International Journal of Collaborative Research on Internal Medicine & Public Health

Comparison of short term maternal complications of primary elective caesarian section and normal vaginal delivery

Background: Performing caesarian section (C/S) according to maternal request is one of the major challenges of obstetrics. Number of mothers requesting caesarian without any medical indication is increasing. The aim of this study was to compare short term maternal complications of primary elective caesarian and scheduled normal vaginal delivery in healthy nulliparous women.

Methods: This analytical comparative cross-sectional study was performed during 2006-2011. Required data was collected using patient’s medical records. SPSS 16 software was utilized for data analysis. Short term maternal complications of primary elective caesarian and normal vaginal delivery were compared.

Results: 950 women which had undergone primary elective caesarian with mean age of 22.6 ± 2.1 years and 1200 women which had undergone normal vaginal delivery with mean age of 24.01 ± 3.1 years were enrolled in the study (P<0.0001). There were no significant differences regarding wound infection, anemia, need for blood transfusion, thromboemboli as well as need for hysterectomy between two groups (P>0.05). Duration of hospitalization was significantly shorter in normal vaginal delivery group (1.19 versus 2.25 days) (P<0.0001)

Conclusion: Results of the present study revealed that short term maternal complications of primary elective caesarian and normal vaginal delivery in healthy nulliparous women are comparable. Further studies are suggested to confirm these results..

Author(s): Anisodowleh Nankali , Farahnaz Keshavarzi , Taravat Fakheri , Ahmad Khoshay , Raana Riahi , Paria Nasiri

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