Background: Cesarean section is the most common major
surgical procedure performed in obstetrics. There is increase in the rate of
Cesarean section in both developed and developing countries. This study was
carried out to find the rate of Cesarean section (CS) in our institute from
2012 to 2016 and also to find any change in the indications of CS over these
five years.
Methods: A retrospective analysis of data was done from the records of the
patients who underwent CS and the rate of Cesarean section and the indications
were noticed. Year-wise data of cesarean section and vaginal deliveries was
recorded and the rate of cesarean section in each year was calculated. Data was
collected from labour register and operation register and the results were
summarized in percentages and proportions.
Results: The rate of Cesarean section has increased from 43.85% in 2012 to
48.18% in 2016. There is increase in the number of Primary Cesarean cases from
61.8% in 2012 to 68.4% in 2016.The percentage of Elective CS has increased in
last five years from 10.2% in 2012 to 23.6% in 2016 which is due to the drastic
increase in Elective Repeat CS from 13.3% in 2012 to 43.4% in 2016. The first
and second major indication of Primary CS over the years remained the same i.e.
fetal distress and CPD. Other major contributing indications were Non-progress
of labour, failed induction and Malpresentation. Oligohydraminos and IUGR,
Multiple pregnancy and precious pregnancy have emerged as the major indication
in last three years. Previous CS and Previous 2 CS contributed as the main
indication for Elective CS. The CS rate in 2015-16 was 50.5% which is high due
to increase number of cases referred from periphery.
Conclusions: There is increase in the rate of Cesarean section not only in India
but globally also. However, the rate of Cesarean section need to be reduced.
The overall main indication for CS was Previous CS and thus Primary CS rate
should be reduced. Fetal distress being the main indication for Primary CS
should be further confirmed by fetal scalp pH findings and Repeat CS cases
should be given more trial of labour.
Author(s) Details:
Pooja Patil,
Department of Obstetrics and Gynecology, L. N. Medical College,
Bhopal, Madhya Pradesh, India.
Malini
Bhardwaj,
Department
of Obstetrics and Gynecology, L. N. Medical College, Bhopal, Madhya Pradesh,
India.
Priyanka Sharma,
Department of Obstetrics and Gynecology, Sita Devi Hospital, Jaipur,
Rajasthan, India.
Garima Chandrakar,
Department of Obstetrics and Gynecology, L. N. Medical College,
Bhopal, Madhya Pradesh, India.
Please see the link here: https://stm.bookpi.org/ANUMS-V9/article/view/13638
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