Mode of delivery and perinatal outcome in early term and full term deliveries
Dr. Soniya Saini, Dr. Shyam Lal, Dr. Suman Mittal
Objectives To determine effect of mode of deliveries and gestational age on perinatal outcomeStudy Design This was Prospective Study at Department of Obstetrics & Gynaecology Zenana Hospital, SMS Medical College, Jaipur from March 2015 to February 2016.. Mode of delivery were categorized as caesarean section and vaginal deliveries. After excluding anomalies, rates of neonatal outcome by mode of deliveries were compared, correlated and statistically analyzed. Sample size was calculated to 300 subjects in each of the two groups(early term and full term neonates).Result and discussion: perinatal morbidities were slightly higher in neonates delivered by LSCS and in early term birth group. Respiratory distress was seen more in early term neonates (6.00%) and in LSCS group (54.54%).NICU admission was more in early term birth (21.33%) and in LSCS group (51.23%). No significant difference were noted between the 2 groups for APGAR scores at 1 and 5 minutes.Conclusion: This study demonstrates that neonatal morbidities were more in caesarean section group performed at early term period (37 weeks to 38 weeks 6days).So, gestational age and mode of delivery remains a predictor of neonatal morbidity. Despite the limitations of this study, it highlights the need for further research evaluating the effects of the rising cesarean delivery rates.
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