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TITLE:

CAESAREAN SECTIONS: ASSESSING THE CAUSES, OUT COMES AND COMPLICATIONS AT LUMHS HOSPITAL, HYDERABAD, PAKISTAN

AUTHORS:

Erum Smreen, Madiha Abbasi, Naheed Parveen

ABSTRACT:

Caesarean sections deliveries are increasing around the globe due to a long list of medical and non-medical factors but no doubt the technique is great and old with a history of more than a century. This procedure has reduced the child and mother mortality from multiple feto-maternal pathologies however certain risks also increase if the procedure gets frequently performed. This piece of research work was executed at Gynecology and Obstetrics department at LUMHS hospital, in Hyderabad Sindh , Pakistan from 5th April 2019 to 5th July 2019 on those females which underwent C-section . Various parameters assessed in these patients and various causes of C-sections were also evaluated. We estimated the frequencies and percentages and found that 98% (326) of the procedures were without any complications while only 2%(6) got complicated even those were not due to the procedure but were actually due to the severity of the disease and late arrival of patients, 93.67% (311) outcome was live births while 6.32% (21) cases were found to have Intra Uterine Deaths of fetuses. The most common cause of Caesarean sections was found to be previous C- Sections 39.76% (132) followed by abnormal fetal presentation, eclampsia and placental abnormalities Conclusion: Previous caesarean sections are the most common cause of subsequent Caesarean surgeries, followed by fetal presentations and eclampsia and the gynecology and Obstetrics unit of this hospital has great success rates. Key Words: C-Section, IUD, IUGR, Eclampsia

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