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Cesarean vs Vaginal Delivery : An Institutional Experience
1Department of Community Medicine, Devdaha Medical College and Research Institute, Rupandehi, Nepal.
JNMA; Journal of the Nepal Medical Association
|July 31, 2018
Summary
Maternal complications like postpartum hemorrhage and wound infections were more frequent in cesarean births compared to vaginal deliveries. This study highlights potential risks associated with cesarean sections, even when medically indicated.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Surgical Outcomes
Background:
- Cesarean sections (CS) are performed in 15% of deliveries globally for maternal and fetal health preservation.
- Rising rates of Lower Segment Cesarean Sections (LSCS) prompt questions about their safety and comparison to vaginal birth.
- Limited research exists comparing complications between cesarean and vaginal deliveries, especially concerning maternal risks.
Purpose of the Study:
- To compare the incidence and types of maternal complications following cesarean sections versus vaginal deliveries.
- To evaluate the safety profile of cesarean births in relation to vaginal births.
Main Methods:
- A descriptive study involving 550 mothers from two hospitals in Rupandehi district, Nepal.
- Data collected using a pretested structured proforma.
- Statistical analysis included SPSS, MANOVA, and Chi-square tests to assess associations between variables.
Main Results:
- Vaginal delivery occurred in 74.2% (408 mothers) and cesarean delivery in 25.8% (142 mothers) of the study population.
- Common maternal complications included postpartum hemorrhage (21.1%), prolonged labor (8.5%), and wound infection (7.6%).
- Maternal complication rates were observed to be higher in the cesarean delivery group.
Conclusions:
- Maternal complications are more prevalent following Lower Segment Cesarean Sections compared to vaginal deliveries.
- The findings suggest that cesarean sections may carry a higher risk of maternal complications than vaginal births.
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