Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

OBSERVATIONAL STUDY OF MATERNAL AND PERINATAL OUTCOME OF ABDOMINAL DELIVERIES IN HOSPITAL SULTANAH AMINAH, JOHOR BAHRU, MALAYSIA

Author

Quek Y.S., Woon S.Y., Lim Y.C., Kartik B., Eliza M.N., Ravichandran J.

Institution

Hospital Sultanah Aminah, Johor Bahru, Malaysia

Abstract

Objectives: To measure the mode and timing of delivery, antepartum risk factors, intra-partum and postpartum complications their 5 min Apgar score.

Methods: Retrospective observational study on all abdominal deliveries from January – December, 2011.

Results: A total of 2,808 (25.7%) women delivered via Caesarean section (CS) out of 10,922 deliveries last year. Elective lower segment CS (EL-LSCS) made up 557 cases (19.8%) and emergency lower segment CS (EM-LSCS) was 2251 cases (80.2%). Majority were Malays (69.5%). Mean maternal age is 29.7 and the mean BMI was 27.22. Out of all the EM-LSCS, 11.3% was coded white but the majority was coded green (59.2%). Out of all the EM-LSCS also, 43.5% were primigravida. As for the EL-LSCS group, majority was also coded green (61.8%) Among all the patients who underwent EL-LSCS, the most common indication was 2 previous scars 183 (32.9%); and for those who underwent EM- LSCS, the commonest indication was fetal distress (33.1%). Out of all case 37 were complicated with post-partum hemorrhage and this was higher in the EM-LSCS group (75%). Majority of the babies delivered had an Apgar score of 7 or more at 5 min 2608 (92.9%). The Mean APGAR score in both groups were more than 8.

Conclusion: EM-LSCS was higher and a large proportion was primigravida. More attention should be paid to their antenatal and intra-partum care. Our Risk stratification should be revised as well as a majority of the patient that went for Caesar was coded green.