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Background: Cesarean section (CS) stands as the foremost major surgical procedure in contemporary obstetrics. Initially developed primarily to safeguard maternal life during challenging childbirth scenarios, its prevalence has shown a concerning upward trajectory in recent times. The aim of this study was to investigate the prevalence and determinants of Cesarean section deliveries in a rural tertiary care hospital.Methods: This was a retrospective observational study and was conducted in the Department of Obstetrics and Gynaecology of Khwaja Yunus Ali Medical College & Hospital, Sirajganj, Bangladesh during the period from January 2018 to December 2019.Results: Out of a total of 1600 deliveries, 390 (24.4%) were vaginal deliveries, while 1210 (75.6%) were cesarean sections respectively. Majority 94.8% patients were 20-34 years old, 1.8% were less than or equal to 19 years and 3.4% were great than or equal to 35 years old respectively. The majority of cesarean sections, 814 (67.3%), were performed as elective procedures and 396 (32.7%) were performed as emergency procedures respectively. Majority 512 (42.3%) were performed on women who had a history of previous cesarean deliveries, 34 (2.8%) were performed due to non-progression or prolonged labor, 99 (8.2%) were performed due to malpresentation of the baby and 308 (25.5%) were performed at the request of the mother respectively.Conclusions: In conclusion, this retrospective observational study provides valuable insights into the prevalence and determinants of caesarean sections in a rural tertiary care hospital.
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Background: Pregnant individuals with polycystic ovarian syndrome (PCOS) seem to face a heightened susceptibility to unfavorable outcomes. This investigation aimed to evaluate the consequences of pregnancies in patients diagnosed with PCOS.Methods: This cross-sectional study involving 115 pregnant patients with PCOS was carried out at the department of obstetrics and gynecology, Dhaka medical college and hospital, Dhaka, Bangladesh, tertiary care facility, from January 2023 to December 2023. Data on the ongoing pregnancy, PCOS, and outcomes were analyzed by SPSS version 20.Results: Average age of participants was 25.07 years. Incidence of premature rupture of membranes (PROM) was 33.91%, low APGAR score at 5 minutes was 12.17%, gestational diabetes (GDM) occurred in 23.47% of cases, miscarriage was reported in 2.1%, preterm delivery in 13.91%, cesarean delivery in 37.39%, low birth weight babies accounted for 2.6%, macrosomia occurred in 0.7%, preterm PROM (PPROM) in 19.52%, perinatal mortality 1.73%.Conclusions: In pregnancy with PCOS, the percentage of GDM, preterm delivery, meconium-stained liquor, small for gestational age (SGA)/intrauterine growth restriction (IUGR), macrosomia, PPROM, perinatal mortality, neonatal intensive care unit (NICU) admission, and congenital anomalies were either comparable or lower. However, a higher percentage of hypertension in pregnancy, PROM, low birth weight babies, and low APGAR score at five minutes was observed in this population.