Priorities in Modes of Delivery and Its Associated Postnatal Complications: A Longitudinal Study from Bengaluru, India
Ravish H. Shankaraiah, Iswarya Siddhareddy, M. P. Ramya, Rupsa Banerjee, Nitu KumariAbstract
Background:
This study was conducted to identify the priorities in modes of deliveries and its associated postnatal complications along with the cost incurred.
Materials and Methods:
The study was conducted at two referral hospitals, i.e., government and private. Details regarding different modes of delivery were recorded. All mothers and their children were followed to find out complications. The cost incurred was determined from both direct and indirect expenditures. The manuscript was prepared in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.
Results:
The study included 820 postnatal mothers and their children. The common indications for caesarean delivery were previous caesarean delivery, etc., The non-medical indications were fear of delivery pain and the auspicious timing of delivery. The postnatal complications such as anaemia (22.8% vs. 12.6% in government and 30.1% vs. 21.1% in private hospital), menstrual irregularities/backache (14% vs. 2.9% in government and 21.9% vs. 5.9% in private hospital) in mothers and feeding problems (13.4% vs. 4.7% in government and 6.5% vs. 5.2% in private hospital) in newborns were found to be more in caesarean delivery compared to normal vaginal delivery (NVD). There was no cost involved in government hospital whereas private hospital was Rs. 6843 for vaginal delivery and Rs. 13,237 for caesarean section (CS).
Conclusion:
The postnatal complications and cost incurred were merely higher among mothers delivered by CS than by NVD.