Abstract

Rising trend of Cesarean section is due to its ability to save life of mother and neonate instantly specialy in developing countries like India. But this tempting procedure has its own perils down the time. As multiple c section cases are associated with various maternal and foetal complications. Various fotal complications associated with multiple csection are prematurity, low APGAR Score, increased chances of NICU admission. This prospective study was conducted to study the various fetal morbidity associated with multiple c section in a tertiary care hospital in Vindhya region of MP India. Method: Prospective cross sectional study was conducted for 1 year from 1 march 2020 to 28 Feb 2021 at SSMC & Associated GMH Hospital REWA, MP. Result: There were 100 cases of multiple c section meeting our inclusion and exclusion criteria in study period. Out of 100; 80 were previous 2 section and 20 were of previous 3 c section. Mean age of study population was 28.31 ± 3.29 years (minimum 23 years, maximum 36 years, median 28 years). In our study fetal outcome was poor in cases with multiple C section. Mean birth weight was significantly lower in 3 previous LSCS group. In our study, mean APGAR score (1 min) and (5 min) was significantly lower in 3 previous LSCS group. Conclusion: Multiple c section were associated with poor foetal outcome. Strict adhesion to new ACOG labour guidelines, following robsons criteria for c section, trial of normal labour in previous C section cases are few strategies which can improve this bleak foetal outcome due to repeat C section.

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