Many factors played into the loss: an inexperienced vet, very big triplets, malpresentation
, stalled labor, insufficient dilation, an emergency cesarean, and toxemia.
The exclusion criteria being Foetal distress, Cephalopelvic disproportion, Placenta previa type 2 posterior 3,4, Malpresentation
, Multifoetal gestation, Pregnancy with medical disorder, Patients unwilling to give consent, noncephalic presentation, intrauterine growth restriction, oligohydramnios, polyhydramnios, pre-eclampsia, gestational diabetes mellitus, foetal congenital anomaly, hydrocephalus or cystic hygroma.
An increased incidence of preterm birth and low birth weight (LBW) has been reported in PWS, together with obstetric symptoms such as reduced fetal movement (FM), polyhydramnios and malpresentation
KEYWORDS: Primary Emergency Caesarean section, Category-1 caesarean section, Fetal distress, Non-progress of labour, Ante-partum hemorrhage and malpresentation
It should be, therefore, kept in mind that mode of delivery, fetal malpresentation
, and birth trauma in multiple pregnancies increase the risk.
Also intrauterine extra amniotic adhesions are a causative factor of infertility, early pregnancy loss, preterm delivery, cesarean section due to malpresentation
, placental invasion abnormalities, and intra uterine fetal death (1,2).
Common indications for CS are poor progression of labor, fetal distress, and malpresentation
of the fetus2.
Age, residence, parity, ANC follow-up, duration of labor, uterine scar, birth weight, number of gestation, malpresentation
, type of onset of labor, prolonged or obstructed labor, and labor intervention are explanatory variables of this study.
These include esophageal compression which can lead to polyhydramnios, neck hyperextension leading to malpresentation
, and difficult delivery with the risk of labor dystocia and newborn asphyxia.
Mullerian duct anomalies have been found to be associated with infertility, early pregnancy loss, preterm labor and delivery, and fetal malpresentation
If the cervix and uterus have already started to contract and shrink, correcting a malpresentation
becomes very difficult or impossible, so timely checking is crucial.
Other factors include maternal trauma, large uterine fibroids and foetal malpresentation
. Skull depressions rarely have been observed in atraumatic deliveries.