January 2017

January 2017

Fernandez Hospital Caesarean Section Rates for January 2017,
Total Deliveries – 712


Reflections on C Section Rate - January 2017

With reference to Group 1 (Nulliparous with single, cephalic pregnancy > 37 weeks – spontaneous labour) our rate has shown a steep rise to almost 30% – too high for our own benchmark of wanting to keep it below 20%. On analyzing we found that 10 of the 44 were maternal requests and 7 were non-progress of labour. 25 were performed for presumed fetal compromise. In this group of women, wherever it is possible, we assess fetal scalp lactate levels to help make the right decision. Despite our efforts this group is unacceptably high. We plan to review this group in more detail. In Group 5 (multiparous with previous Caesarean, cephalic presentation, > 37 weeks) 21 opted for a trial of labour, of which 9 (42.9%) had a successful VBAC.

 

Robson Classification

In 2001, Michael Robson proposed a system that classifies women into 10 groups, based on their obstetric characteristics (parity, previous CS, gestational age, onset of labour, fetal presentation and the number of fetuses). Since the system can be applied prospectively and its categories are totally inclusive and mutually exclusive, every woman that is admitted for delivery can be immediately classified based on these few basic characteristics which are usually routinely collected worldwide in obstetric wards. In 2015, WHO2 suggested Robson classification to be used worldwide as an audit tool.

10 POWER FOODS TO EAT DURING PREGNANCY

For good health, a healthy diet is always important; And during pregnancy, its importance becomes all the more significant. After you conceive and your baby starts growing, it has variety of nutritional needs. 
Sep
2017

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Childbirth Classes in Hindi at Conference Hall, LJF Block, Fernandez Hospital, Bogulkunta