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Abstract
Abstract: Caesarean section is an operative procedure whereby the foetuses delivered through an incision made in the lower segment of an abdomen through a Trans -peritoneal approach. It is the method barely practiced in the present-day obstetrics for saving the lives of women and their new-born. The aim of this study is to determine the indications of caesarean section among postnatal mothers at the selected setting, Chennai. Objectives: 1. To identify the indications of caesarean section among primi and multi para postnatal mothers. 2. To associate the demographic variables of primi para caesarean section mothers with multi para postnatal mothers. 3. To associate the indications & non indications of caesarean section with primi and multi para postnatal mothers. Materials and Methods: A quantitative non-experimental comparative analysis style was used to identify the indications of caesarean section. 200 individuals were chosen through the non-probability purposive sampling technique and data was collected using a structured questionnaire. Result: The leading indications of primi and multi para CS were previous caesarean section 35 (17.5%), Malpresentation 34 (17%), CPD 26 (13.0%), failed acceleration 19 (9.5%), placenta praevia 16 (8%), foetal distress 15 (7.5%) and MAS 10 (5%) and the least indication were cord around the neck and post-dated pregnancy 1 (0.5%) respectively. With regard to demographic variables, there was a statistically significant association between age in years and type of caesarean section at p<0.05 level. Conclusion: The predominant cause for caesarean sections is previous LSCS irrespective of second normal pregnancy. On that account, it is mandatory to gauge the antenatal mothers at the initial check-up and recommence at the intranatal level to stave off from any unforeseen emergencies. Keywords: - Indications, Caesarean section, Primi para, Multi para, Postnatal mothers
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