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A. Bansal ¹, K. K. Viswanadham ², A. K. Bansal ², P. K. Shrivastava ², H. B. Rathi ²

Affiliations
1 Department of Orthopedic, Govt. Medical College, Jagdalpur (Bastar)–494001, IN
2 Govt. Medical College, Jagdalpur (Bastar)–494001, IN

Abstract

Background: Breech presentation is always at a greater risk than Cephalic presentation with respect to perinatal morbidity and perinatal mortality. Research Question : effects of Caesarean section and vaginal delivery on perinatal and maternal mortality and morbidity in breech presentation? Material and Methods: One hundred cases with breech presentation that have undergone delivery (Caesarean / Vaginal) were included in the study. Study Design: Analytic study. Setting: Hospital based. Study Variables: birth weight, mode of delivery, Apgar score. Statistical Analysis: Chi-square test, simple proportion. Results: All babies with Apgar score less than 5 died .Only 5 babies with Apgar score between 5-7 died .100 % of the babies with Apgar score more than 7 were alive at the end of first post natal week. There were higher percentages of babies with low Apgar scores in vaginal delivery as compared to C-section babies. Perinatal mortality rate for C-section was 2.18 % in comparison to their counterparts, 39.62 % in vaginal delivery. These results were highly significant. Of the total 22 perinatal deaths, 18 were premature constituting 81.18%. There was no maternal mortality. In the present study there was 14.9%maternal morbidity associated with C-section as compared to 7.5 %with vaginal delivery. Conclusion: Thus prematurity was the most important factor towards perinatal mortality in breech presentation. This shows that the breech baby is likely to be benefited by Csection and morbidity from trauma and asphyxia can be reduced by the mere liberal use of C-section in selected cases. The authors recommended Csection for all breech presentation with expected birth weight above 3000 g.

Keywords

Prematurity, Apgar Score.

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V. K. Dhruv ¹, A. Sahu ², A. K. Bansal ³, Shashi Kala Dhruv (Thakur) ⁴, B. Baghel ⁵, K. K. Viswanadham ⁵, Bithika Nel Kumar ⁶

Affiliations
1 Dept. of Anaesthesia, Govt. Medical College, Jagdalpur (BASTAR) - 494001, IN
2 Dept. of Paediatrics, Govt. Medical College, Jagdalpur (BASTAR) - 494001, IN
3 Dept. of Community Medicine, Govt. Medical College, Jagdalpur (BASTAR) - 494001, IN
4 Dept. of Pathology, Govt. Medical College, Jagdalpur (BASTAR) - 494001, IN
5 Dept. of Paediatrics, Govt. Medical College, Jagdalpur (BASTAR) - 494001, IN
6 Dept. of Pharmacology, Govt. Medical College, Jagdalpur (BASTAR) - 494001, IN

Abstract

Background: For Caesrian section to provide optimal anaesthesia, causing less transpass in to the existing patho-physiology of the mother and child, needs the use of such technique and drugs which have minimal side effects. Research question: Use of Pipe curonium Bromide as an anaesthetic agent, has any bearing, on neonates using Neurological Adaptive Capacity Score. Material and Methods: New Bornes of 85 mothers who have under gone elective and emergency L.S.C.S. were included in the study. Observations: 85%of newborns had an average N.A.C.S. score of 35.37 at 15 minutes, 38.46 to 39.90 at 2 hours and 24 hours intervals, there by depiciting a vigorous neonate with no evidence of cardio respiratory depression or residual effects of neuromuscular blocks drugs. Conclusion: Pipecuronium Bromide is a good muscle relaxant as evaluated by N.A.C.S. System.

Keywords

Muscle Relaxant, New Borne.

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V. K. Dhruv ¹, A. Sahu ², A. K. Bansal ², Shashikala Dhruv ², P. K. Shrivastav ², B. Baghel ², K. K. Viswanadham ², S. Sharma ²

Affiliations
1 Dept. of Anaesthesia, Govt. Medical College, Jagdalpur (Bastar) -494001
2 Govt. Medical College, Jagdalpur (Bastar) -494001, IN

Abstract

Objectives: To know the effects of Pipecuronium Bromide used as general anaesthesia during caesarian section on neonates, if any? Material and Methods: Eighty five mothers who have undergone Caesarian Section were included in the study (sixty five in study and twenty in control group). Statistical analysis: Chi-square test, Proportion etc. were used for statistical analysis. Results: 85% had an average apgar score of 9.19 and 9.92 at 1 minute and 5 minutes interval. Only 15% had an average Apgar score of 5.77 to 8.0. Preoperative foetal distress and prematurity were the two factors leading to a poor scoring. Conclusion: It was concluded that pipecuronium Bromide can be used safely during Caesarian Section without any adverse effects on Neonates.

Keywords

Apgar Score, Caesarian-Section, New-Borne.

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