Assessment of indications of lower section caesarean section at tertiary care centre: a cross sectional study

Badge, Vijay L.; Aggarwal, Sumit; Ambalkar, Deepti; Humne, Arun; Raghuwanshi, Neethika

doi:10.18203/2394-6040.ijcmph20171358

Cited by 4 publications

(3 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In study conducted by Badge VL et al 36 (40%) women were primipara and 54 (60%) women were multipara. 9 In our study 12 (6.9%) women had preeclampsia and 160 (93.1%) did not have preeclampsia as shown in (Table 2). Preeclampsia accounted for 15.4% of all CS in a study done by Kritpol et al…”

Section: Discussionsupporting

confidence: 53%

A study on analysis of caesarean section indications using Robson’s ten group classification system

Arora,

Chandanan,

Kotwal

et al. 2024

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Over the past decades, there has been a steady rise in the rate of caesarean delivery. Although not well understood, multiple factors have contributed to this uptrend. The goal of cesarean delivery is to avoid the complications that might develop after vaginal delivery. However, this major surgery is not without significant impact on maternal and fetal outcomes. Maternal complications include the increased risk of post-partum hemorrhage, risk of hysterectomy, infection and deep venous thrombosis besides longer hospital stay. Methods: This was retrospective observational study done in the department obstetrics and gynecology at T. S. Misra medical College for a duration of 18 months from December 2021 to May 2023. It included all patients who underwent caesarean section. Results: In our study maximum patients were in group 10(30.2%) according to Robsons classification followed by group 5 (20.9%). Conclusions: In conclusion, the rate of caesarean delivery is trending up and this has contributed to significant medical, social and financial impacts in the involved families. The most common indication for CS is previous CS. Therefore, the rate of CS can be controlled if CS is done in primigravidae with the genuine indication.

show abstract

Section: Discussionsupporting

confidence: 53%

A study on analysis of caesarean section indications using Robson’s ten group classification system

Arora,

Chandanan,

Kotwal

et al. 2024

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…The incidence of LSCS both primary and repeat is continuously on the rise. 6 This rising incidence of LSCS worldwide is a big concern today in obstetrics. 7 This is mainly due to cases of breech presentation and of previous LSCS needing a repeat LSCS.…”

Section: Discussionmentioning

confidence: 99%

Study of the causes of non-acceptance of VBAC in patients with previous one LSCS in a tertiary institution

Karmali

Pednekar

Nagarsenkar

2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Many women who are eligible candidates for a VBAC (Vaginal Birth after Caesarean) in the current pregnancy opt for a repeat LSCS (Lower Segment Caesarean Section) as a mode of delivery. We decided to evaluate the proportion of patients who opt out of a VBAC and to study the causality of this trend.Methods: All patients who presented to the Dept. of OBG in our institution and were eligible to have a VBAC were included in the study till the sample size of 100 cases was met. Consultant opinion was sought prior to deciding the mode of delivery.Results: Incidence of patients of previous one LSCS who were not willing for VBAC was 4%, out of total number of deliveries and 30.7%, out of all cases of patients with previous one LSCS. The reason for not opting for a VBAC in the current pregnancy in the majority of the eligible patients was the desire for a concurrent sterilization procedure. Others cited apprehension of a scar rupture or fear of labor pain or both as their primary reason for opting out of a VBAC.Conclusions: The high incidence of ERC (Elective Repeat Caesarean) as compared to TOLAC (Trial of Labour after Caesarean) has long-term clinical and financial implications. Counseling given to the pregnant woman with an emphasis on the advantages of VBAC in order that she opts for a VBAC with confidence and enthusiasm is the only way forward.

show abstract

“…It is a major surgical operation with an acceptable degree of risk which should be performed out in the presence of appropriate and positively marked indications, although some obstetricians consider it to be a psychological procedure that is very quick, reliable, efficient and well tolerated and much superior to secondary approaches such as vacuum delivery or caesarean emergency section [2].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Indications, Risk Factors, & Materno-foetal Outcomes of LSCS (Emergency & Planned) in a Tertiary Care Rural Hospital of Wardha District, India

Gupta

Muntode

Gaidhane

2021

JPRI

View full text Add to dashboard Cite

Background: Occurrence of elective Caesarean Section (CS) is prevalent in the advanced age group, i.e. 26-30 years while higher incidence of emergency CS is seen in 20-25 years, the younger age group. Emergency caesarean delivery analogous with substantially greater maternal and foetal delivery complications in contrast to elective caesarean sections regardless of its growing acceptance as a preferable alternative to vaginal delivery. The study attempts to determine risk factors for emergency and scheduled caesarean surgeries, along with indications of LSCS and maternal-foetal outcomes. Method: Prospective observational study will be carried out on post-natal care women who have undergone LSCS in the past 1 week in the rural tertiary care hospital, Wardha. Study participants will be approached in the OBGY Post Natal Care Ward 1or 2 days post-delivery after assuring their comfort. A predesigned & pre-structured questionnaire containing socio-demographic profile, maternal details, and reasons for planned/emergency C-section, neonatal details etc. Results: From the baseline study, the average number of caesarean-sections was 55-60 %. Proportion of elective and emergency caesarean was 41.40 % and 58.60% respectively. Emergency group is expected to show all of the complications significantly higher in terms of both maternal and fetal outcome. Conclusion: Previous c-section, foetal distress and misrepresentation of the foetus (Breech and Transverse Lie) were recorded as a most important indicator of caesarean section along with obstructed labour. Higher incidence of emergency CS was 20-25 years, while the incidence of elective C-Section was prevalent. in the age group of 26-30 years; Modifiable risk factors for the Caesarean Section, such as early marriage with its associated inadequate pelvic growth and unnecessary avoidance of hospital delivery due to fear of CS, should be discouraged.

show abstract

Assessment of indications of lower section caesarean section at tertiary care centre: a cross sectional study

Cited by 4 publications

References 5 publications

A study on analysis of caesarean section indications using Robson’s ten group classification system

A study on analysis of caesarean section indications using Robson’s ten group classification system

Study of the causes of non-acceptance of VBAC in patients with previous one LSCS in a tertiary institution

Assessment of Indications, Risk Factors, & Materno-foetal Outcomes of LSCS (Emergency & Planned) in a Tertiary Care Rural Hospital of Wardha District, India

Contact Info

Product

Resources

About