European Journal of Molecular & Clinical Medicine

Abstract

Background: Caesarean section is one of the most commonly performed and lifesaving
surgery in the world for the child, mother or the both. WHO recommends that the
caesarean sections rate should not be higher than 15-20%. It is common belief in many
that if a woman delivers her child vaginaly all her successive deliveries will be normal,
resulting in the neglecting of routine antenatal check-up of a multiparous woman. So, it is
important to know the incidence and indications of caesarean section in multi gravida
women to decrease section rate in multi parous women.
Materials and Methods: This is a prospective study, the present study is carried out at
hospitals attached to JJM Medical College & Hospitals, Davanagere. 1) CG Hospital, 2)
WCH Hospital & 3) Bapuji Hospital. Study conducted between January 2019 to June
2019.Study was done on parous women who had previous vaginal deliveries.
Results: Among 7482 deliveries happened in study period, 2935 delivered by LSCS, in that
235 cases were primary section in multi parous women which is 7.32% of total LSCS. Most
of the patients 111 (47.8%) belong to age group 25-29yrs, most common incidence for
caesarean section in present study was fetal distress 114 (49.1%).
Conclusion: Many unforeseen complications like cephalopelvic disproportion, prolonged
labour, obstructed labour, malpresentations can occur in parous women who had previous
vaginal delivery, that may require emergency caesarean section. Careful assessment of
them during antenatal and intra natal period can improve maternal and perinatal outcome.
It is recommended that all antenatal patients must be booked and receive proper and
regular antenatal care. Also 100% deliveries in multigravida should be institutional
deliveries in order to reduce maternal and perinatal morbidity and mortality.