Related Experiment Videos
Perinatal mortality and morbidity in caesarean section.
1Department of Obstetrics and Gynaecology, MAM College and associated LNJP Hospital, New Delhi.
Journal of the Indian Medical Association
|January 1, 1990
Summary
Cesarean section births showed a perinatal mortality rate of 8.3 per 1000 live births, with infections and birth weight being key factors. Improved outcomes were observed in babies weighing 3501-4000g.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Medicine
- Public Health
Background:
- Cesarean section rates have been increasing globally.
- Perinatal mortality remains a significant concern in neonatal health.
- Understanding risk factors specific to cesarean-born infants is crucial for improving survival rates.
Purpose of the Study:
- To determine the perinatal mortality rate in infants born via cesarean section.
- To identify common causes and contributing factors of perinatal deaths in this cohort.
- To analyze the relationship between birth weight and perinatal outcomes in cesarean deliveries.
Main Methods:
- Retrospective analysis of 350 cesarean section births.
- Calculation of gross and corrected perinatal mortality rates and stillbirth rate.
- Identification of causes of perinatal death and morbidity through case review.
Main Results:
- The gross perinatal mortality rate was 8.3 per 1000 live births (corrected: 7.1%).
- Stillbirth rate was 2%, with higher rates associated with abruptio placentae, transverse lie, and cord prolapse.
- Common causes of death included septicaemia, asphyxia, and prematurity; morbidity was linked to asphyxia, septicaemia, prematurity, and cord infection.
- No fetal loss occurred in the birth weight group of 3501-4000g, highlighting the role of birth weight in survival.
Conclusions:
- Perinatal mortality and morbidity in cesarean-born infants are influenced by factors like placental complications, cord issues, infections, and prematurity.
- Birth weight is a critical determinant of survival, with optimal outcomes in the 3501-4000g range.
- Targeted interventions focusing on managing maternal complications and optimizing neonatal care are essential to reduce perinatal deaths in cesarean deliveries.