International Journal of Education and Social Science (IJESS)

Caesarean section is the most frequently performed major operation in obstetrics. Modern obstetric care practice includes the liberalized use of caesarean section for the greater interest of foetal outcome. Emergency caesarean section is often done for the safety of mother or fetus. But the result of emergency caesarean section is not same as an elective caesarean section. Emergency caesarean section was found to be responsible for the most of the feto maternal morbidly & mortalities. So, indication of caesarean section should be rational to reduce the feto-maternal morbidity and mortality from caesarean section. The main objective of this study was to determine whether the indications of emergency caesarian section were justified and what were the feto-maternal outcomes in these emergency caesarian sections. The aim was to find out the indications of emergency caesarean section. This descriptive type of cross-sectional observational study was conducted on 100 pregnant women who underwent emergency caesarean section in Gynae&Obs Department of Shaheed Suhrawardy Medical College Hospital between January 2013 to June 2013. 95% of the patients had single pregnancy, 73% of the patients had a gestational age between 37 to 40 weeks, in case of indication of emergency caesarean section 39% of the patients had history of previous caesarean section, 17 patients had prolonged first stage of labour and 8 patients had diabetes mellitus, in case of foetal outcome- 68% of the babies had no complications, 9% of the babies had perinatal asphyxia and 8% of the babies had neonatal jaundice. This study shows that majority of the indications for emergency caesarean section were previous history of caesarean section, prolonged first stage of labour and pregnancy with diabetes mellitus.