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Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-4 | Issue-05 | 210-213
Original Research Article
Epidemiology of Cesarean Section in a Single Center Study
Dr. Farida Begum, Dr. Nahid Akter
Published : May 26, 2021
DOI : 10.36348/sijog.2021.v04i05.007
Abstract
Introduction: Cesarean delivery is increasing in both developed and developing countries. Though it is considered as a lifesaving surgical procedure for the pregnant women and the neonate, it has various risk factors and complications. Objective: The aim of this study was to assess the epidemiology and the results of the cesarean section in a single center of Bangladesh. Study Design: Retrospective observational study. Place and Duration of the study: The study was conducted in the department of Gynae & Obstetrics, Sher E Bangla Medical College Hospital, Barishal, Bangladesh, during the period from January 2019 to December2019. Methods: This is a retrospective observational study. Among the total number of cesarean patients, we recruited 75 women who were age 25-35 years with gestational age 37-42 weeks of pregnancy. Those who were less than 37 weeks of gestational age, the patients with multiple pregnancy complications, and those who were referred were excluded from the study. Written consent was taken. Collected data were compiled and analyzed using computer-based software, statistical package for social science (SPSS). Result: In this study, a total of 75 women who had a cesarean delivery were included. The baseline characteristics of the study people were: maximum 45(60.0%) study people were from the age group of 25-35, multipara was 54 (72.0%), and primipara was 21 (28.0%), most of the study people 39(52%) had normal BMI 10(25.3%) had overweight, 9(12.00%) had obese, 8(10.7%) had underweight. The majority 22(29.3%) of the study people were secondary educated. Most of the study people 37(49.3%) had 37-42 gestational age. The indications of cesarean delivery, 31 (41.3%) had repeat cesarean delivery, 12 (16.0%) had failed to progress, 9 (12.0%) had fetal distress, 8 (10.7%) breech presentation, 7 (9.3%) had antepartum hemorrhage, 6 (8.0%) had hypertension and 2 (2.7%) had diabetes mellitus. SAB was used in 61 (81.33%), pfannenstiel incision was used in 70 (93.3%), and the average operating time was 51.2 minutes. Subcuticular was mostly used 42(56%) for skin stitch followed by vertical mattress in 33(44.0%). Intraoperative antibiotic was used in 11 (14.7%), postoperative antibiotic was used in 9 (12.0%), both of these mentioned antibiotics were used in 6 (8.0%), and no antibiotic was used for 49 (65.3%). Conclusion: Repeat cesarean deliveries were found in most of the study people of the cesarean section. Surgical site infection was the most common complication.
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