Maternal Morbidity In Low Risk Nulliparous Mother Associated With Cesarean Delivery Before Labor And Following Induction Of Labor

Research Article
Jayanta Kumar Nandi, Diptaprasun Saha, Anirban Mitra and Sangita Pal
low risk nulliparous mother, induction of labor, cesarean section, maternal morbidity

Objectives: To compare maternal morbidity associated with cesarean section following induction of labor with cesarean section before labor .Methodology:. It was a cohort study, longitudinal in design; conducted at North Bengal Medical College, Darjeeling, during January 2013 to December 2014. We included low risk nulliparous term pregnancies in our study. We excluded pregnancies complicated with medical or pregnancy related complications from our study We divided them into two groups. Group-A comprises mothers in whom induction of labor was done but subsequently cesarean section was needed; group-B comprises of mothers in whom cesarean section was done before onset of labor and without induction of labor. We analyzed maternal morbidities in both the groups. Statistical calculation was done using MedCalc statistical software and GraphPad statistical software. Significance level was considered at p < 0.05.Result: Out of 627 mothers 239 mothers(group-A) underwent cesarean section after induction of labor and 388 mothers (group-B) underwent cesarean section without induction of labor as well as before onset of labor. Rate of PPH and Wound infection were significantly higher in the group of mothers who underwent cesarean section following induction of labor (p<0.05). Conclusion: The rate of maternal morbidities was higher in mothers with elective obstetric intervention particularly in mothers whom induction of labor done.