به نام خدا

MONTHLY OF OB STATISTIC HOSPITAL: ZEINABIEH YEAR/MONTH: 1392/ SHAHRIVAR Dr. Mehrnaz fakhroo

TOTAL ADMISSION : 831  Unregistered: 799 = 96.2 %  Referral: 32= 3.8 %

UNDELIVERED GROUP:112 #% UTI32.6 Gestational DM Overt DM54.4 PPROM43.5 DVT ـــ Pre-eclampsia98.03 Heart Disease ـــ Preterm Labor Chronic HTN21.78 FGR32.67 Oligohydramnios87.14 NRNST Hyperemesis32.67

VAGINAL DELIVERY WITH ANESTHESIA ANESTHESIA FOR C/S Local 234( 52.3% ) Entonox 85( 19.01%) Fentanyl 128(28.6%) Spinal 264(97.05%) General 8( 2.9%)

C/S: 272 Number of previous C/S: Emergency 79 ( 29.04%) Elective 193 (70. 96%) Primary C/S 168 (61.7%) 2 nd C/S 74( 27.2%) 3 RD C/S 21( 7.7%) 4 th C/S 4 ( 1.4%) More - Type of incision: low seg. Trans. 272 ( 100%) low ver - Classical - C/Hysterectomy 2(0.73%) Hystratomy(<30w) 3 ( 1.1%)

INDICATION OF EMERGENCY C/S Precious C/S 23( 8.4%) Precious C/S + abnormal NST 3 ( 1.1%) Precious C/S + vaginal bleeding 1 ( 0.36%) Precious C/S + Abnormal Biophisical Profile:0 - Precious C/S + Olighohydramnious 1(0.36%) Precious C/S + ROM 3 ( 1.1%) Precious C/S + Labor pain 15 (5.5%)

INDICATION OF EMERGENCY C/S (CONT’D) Breech 3 (1.1%) Multiple pregnancy 2 ( 0.7%) Failed induction 5 ( 1.8%) Pre-eclampsia 4 (1.47%) CPD 1 (0.3%) Full arrest 3 (1.1%)

Vaginal bleeding : 5 (8.7%) OCT Positive 5(1.8%) previa:1=0.3% Abruption:3=1.2% Unknown:1=0.3% PH<7:- PH7-7/2:- PH>7/2: 5( 1.8%)

Thick meconium 6( 2.2 %) Poor OB+NRNST 2 (0.7%) PH<7: - PH7-7/2: 2(0.8%) PH>7/2: 4 (1.4%)

INDICATION OF ELECTIVE C/S Precious C/S 164 (8.2%) Breech 8 ( 4.1%) Multiple pregnancy 14 ( 7.2%) Infertility 5 ( 2.5%) Prievia 1 ( 1.03%)

PERINATAL OUTCOME Live birth 711 ( 98.8%) Still birth 4 ( 0.5%) neonatal death 3 (0.7%) Congenital anomaly 1 (CHD) = 0.1% Early preterm (<34 w) 72( 10.1%) Late preterm(34-37w) 85 (11.8%) Post term (>41w) 52(7.2%)

NEONATAL MORBIDIRTY CAUSES: RDS 18 (2.5%) Sepsis 5 (0.7%) Prematurity 72 (10.1%) anomaly 1 (CHD) = 0.14% Asphyxia:3 ( 0.41%) PH<7: - PH=7~7.2: 1(0.1%) PH>7.2: 2 (0.2 %)

MATERNAL MORBIDITY Post-partum infection: Atony: 2 ( 0.27%) Laceration: - Degree: - Placental site: - BLEEDING: Cesarean wound inf.: 1 (0.13%) Epi-disruption: - Perinal or vaginal laceration: - Hysterectomy: 2 (0.27%) DVT: -