Abstract

EFFECT OF CESAREAN SECTION ON MATERNAL REQUEST AND NORMAL VAGINAL DELIVERY ON PREGNANCY OUTCOMES

Lecturer. Eman M. Goweily* 

Abstract

Objective: To compare maternal medical outcome after Caesarean section on maternal request. and normal vaginal delivery. Methods: The prospective observational study of healthy primiparous women in the maternity Hospital, Almadinah, The Kingdom Saudi Arabia, who were either scheduled for a planned Caesarean section (for breech presentation or at maternal request) or admitted for a normal vaginal delivery had used. Data were analyzed according to mode of delivery; either cesarean section or vaginal. Results: The total number of subjects are 551 women, ten cases had been dropped, the remaining is 541 women; 242 of those women had a Caesarean section and 299 of them had a vaginal delivery. There were sociodemographic differences between the groups. No difference in mean estimated blood loss or rate of infection was found. The difference in estimated blood loss between women undergoing planned Caesarean section and women who had a vaginal delivery was not more than 7%. Morbidity in the planned vaginal delivery group was mostly due to operative interventions. The Caesarean section group had a longer hospital stay than women who delivered vaginally. Conclusion: There is no difference medical outcomes between primiparous women undergoing Caesarean section on request and those undergoing a normal vaginal delivery after analysis according to mode of delivery in short-term. Recommendation: Future research in this area regarding long-term risks of Caesarean section and also on the baby outcome should be studied.

Keywords: .