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به نام خدا

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 %. VAGINAL DELIVERY WITH ANESTHESIA. Fentanyl 128(28.6%). Entonox 85( 19.01%). Local 234( 52.3% ) .

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به نام خدا

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  1. به نام خدا

  2. MONTHLY OF OB STATISTIC HOSPITAL: ZEINABIEH YEAR/MONTH: 1392/ SHAHRIVAR Dr. Mehrnazfakhroo

  3. TOTAL ADMISSION: 831 • Unregistered: 799 = 96.2 % • Referral: 32= 3.8 %

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

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

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

  7. INDICATION OF EMERGENCY C/S (CONT’D) Breech 3 (1.1%) Multiple pregnancy 2 ( 0.7%) Failed induction 5 ( 1.8%) Pre-eclampsia4 (1.47%) CPD 1 (0.3%) Full arrest 3 (1.1%)

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

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

  10. Precious C/S 164 (8.2%) Breech 8 ( 4.1%) Multiple pregnancy 14 ( 7.2%) Infertility 5 ( 2.5%) Prievia1 ( 1.03%) INDICATION OF ELECTIVE C/S

  11. 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%) PERINATAL OUTCOME

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

  13. MATERNAL MORBIDITY 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: - Post-partum infection:

  14. THANKS

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