A clinical study on indications for caesarean section among primigravida in a tertiary care centre

Abstract

Background: The Primary caesarean section (CS) delivery rate is increasing due to public interest to avoid fetal complications and acceptance by most of the couple to complete their family with one or two children. High cesarean birth rates are an issue of international public health concern. Worries over such increases have led the World Health Organization to advise that Cesarean Section (CS) rates should not be more than 15%, with some evidence that CS rates above 15% are not associated with additional reduction in maternal and neonatal mortality and morbidity. Aims and Objectives: To find out the indications of caesarean section among primigravida in a tertiary care centre. Methods: A total of 100 cases were selected for the study who regularly attended outdoor (Booked) and admitted, those who booked in antenatal clinic but admitted as emergency. Results: The most common age group in the present study was 20-25 years (45%). Among the study cases, 80% were booked, 20 % were unbooked. Conclusion: Obstetric factors occurring around birth, including obstructed labor and fetal distress were the main reasons leading to Cesarean Section rather than background characteristics assumed to be a risk. The results imply that there is a need for timely and accurate screening of women during obstetric care and, decision to perform cesarean section should be based on clear, compelling and wellsupported justifications .Early referral instead of late referral from the periphery hospitals to the tertiary hospital is necessary for trial of vaginal delivery.

Cesarean Section in Primiparous Women: A Retrospective Study

“…According to the study conducted by Nair et al, 4 the most common age-group of primipara undergoing cesarean section was 20-25 years, which is almost similar to the present study.…”

Evaluation of primary caesarean section and neonatal outcomes in a tertiary care hospital and impact on current obstetric practice

“…Similarly, Nair et al (2019), Fahad et al (2020), Bablad A et al (2021) and Wilanika Bamon et al, 2021 reported foetal distress to be most common indication of PCS ( 52%, 32%, 22% and 42.48% respectively). [8] , [9] , [10] , [11] As we can see here, foetal distress is one of the very frequent indications of CS in most studies. Today labour is mostly monitored with the help of continuous electronic fetal monitoring.…”

Determinan of Caesarean Section in Primigravidae: Case Control Study 2017-2019

“…Hasil penelitian ini sesuai dengan penelitian sebelumnya bahwa penyebab utama persalinan SC pada primigravida adalah persalinan terhambat akibat CPD (Kolawole et al, 2011;Nair, 2019), selain itu penelitian lain juga menyebutkan ada hubungan antara CPD dengan persalinan SC (Andayasari et al, 2015). Faktor CPD merupakan faktor yang paling berpengaruh pada penelitian kali ini mungkin berhubungan dengan karakteristik dan kesehatan ibu di Kota Banjarbaru.…”