A Case Control Study to Evaluate
the Association between Primary
Cesarean Section for Dystocia
and Vitamin D Deficiency
Published: September 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6502
Ajit Sebastian, Reeta Vijayaselvi, Yohen Nandeibam, Madhupriya Natarajan,
Thomas Vizhalil Paul, B.Antonisamy, Jiji Elizabeth Mathews
1. Registrar, Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamilnadu, India.
2. Associate Professor, Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamilnadu, India.
3. Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamilnadu, India.
4. Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamilnadu, India.
5. Professor, Department of Endocrinology, Christian Medical College, Vellore, Tamilnadu, India.
6. Professor, Department of Biostatistics, Christian Medical College, Vellore, Tamilnadu, India.
7. Professor, Department of Obstetrics and Gynaecology Unit V, Christian Medical College, Ida Scudder Road, Vellore, South India.
Correspondence
Dr. Jiji Elizabeth Mathews,
Professor, Department of Obstetrics & Gynaecology Unit V, Christian Medical College,
Ida Scudder Road Vellore – 632 004 South India.
E-mail: coronistrial@yahoo.co.in
Background: Milder forms of vitamin D deficiency could be responsible for poor muscular performance causing dysfunctional labor. The aim of our research was to study the association between vitamin D deficiency and primary cesarean section.
Materials and Methods: This was a case control study. Forty six women who delivered by primary cesarean section with dystocia as primary or secondary indication after 37 weeks of gestation were taken as cases and a similar number of women who delivered vaginally were taken as controls. Vitamin D deficiency was diagnosed when the serum 25(OH)D level was =20 ng/ml and this was compared between cases and controls.
Results: Median serum (OH) vitamin D levels was 23.3ng/ml among women who delivered by cesarean section and 26.2ng/ ml among controls (p=0.196). Baseline characteristics were similar in both groups except for a strong association between Body Mass Index (BMI) and cesarean section, (29.7kg/m2 in cases and 25.9kg/m2 in controls p=0.001) seen in multivariate analysis. Vitamin D deficiency was seen in 34.8% of cases and 21.7% of controls (p=0.165).
Conclusion: This small case control study did not show a significant association between vitamin D deficiency and primary cesarean section.
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