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Comparative Study on caesarian and Normal delivery Childbirth in Bangladesh

Open Journal of Statistics 2021年第4期11卷 524-538页

作者： Md. Shohel Rana Md. Rasel Hossain Nilufa Aktar Kabir Hossain Bashirul Alam Asma-Ul-Hosna Department of Statistics Noakhali Science and Technology University Noakhali Bangladesh

The study is concerned with caesarian and normal delivery and its effectiveness on childbirth which has more impact on Bangladesh. We identified that, higher educated and higher income families are choosing caesarian section for childbirth because of improved safety of surgical skill to reduce the mortality rate. Although expensive, most caesarian operations are performed in private hospitals for modern medical equipment, experienced doctors and advanced medical care. A questionnaire survey design was applied in order to make a comparative study on caesarian and normal delivery childbirth. Respondents from all over Bangladesh participated in the survey. We collect 281 data from the respondents of different districts of Bangladesh by area sampling. We use descriptive and analytical research designs in determining the comparative study on caesarian and normal delivery childbirth in Bangladesh. The results of study show that the variance of children taken by caesarian delivery is less than children taken by normal delivery and children taken by caesarian delivery increase due to increased family income. It has been found that 39.5% (111) respondents are from the Urban area and 60.5% (171) from the rural zone. We can say that more than 50% of our respondents are well-educated. We also found that 53.4% of the respondents

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caesarian Section for Placenta Praevia: Does Booking Status Affect Maternofetal Outcome?

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Open Journal of Obstetrics and Gynecology 2016年第5期6卷 306-312页

作者： Oshodi Yusuf Abisowo Akinola Oluwarotimi Ireti Fabamwo Adetokunbo Olusegun Olaifa Ibrahim Adeniyi Oyedele Yekeen Oyedokun Department of Obstetrics and Gynaecology Lagos State University Teaching Hospital Ikeja Nigeria

Background: Placenta praevia accounts for significant maternal morbidity and perinatal morbidity and mortality. Despite advances in blood transfusion technique and surgical procedure, abnormal placentation still remains a difficult challenge for obstetricians. Objective: To determine the influence of booking status on the fetal and maternal outcome among parturients with placenta praevia that underwent caesarian delivery. Methodology: This was a comparative and retrospective study between booked and unbooked subjects with significant placenta praevia that were delivered by caesarian section between January 1st 2004 and December 31st 2008 with respect to maternal and fetal outcome. Result: Out of 14,344 deliveries during study period, 123 cases of placenta praevia that underwent caesarian delivery were identified giving a prevalence rate of 0.86%. 49 subjects were booked while 74 were unbooked. There was no statistically significant difference between booked and unbooked cases with respect to risk factors (30.6% of booked and 23% of unbooked), X2(4) = 7.203, P = 0.126 and the mean blood loss at surgery (870.4 ± 486.9 ml in booked versus 779.7 ± 380.96 ml in unbooked), X2(1) = 0.202, P = 0.653. However, antepartum transfusion (12.2% booked versus 34.7% unbooked) and postpartum transfusion (51% booked versus 72% unbooked) showed statistically significant difference, X2(1) = 9.744, P = 0.002. One maternal death occurred amongst the unbooked cases and none among the booked cases. Statistically significant differences were also noted in the apgar score at 1 minute X2(3) = 15.528, P = 0.001 and 5 minutes X2(3) = 12.912, P = 0.005 respectively. More babies died in the unbooked group (19) compared to two (2) in the booked mothers. Conclusion: Unbooked status in placenta previa significantly increases the risk for antepartum and postpartum transfusion, is associated with higher mortality, increased p

关键词： Placenta Praevia Maternal Outcome Fetal Outcome Booking Status caesarian delivery

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