Maternal and Fetal Characteristics to Predict Caesarian Section Delivery
Objectives: To assess maternal and fetal characteristics to predict caesarian section delivery.
Methodology: This Prospective Cohort study was conducted in department of Obstetrics & Gynecology, Aziz Fatimah Medical and Dental College and Hospital, Faisalabad, from October 2020 to October 2021.
Pregnant women of age between 18-40 years, having single tone pregnancy, visiting for delivery were included in the study. At the time of enrollment demographic information including maternal age, maternal education, pregnancy history, body mass index, gravidity, parity, history of C-section, comorbid disease, and preterm (< 37 weeks) delivery, were assessed. All the women were divided into two groups based on delivery one was normal delivery group and second was caesarian delivery. Deliveries with or without induction, spontaneous deliveries, vacuum extraction or forceps delivery were considered as vaginal delivery. The fetal outcomes like birth weight and requirement of NICU admission was also noted.
Results: In this study, 38 (22.2%) women deliver with caesarian section. The mean age was significantly higher in caesarian section group (33.51 ± 2.1 vs 29.5 ± 2.3, P-value = 0.000) as compared to women in vaginal delivery group. The main contributing factors which can significantly enhance the chance of caesarian section delivery are maternal age (OR =1.26), preterm delivery (OR=1.52), comorbid disease (OR=1.59), no history of vaginal delivery (OR=1.98) and history of caesarian section (OR=6.46), birth weight of the baby (OR=1.48 for < 2.5kg, and OR=2.06 for >3.5 kg) and requirement of NICU admission (OR=1.86).
Conclusion: Higher maternal age (> 35 years), comorbid disease, preterm delivery (< 37 weeks), no history of vaginal delivery, history of previous c-section, obstetrical complications, birthweight of (< 2500 g) and (⩾ 3500 g), and requirement of NICU admission were found to be main significant contributing factors for c-section.
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