A Case Control Study to Evaluate the Association between Primary Cesarean Section for Dystocia and Vitamin D Deficiency.
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.


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/m(2) in cases and 25.9kg/m(2) 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).


CONCLUSIONS
This small case control study did not show a significant association between vitamin D deficiency and primary cesarean section.
Registrar, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamilnadu, India .
Ajit
A
Sebastian
Associate Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamilnadu, India .
Reeta
R
Vijayaselvi
Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamilnadu, India .
Yohen
Y
Nandeibam
Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamilnadu, India .
Madhupriya
M
Natarajan
Professor, Department of Endocrinology, Christian Medical College , Vellore, Tamilnadu, India .
Thomas Vizhalil
TV
Paul
Professor, Department of Biostatistics, Christian Medical College , Vellore, Tamilnadu, India .
B
B
Antonisamy
Professor, Department of Obstetrics and Gynaecology Unit V, Christian Medical College , Ida Scudder Road, Vellore, South India .
Jiji Elizabeth
JE
Mathews
Dystocia; Failure to progress