Patients

Nitin Naresh Kulkarni¹, Laxmikant R. Kanade²

Academic Editor : Dr. Bhanap P. L.

 Introduction: The indications for cesarean section in primiparous patients are changing day-to-day and newer indications are being added to it. This is because in modern obstetrics with the increasing amenities. Cesarean section may be required at first or second stage of labor. With all practical variations, it is the most essential procedure for the well-being of mother and fetus. Aims and Objectives: To find out the various indications for cesarean section in primiparous patients attending the tertiary care institute for delivery. Material and Methods: The present study was conducted at ACPM Medical College and Hospital, Dhule. All the primiparous women attending the institute for the delivery and undergone cesarean section were enrolled in the study. Detail clinical examination and required investigations were done and the precise indication for cesarean section was decided and noted down. Results: Most common age group was young between 15 to 25 years. 62.24% cases were taken for cesarean section after observing the progress i.e. in the form of fetal distress, cervical dystocia, prolonged labor etc. Cephalopelvic disproportion (44.97) was the most common indication for cesarean section followed by fetal distress (30.52%). PIH was the indication in 19.67% cases. An abnormal presentation was reported in 21.66% cases. Elderly primiparous patients, prolonged infertility and ant epartum hemorrhage were present in very few women. Conclusion: cephalopelvic disproportion was the most common indication for cesarean section in primiparous women followed by fetal distress, abnormal presentation, PIH and failure to progress.