An Observational Study to Assess Maternal and Foetal Factors Affecting Mode of Delivery in Primigravida

Abstract Introduction: Child birth is a beautiful and lifetime experience for a woman. During these period women have more concerns about their mode of delivery especially in the first delivery.1 Vaginal birth continues to be the most common form of birth but caesarean rates in the world are increasing day by day.4 So purpose of this study is to find various socio-demographic and obstetric factors which may influence the mode of delivery in primigravida and associated factors with increasing caesarean section rates. Methods: This observational study was conducted in Department of Obstetrics & Gynecology, in a tertiary care institute located in central India, over a period of 12 months. 350 primigravida women with live singleton pregnancy of >28 weeks were studied in terms of maternal and perinatal outcome. Data was studied and statistically analysed. Results: Women who were literate, with BMI <18.5 Kg/m2, Hindu, with history of receiving infertility treatment, belonging to low socio-economic status, residing in urban region, age below 25 years were more likely to undergo caesarean delivery. Various obstetric factors which predispose a woman for caesarean delivery were blood-stained liquor, Bishop’s score <6, meconium stained liquor, GA more than 40 weeks and GA between 28 to <37 weeks.