A cross sectional study of 1000 lower segment cesarean section in obstetrics and gynecology department of P. D. U Medical College, Rajkot, Gujarat, India

Chavda, Dolly; Goswam, Kamal; Dudhrejiya, Kavita

doi:10.18203/2320-1770.ijrcog20170916

Cited by 10 publications

(14 citation statements)

References 3 publications

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“…Similar results were found in studies conducted by G Singh et al, Jawa A et al, Chavda D et al, Nikhil A et al, Prashant Bade et al and Osman BALCI et al 7,20,[25][26][27]33 Practice of trial for vaginal birth after caesarean (VBAC) is less in our hospital due to doubtful scar strength, details regarding previous CS being not available, more no. of deliveries being conducted in the institution and more no.…”

Section: The Caesarean Section Indicationssupporting

confidence: 81%

“…7,20,[24][25][26][27]33 Demographic profile Analysis of age of the patients showed that 90.11% of cases were in the age group of maximum fertility i.e. between 20-30 years.…”

Section: The Caesarean Section Indicationsmentioning

confidence: 99%

“…19 Average annual CSR in the present study can be compared with the other studies (Table 8). [7][8][9][10]12,[19][20][21][22][23][24][25][26][27][28][29][30][31][32] …”

mentioning

confidence: 99%

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The rate and indications of caesarean section in a tertiary care hospital at Jaipur, India

Gupta

Garg

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and foetus during the difficult delivery. To analyze the rate and indications for C-Section and associated maternal morbidity and mortality were the main objectives of present study.Methods: This retrospective study was conducted over a period of one year from 1st Jan 2016 to 31st Dec 2016 at the Department of OBG, RUHS College of Medical Sciences, Jaipur (Rajasthan), North India. Data of patients who delivered by C-Section in our hospital during the defined study period was recorded and a statistical analysis of various parameters namely, the caesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of women delivered over the study period were 2959, out of which C-Sections were 931. The overall CS rate was 31.46%. Previous LSCS was the leading indication to the CS rate (36.52%) followed by arrest of labour (13.65%), CPD (12.03%), foetal distress (11.82%), breech presentation (7.52%), oligohydroamnios/IUGR (5.16%) and failed induction of labour (3.54%). 11.60% patients had various complications mainly infection (5.58%) and haemorrhage (3.98%). There was no mortality during this period.Conclusions: Being a tertiary care hospital, a high rate of Caesarean deliveries was observed. Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit CSR.

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Section: The Caesarean Section Indicationssupporting

confidence: 81%

“…7,20,[24][25][26][27]33 Demographic profile Analysis of age of the patients showed that 90.11% of cases were in the age group of maximum fertility i.e. between 20-30 years.…”

Section: The Caesarean Section Indicationsmentioning

confidence: 99%

See 1 more Smart Citation

The rate and indications of caesarean section in a tertiary care hospital at Jaipur, India

Gupta

Garg

2017

Int J Reprod Contracept Obstet Gynecol

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“…19 Average annual CSR in the present study can be compared with the other studies (Table 8). [7][8][9][10]12,[19][20][21][22][23][24][25][26][27][28][29][30][31][32] The indications of caesarean section in the present study can be compared with the following studies ( Table 9). 7,20,[24][25][26][27]33 …”

Section: The Caesarean Section Ratesmentioning

confidence: 99%

The rate and indication of caesarean section in a tertiary care teaching hospital eastern India

Das

Subudhi

Mohanty

2018

Int J Contemp Pediatr

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Background: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and foetus during the difficult delivery. To analyze the rate and indications for C-Section and associated maternal morbidity and mortality were the main objectives of present study.Methods: This retrospective study was conducted over a period of one year from 1st May 2017 to 30th April 2018 at the Department of Pediatrics and OBG, IMS & SUM Medical college and Hospital, Bhubaneswar (Odisha), eastern India. Data of Patients who delivered by C-Section in our hospital during the defined study period was recorded and a statistical analysis of various parameters namely, the caesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of women delivered over the study period were 1619, out of which C-Sections were 574.The overall CS rate was 35.45%. Previous LSCS was the leading indication to the CS rate (29.96%) followed by arrest of labour (13.94%), CPD (11.84%), foetal distress (10.97%), breech presentation (5.74%), oligohydroaminous/IUGR (5.21%), failed induction of labour (5.21%), pregnancy induced hypertension(PIH) (4.87%) and multifetal gestation (3.84%), prematurity (3.31%). 12.01% patients had various complications mainly infection (6.27%) and hemorrhage (3.48%). There was no mortality during this period.Conclusions: Being a tertiary care hospital, a high rate of Caesarean deliveries was observed, Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit CSR.

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“…Jawa A et al 18 Chavda D et al 19 Bade P et al 20 Nikhil A et al 21 Balci O et al 22 Singh Out of the total number of primigravidae caesarean deliveries, 67.2% were performed in emergency and 32.8% were performed electively. Our hospital being tertiary care center, also attends to the obstetric emergencies from periphery which adds to the emergency caesarean section census.…”

Section: Indication Sarma P Et Al 17mentioning

confidence: 99%

Retrospective analysis of indications of primary caesarean sections done at a tertiary care hospital

Datta¹,

Singh²,

Chopra³

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Caesarean section rates have globally risen above the levels that can be considered medically necessary. The aim of the study is to analyze the rate and indications of caesarean sections for primigravidae in the period 2016 to 2018 at a tertiary care hospital in Delhi.Methods: It is a retrospective observational study conducted in the Department of Obstetrics and Gynaecology at PGIMER and Dr RML Hospital, New Delhi. A total of 552 caesarean deliveries in primigravidae were studied.Results: The total deliveries during the study period were 3346 and the total caesarean section rate observed was 30.66%. The caesarean section rate among primigravidae was 29.1%. The rate of caesarean section in primigravidae rose from 22.7% in 2016 to 39.3% in 2018 with 17% increase. Majority of them belonged to the age group 20-30 years (79.34%) and 2.53% were elderly primigravidae. Out of the total number of primigravidae caesarean deliveries, 67.2% were performed in emergency and 32.7% were performed electively. Among the emergency caesarean sections performed, 64% of patients had induced labor and 22% had spontaneous labor. The most common indication of caesarean section was fetal distress (19.77%) followed by arrest of labor (17.87%) and malpresentations (8.9%). The short-term caesarean morbidity rate was 25.4% including one mortality. Wound infection was the most common complication.Conclusions: Various reasons like changing maternal risk profile increased IVF pregnancies, scientific advances, personal choice and medico legal considerations have been cited for increased caesarean rate. Following evidence-based labor protocols, judicious use of cardiotocography, proper patient selection for labor induction and patient education will contribute in reduction of caesarean sections and related complications.

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A cross sectional study of 1000 lower segment cesarean section in obstetrics and gynecology department of P. D. U Medical College, Rajkot, Gujarat, India

Cited by 10 publications

References 3 publications

The rate and indications of caesarean section in a tertiary care hospital at Jaipur, India

The rate and indications of caesarean section in a tertiary care hospital at Jaipur, India

The rate and indication of caesarean section in a tertiary care teaching hospital eastern India

Retrospective analysis of indications of primary caesarean sections done at a tertiary care hospital

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