Background: Caesarean section (CS) is a potentially life-saving
surgery when done for the right circumstances. The number of CS deliveries has
increased dramatically in recent years. Because a CS is not without risks and
difficulties, its trends should be audited across all institutes to ensure that
obstetric care standards are optimised.
Methods: A retrospective analysis of all CS delivery over a 12-month period was conducted, with the purpose of evaluating and comprehending the indication for each CS administered at the institute using the WHO-recommended Robson ten group classification system. To acquire a better understanding of the circumstances under which the CS was performed in each group, the Robson was further subclassified.
Results: A total of 2831 deliveries were examined in this study, with 1557 (55%) of them being CS births. Emergency indications were given in 48.5 percent of these CS deliveries. The largest contributors to the CS rate were classes 5, 1, and 10, which accounted for 50.6 percent, 19.3 percent, and 10%, respectively. Only 12.1 percent of 799 patients who had previously had CS were able to complete a scar trial successfully. The most common reasons for Group 1 were foetal distress, cephalo pelvic disproportion, and extended labour, in that order. The majority of singleton pre-terms with a CS (92.3 percent) were operated on before the commencement of labour.
Conclusions: The audit aided in comprehending the institute's CS trends and recognising that all of the institute's CS had problematic signals. As a result, clinical and administrative adjustments were implemented to eliminate needless CS.Author(S) Details
Aruna Kumari Yerra
Department of Obstetrics and Gynecology, ESIC Medical College, Sanathnagar, Hyderabad, Telangana, India.
Mohammed Ismail Khan
Department of Obstetrics and Gynecology, ESIC Medical College, Sanathnagar, Hyderabad, Telangana, India.
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