Title: To Compare the Risk of Maternal and Perinatal Morbidity and Mortality in Second Gravida Women

Authors: Dr. Anjum Ara, Dr. Suman Budania

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i1.12

Abstract

OBJECTIVES: To assess and compare obstetrical outcomes after cesarean versus vaginal delivery in second gravida women.

MATERIAL & METHODS: We restricted our study to women of parity one with single previous cesarean or single vaginal delivery, as multiple previous cesarean or previous successful vaginal delivery are known to influence the mode of delivery. For comparative analysis, the study population was divided into two groups according to mode of delivery for first birth. Group I ,Pregnant women with cesarean first birth (n=100).Group II, Pregnant women with vaginal first birth (n=100).

RESULTS: In our study the distribution of cases according to age was comparable in both the groups and there was no statistical significant difference (p value >0.638). The difference which was statistically significant was incidence of placental abnormalities only (p=0.04).

CONCLUSION: To conclude the discussion about obstetric outcomes we observed increased risk of maternal complications and repeat cesarean section following previous cesarean section. About perinatal morbidity and mortality we observed in our study no significant difference in both the groups regarding perinatal outcome.

KEYWORDS: Cesarean deliverey, Vaginal delivery, Gravida, Prenatal.

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