Preterm Caesarean delivery in Hypertensive disorders of pregnancy.

Recruiting

Conditions: Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium,

Registration Number: CTRI/2023/06/053371

Lead Sponsor: VMMC and Safdarjung hospital

Brief Summary: Background and purpose of the study

Hypertensive disorders of pregnancy (HDP) constitute one of the leading causes of maternal and perinatal mortality worldwide. The mode of delivery in women with HDP should be guided by routine obstetric indications. Vaginal delivery is preferred for gestational hypertension or preeclampsia without severe features.Though vaginal delivery is achieved in most cases of HDP, but in preeclampsia with severe features ,vaginal delivery is often not accomplished as the gestational age decreases.The occurrence of delivery by caesarean section at less than 28 weeks of gestation may go upto 97%, and between 28â€“32 weeks of gestation, it goes upto 65% as per the existing literature. The decision to perform cesarean delivery should be individualized. Although the decision of pregnancy termination in HDP is guided primarily by maternal status, maturity of fetus and risks associated with preterm Caesarean section (CS) should also be kept in mind.

Rising Cesarean section (CS) rates is now a global concern. Out of the 10 classes of Robson Ten group classification system, the most common contributor to Caesarean section is Robson group 5, followed by group 2 and group 1. The fourth contributory group is group 10 which refers to single, cephalic, less than 37 weeks of gestation(preterm). The decision of mode of delivery in preterm antenatal women is very prudent keeping in view its impact on the subsequent pregnancy outcome. Thus Robson group 10 needs to be scrutinized for the indications of caesarean delivery.

With this background, the present thesis has been aimed to study Hypertensive disorders of pregnancy as determinant of Caesarean Section in Robson group 10.

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: Female

Target Recruitment: 550

Inclusion Criteria

Women with Singleton Pregnancy < 37 weeks of gestation with Cephalic presentation.

Exclusion Criteria

Multiple gestation.
Antenatal women not expected to deliver before 37 weeks of gestation.
Malpresentation.
Preterm vaginal delivery (<37weeks).

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1.Number of women with Hypertensive Disorders of Pregnancy in Robson group 10 undergoing Caesarean Delivery.	Baseline
2.Association between hypertensive disorders of pregnancy & caesarean delivery in Robson group 10.	Baseline

Secondary Outcome Measures

Name	Time	Method
Other determinants (than Hypertensive disorders of pregnancy) for Cesarean section in Robson gp 10	Baseline

Trial Locations

Locations (1): VMMC and Safdarjung Hospital
🇮🇳
West, DELHI, India
VMMC and Safdarjung Hospital
🇮🇳West, DELHI, India
dr divya pandey
Principal investigator
8860198440
dr_devya1@yahoo.co.in