Evaluation of Factors Responsible For Delayed Baby Delivery in Caesarean Sections in a Tertiary Care Institute: A Cross-Sectional Observational Study
Background: There are several incidences where baby delivery seems to be difficult to the obstetrician who is then forced to change the technique, size or shape of the incision which increase the uterine incision to baby delivery interval.
Methods: This was a cross-sectional observational study which was conducted in the Department of Obstetrics & Gynaecology at LTMMC & GH, Mumbai which is a tertiary care institute. Data of 150 caesarean sections was collected and analyzed for uterine incision to delivery interval along with the causes of delayed baby delivery and foetal outcomes.
Results: Total 150 caesarean sections had U-D interval more than 120 seconds with an incidence of 3.08%. The floating head and baby weight more than 2.5 kg and lack of surgical experience were found to increase U-D interval more than 120 seconds. 93.3% of the study group had head station at or above zero. 83% of the cases were operated by junior residents.64.7% of the cases had baby weight more than 2.5 kg. Patwardhan was used as ancillary method in 1.3% of the cases. APGAR at 5 minutes was more than 7 in 65.1% of the cases.
Conclusion: Delay in baby delivery can be avoided by training the resident doctors in a better way. A senior resident can take up the caesarean section if delay is anticipated in a case of foetal compromise, where baby might be affected if there is any further dely. However, since the study does not show any effect on APGAR at 5 minutes, we can conclude that surgeons have greater margin of safety and need not hurry just to deliver the baby faster.
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