This paper is published in Volume-10, Issue-5, 2024
Area
Biology
Author
Arrman Sanganeria, Gaurav Desai
Org/Univ
Independant Researcher, India
Pub. Date
24 September, 2024
Paper ID
V10I5-1188
Publisher
Keywords
Cesarean Section, Perinatal Morbidity, Robson Criteria

Citationsacebook

IEEE
Arrman Sanganeria, Gaurav Desai. Perinatal Outcomes of 100 Consecutive Cesarean Sections at a Nursing Home in Urban India, International Journal of Advance Research, Ideas and Innovations in Technology, www.IJARIIT.com.

APA
Arrman Sanganeria, Gaurav Desai (2024). Perinatal Outcomes of 100 Consecutive Cesarean Sections at a Nursing Home in Urban India. International Journal of Advance Research, Ideas and Innovations in Technology, 10(5) www.IJARIIT.com.

MLA
Arrman Sanganeria, Gaurav Desai. "Perinatal Outcomes of 100 Consecutive Cesarean Sections at a Nursing Home in Urban India." International Journal of Advance Research, Ideas and Innovations in Technology 10.5 (2024). www.IJARIIT.com.

Abstract

Background: Cesarean section has become an important obstetric intervention both in institutions and nursing home setup. Outcomes of cesarean sections nursing homes are not well documented in literature. Objectives: To analyse data of 100 consecutive cesarean sections done at a nursing home in urban India. Method: This was a retrospective study carried out at Mothercare Nursing Home in the city of Mumbai over a period of six years. Medical records of patients who underwent a cesarean section at our nursing home between 2015 to 2021 were recorded. Demographic data including patient’s age, mean parity, previous medical and surgical history, USG findings, cesarean section and newborn records were documented. Caesarian sections done were classified as per Robson criteria. Data was analysed using Microsoft excel. Results: A total of 100 consecutive patients (mean age=30.9±4.2 yrs, mean parity=0.6±0.7 yrs, mean BMI= 23.4±1.4 kg/m2) who satisfied our inclusion criteria were included in this study and underwent a cesarean section. In total 78 patients underwent an elective cesarean delivery and 22 had an emergency cesarean section. Primary and secondary cesarean section was done in 66 and 34 women respectively. There were 104 conceptions (n=4 twin gestation) resulting in 43 male and 61 female births. Number of women who were normal weight (BMI 18-25 kg/m2) were 72 and total number of overweight and obese women were 28 (BMI over 25 kg/m2). Majority of patients were categorised into modified Robson class 2 and 5. A majority of women were in the 25-35 year age group (n=83). Most deliveries occurred at term (n=98, mean birth weight 2.87±0.47 kg). Two preterm newborns required NICU care. There was no maternal mortality in our cohort. Conclusions: Cesarean delivery is a safe and feasible procedure in a nursing home. Good backup systems and protocols are a must to conduct this surgery in a safe and effective manner. Most patients were modified Robson criteria 2 and 5.