To Assess the Association of Cesarean Section with Unengaged Fetal Head in Primigravida Females Presenting in Labour for Delivery

Abstract

Objective: To assess the association of cesarean section with unengaged fetal head in primigravida females presenting in labour for delivery.

Study Design: Cohort study

Place and Duration of Study: This study was conducted at the Department of Obstetrics and Gynaecology, Unit-3, Jinnah Hospital, Lahore, from 20^th January 2018 to 19^th July 2018.

Materials and Methods: A total of 230 patients (115 in each group) were enrolled in the study. Females were divided in to two groups i.e. group-A females with unengaged fetal head and group-B females with engaged
fetal head.

Results: Patients ranged between 18-40 years. Mean age of the patients was 28.2±6.3 and 28.2±5.0 in group-A and B, respectively. In group-A mean gestational age was 38.4±1.2 and in group-B 38.3±1.1 weeks. Mean BMI in group-A was 24.7±3.2 and in group-B 24.7±3.1 kg/m². Association between cesarean section and engaged fetal head was found, RR value was 4.2. Stratification with regard to age, gestational age and BMI was carried out.

Conclusion: In conclusion, there was an association between cesarean section and unengaged fetal head in primigravida ladies.