Background: Primary caesarean section in multipara refers to first time caesarean section in multiparous women who have had previous one or more vaginal delivery. Aim and Objectives: The present study focuses on the frequency, indications and obstetric outcome of primary caesarean sections in multiparous women with previous vaginal deliveries. Material and Methods: This was a cross sectional observational study, carried st th out during a period of 1 December 2014 to 30 November 2016 at a tertiary care centre after obtaining clearance from Institutional Ethics Committee. All the consecutive subjects fulfilling the selection criteria were included in study with sample size of 200. Results: Total number of deliveries during the study period were 3485, out of which 1649 (47.32%) were vaginal and 1836 (52.68%) were caesarean sections. Frequency of primary caesarean section in multiparous women was 5.73% of all deliveries and 10.89% of all caesarean section. The most common indications for caesarean section were non reassuring fetal status (47%), malpresentation (13%) and thick meconium stained liquor (13%). Conclusion: Though responsible for least number of overall caesarean sections, multiparous women undergoing primary caesarean section fall under high risk pregnancy with possibility of adverse obstetric outcome in significant number of subjects.
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