DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20161521

A comparative study of the antibiotic utilization during the normal and caesarean section deliveries at Jawaharlal Nehru institute of medical sciences hospital, Imphal, Manipur, India

Joychandra Singh Oinam, Debashree Ningthoujam, Indira Raleng

Abstract


Background: C section delivery is increasing with non-medical reasons with use of more antibiotics and long hospital stay.

Methods: The study is a record based retrospective study of the Bed Head Tickets of the discharged patients of C-section and normal deliveries for the duration of 94 days. Census method of sampling of data was followed. Data particularly drug utilisation pattern of the prescribed drugs like dosage form, route, frequency of administration and duration of delivery from those BHTs and discharge slip were collected in a predesigned and pretested proforma.

Results: The Normal delivery is less expensive with less use of antibiotics and short hospital stay and easy recovery to normal health.

Conclusions: Pregnancy is just a natural process (not a disease or a medical condition) and external intervention should occur only for sound medical conditions C section delivery cannot replace normal delivery in terms of low maternal mortality and neonatal morbidity and less cost. Prescribing antibiotics to mother of normal delivery may also be avoided if the complete sterilization process during and after the delivery is assured.


Keywords


Caesarean section delivery, Normal vaginal delivery, Antibiotics, BHT

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References


Kumbhar K. This caesarean Epidemic, Let’s marke normal deliveries the normal again; 2016.

WHO introduction of drug utilization research generva-WHO; 2003:6-48.

Biswas S, Kumar K, Holder MS. Pharmaco epidemiology of drug utilized for cataract surgery in a Govt. medical college and Hospital JIMA. 2010;108(12):829-32.

Mohanty M, Mohapatra S. Drug utilization pattern of topical ocular antimicrobials in a tertiary care Hospital; Indian J. Pharmacology. 2003;35:399.

Ref Rx (July-October 2012) published by Refrx Mediatech pvt.Ltd. Bengalaru.

Kushtagi P, Guruvares. Documenting indication of caesarean deliveries postgraduate Med. J. 2008;54(1):52-3.

Mishra US, Ramanathan M. Delivery related complications and determinants of caesarean section rates in India: health policy plan. 2002:17(1):90-8.

Lius, Liston RM, Joseph KS, Heaman M, Sauve R, Kramer MS. Maternal mortality and severe morbidity associated with low risk planned case delivery at term, maternal health study group the cannadian perinatal surveillance system. CMAJ. 2007;176(4):45560.

Clark SL, Belfort MA, Dildy GA, Herbst MA. Maternal deaths in the 21st century, causes, prevention and relationship to caesarean delivery Am J. obstetric gynecol. 2008;199(1):36.

Git A. Caesarean section evaluation, guidelines and recommendations Indian J Med ethics. 2008;5(3):117-20.

PAI M. Unnecessary medical interventions, caesarean section as a case study economic and political weekly. 2000;305(31):2755-61.