EVALUATION OF MATERNAL OUTCOME IN LATE PRETERM CAESAREAN SECTION: A PROSPECTIVE STUDY AT A TERTIARY CARE CENTRE

Abstract

Child’s births occur at a minimum of 39 weeks of gestation unless earlier delivery occurs spontaneously or because of maternal and fetal medical indications. Therefore, the present study included 100 patients who were delivered by late pre-term cesarean section conducted in Department of Obstetrics and Gynaecology, Umaid Hospital, Dr. S. N. Medical College Jodhpur. This study showed 81% patients from 21-30 years of age 13% were from 31-40 years, 5% were <20 years and 1% were >40 years. The average age was about 26.39 years. 31% of patients presented with complaints of labor pain followed by leaking per vaginum(25%). Highest number of abortions was 4 and maximum numbers of patients (10) have one abortion. 56% of patients have previous delivery and out of them 33% had previous LSCS. Among significant past history, history of previous preterm delivery was seen in 15% cases and history of previous SB/IUD was seen in 11% cases. Among maternal risk factors hypertensive disorder of pregnancy was seen in 29% patients. Among fetal risk factors severe oligohydramnios was most common (16%) and IUGR seen in 9% cases. 75% patients had cephalic presentation followed by breech presentation (24%).91% patients had singleton pregnancy and 9% patients had twin pregnancy. 53% of late preterm cesarean sections were due to fetal indications.28% of cesarean sections were due to previous cesarean sections with associated conditions.7 % of patients had PPH followed by, 2% had Couvelaire uterus and 1% had Placenta left in situ. The mean period of gestation was 35.5 weeks and 44% of patients have POG 36 -36.6 weeks when they have a cesarean section. The mean period of gestation was 35.5 weeks. We could find major complication of late preterm caesarean section of pregnant women and prefer to identify such cases and seek medical emergency prior to the preparation of cesarean.