Patterns of Delivery and Perinatal Outcomes Among Women Delivered at District Hospital of Rural Nepal

Abstract

Studies have shown increased rate of labour induction and cesarean section (CS) with several health consequences for neonates and mothers. Still there is limited data especially in developing countries. A hospital based retrospective cross sectional study was done where all hospital deliveries occurring during the period of 6 months were recorded to assess the patterns of deliveries and their associated perinatal outcomes. Cesarean rate was 18.5%, with meconium- stained liquor being the commonest reason, and 12.5% of deliveries were medically induced. Post dated pregnancies were more likely to have either elective CS or medical induction. Medically induced cases were less likely to have meconium stained liquor however, these cases are at higher odds of emergency CS. Induction of labour is not always without risk as cases lead to more emergency cesarean section. However, this paper highlights that medical induction of labor improve neonatal outcomes which might be attributed to timely intervention in such cases.

Keywords

• Delivery
• Cesarian section
• Perinatal outcome