23.To Assess the Association of Cesarean Section with Unengaged Fetal Head in Primigravida Females Presenting in Labour for Delivery
Sidra Asif1, Sana Navaid1, Mehvish Gul2, Arooj Butt1, Amna Aslam1 and Saman Ahmad3
ABSTRACT
Objective: To assess the association of cesarean section with unengaged fetal head in primigravida females presenting in labour for delivery.
Study Design: Cohort study
Place and Duration of Study: This study was conducted at the Department of Obstetrics and Gynaecology, Unit-3, Jinnah Hospital, Lahore, from 20th January 2018 to 19th July 2018.
Materials and Methods: A total of 230 patients (115 in each group) were enrolled in the study. Females were divided in to two groups i.e. group-A females with unengaged fetal head and group-B females with engaged
fetal head.
Results: Patients ranged between 18-40 years. Mean age of the patients was 28.2±6.3 and 28.2±5.0 in group-A and B, respectively. In group-A mean gestational age was 38.4±1.2 and in group-B 38.3±1.1 weeks. Mean BMI in group-A was 24.7±3.2 and in group-B 24.7±3.1 kg/m2. Association between cesarean section and engaged fetal head was found, RR value was 4.2. Stratification with regard to age, gestational age and BMI was carried out.
Conclusion: In conclusion, there was an association between cesarean section and unengaged fetal head in primigravida ladies.
Key Words: Unengaged fetal head, Cesarean section, Primigravida