Mode of Delivery and Perinatal Outcome in Early Term and Full Term Deliveries
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 5
Abstract
Abstract: To determine effect of mode of deliveries and gestational age on perinatal outcome. This was Prospective Study at Department of Obstetrics & Gynaecology Zenana Hospital, SMS Medical College, and Jaipur from March 2015 to February 2016. Modes 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). 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 was noted between the 2 groups for APGAR scores at 1 and 5 minutes. 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.
Authors and Affiliations
Dr. Soniya Saini, Dr. Shyam Lal, Dr. Suman Mittal
Keywords
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