With regard to Postoperative maternal complications need for postoperative blood transfusion was found to be higher in EMCS (30%) than in ELCS (10%).
PPH occurred in 28% cases in EMCS and in 14% cases in ELCS (p=0.
Burst abdomen was seen in 2 cases of EMCS group and none had burst abdomen in ELCS group.
Most of the caesarian sections were done in the age group of 20-30 years (78% and 90% in EMCS and ELCS respectively) comparable to the study of Asifa Ghazi et al.
In the present study 80% of the ELCS cases were admitted through OPD while 20% were through emergency admission.
Usual indications for ELCS were two previous sections (40%) followed by one previous caesarian section (24%), Breech presentation (13%), CPD (10%), IUGR (10%).
In our study difficult intubations were seen in 8% and 2% of cases in EMCS and ELCS group respectively.
Current trends of performing ELCS based on the presence of maternal HIV infection or the result of pre-delivery VL were not followed for this cohort.
This gender effect was limited to infants born by ELCS, and the effect was lost in women on ART.
The rate of infant HIV-1 transmission in this cohort was low, notwithstanding a policy of planned ELCS for obstetric reasons.
Approximately 11% of all deliveries of live infants at this institution are ELCSs (unpublished data).
No HIV-1-infected infants were born to the women who had ELCSs.