APRIL - 2017

Total number of deliveries - 224

Vaginal deliveries – 133(60%)

Caesarean deliveries - 91 (40%)

Emergency - 66 (72.03%)
Elective - 25 (27.5%)
Vaginal Birth After Caesarean – 0
Forceps - 7 (3%)
Outlet – 4, Low Cavity – 3
Assisted Breech Delivery - 0
Twins - 8
IUD – 2
PRIMI MULTI GRAND TOTAL
MULTI

137 87 0 224
BOOKED HERE BOOKED OUTSIDE UNBOOKED ANC

149 74 1
 <19 Yr 20-35 Yr >35 Yr

11 210 3
GESTATIONAL <28 28-34 34-37 >37-42
AGE(WEEKS)

3 14 24 188

WEIGHT <1 1-1.5 1.5-2.5 2.5-3.5 >3.5

(KG)

4 6 50 153 17
TOTAL - 230

TERM - 188

PRETERM - 42
Total number of Induction – 100
METHOD OF CERVICAL RIPENING
PGE2 – 65
PGE1 – 22

Combination:
IMN + PGE2 – NIL
PGE2+PGE1 – 13
Bougie +PGE2 – NIL
INDICATION NUMBER

TERM 27

PROLONGED LATENT PHASE 5

PROM 10

PPROM 7

PREECLAMPSIA/ ECLAMPSIA/ HTN 16

OLIGOHYDRAMNIOS 11

GDM/DM 5

IUGR 3

DECREASED FETAL MOVEMENTS 10

IUD 2

BOH 2
 INDICATION NUMBER

Cholestasis of pregnancy 3

Doppler changes 1

Total 100
COMPLICATIONS PRIMI MULTI TOTAL %
ANAEMIA 6 1 7 2.80

MILD 3 1 4

MODERATE 1 1

SEVERE 2 1 2

DIABETES MELLITUS 4 1 5
2.33
CHRONIC 2 2
HYPERTENTION
0.93
BRONCHIAL ASTHMA 3 2 5
ALLERGIC
BRONCHITIS 2.23
Hypothyroidism 21 9 30
13.35
EPILEPSY 1 1
0.4
COMPLICATIONS PRIMI MULTI TOTAL %
INFECTIONS
HIV 1 1 0.4

HbsAg 1 3 4 1.7

ITP 1 1 0.4

Nephrotic syndrome 1 1 0.4

Cardiac disease – MR, MS 2 2 0.8

Bernard soulier syndrome 1 1 0.4

RA 1 1 0.4

Factor XIII defeciency 1 1 0.4

NCPF+ pancytopenia 1 1 0.4

COMPLICATIONS PRIMI MULTI TOTAL %
HYPERTENSIVE DISORDERS
GESTATIONAL HYPERTENTION 3 1 4 1.7
Mild Preeclampsia 10 8 18 8
Severe Preeclampsia 4 2 6 2.6
Eclampsia

HELLP 1 1 0.4
Doppler changes 4 4 1.7
ANTEPARTUM HAEMORRHAGE

PLACENTA PREVIA 2 2 4 1.7

ABRUPTIO PLACENTA 2 2 0.93
GESTATIONAL DM 15 7 22 9.81
PREVIOUS LSCS 32 32 14.2
POLYHYDRAMNIOS 1 1 2 0.8
OLIGOHYDRAMNIOS 14 3 17 7.5
COMPLICATIONS PRIMI MULTI TOTAL %

IUGR 16 2 18 8.01
BREECH 3 3 6 1.4
Gestational thrombocytopenia 1 1 2 0.8
Peripartum cardiomyopathy 1 1 0.4
TWINS 4 4 8 3.86
Cholestasis of pregnancy 3 3 1.2
PROM 17 3 20 8.14
PPROM 7 2 9 4.07
PRETERM LABOR 2 3 5 2.27
RH NEGATIVE 5 4 9 4.0
BOH 6 6 2.6
IUD 1 1 2 0.80
PPH 2 2 0.8
Placenta increta 1 1 0.4
AFLP 1 1 0.40
INDICATIONS PRIMI MULTI TOTAL %

Fetal distress 13 13 14. 08

Nonreactive NST 2 1 3 3.2

MSL 9 9 9.11

Previous LSCS 32 32 35

Non-progress of Labor 3 3 3.6

Severe Pre-Eclampsia 1 1 1.04

1ST Twin breech 2 1 3 3.2

 INDICATIONS PRIMI MULTI TOTAL %
Abnormal presentation
Breech 1 2 3 3.2

Maternal request 3 3 3.49

Placenta Praevia 2 2 2.24

Failed induction 6 6 6.2

Peripartum cardiomyopathy 1 1 1.02

Total 91
NAME OBH DIAGNOSIS DELIVERY BABY DETAILS
AGE,ANC DETAILS

Madhuri Primi MCDA twin Emergency Twin 1: Girl 1.7 kg,

28 yr 32 wk with severe LSCS in view APGAR-7/10,8/10
Unit – II PE of severe PE TWIN 2: Girl 1.05 kg
IUD of twin with 1st twin Placenta-675g`
Booked OS - II in breech Liquor clear
1272850, 1/4/17, 4.32 No gross anomalies
3878175 pm No signs of maceration
No placental
anomalies/RPclot
No loop of cord around
neck
Radhika G2P1L1 DCDA twin PTVD TWIN 1: Girl – 580 gms
27 yr 23+5 Pre term 8/4/17, 7.58 Placenta -465 gms
UNIT – I wk labour, IUD pm Blood stained liqour
of twin 1 RP clot – 50 gms
Registered No signs of
SJ maceration/anomolies
1273984, Placenta , cord – normal
3785081 Twin 2: Girl – 600 gms
with APGAR 6/10, 8/10.
Intubated-> DAMA
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