Trends and Indications for Caesarean Section in a tertiary care Obstetric Hospital in Coastal South India.

Unnikrishnan, Bhaskaran; Rakshith, P. B.; Aishwarya, Amarnath; Kumar, Nithin; Rekha, T; Mithra, Prasanna; Ankita, Aishwarya; Rajesh, Kumar; Juhi, L. C.; Nitish, Garg; Sneha, P; Hawa, B. M. D. S.

doi:10.4066/amj.2010.465

Cited by 29 publications

(45 citation statements)

References 16 publications

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“…A meta-analysis showed significantly lower rates of perinatal mortality and neonatal morbidity with planned caesarean section than with planned vaginal birth. 21 Caesarean sections for failed induction were (9.1%) and NPOL were (8.0%) which were comparable with the results of study done by Subedi S. 16 Judicious use of oxytocic's and the use of partograph are definitely beneficial to reduce the CS rate.…”

supporting

confidence: 78%

Indications and rate of caesarean delivery at tertiary care hospital: a retrospective study

Sharma¹,

Dogra²

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Worldwide there has been an increase in the rate of caesarean delivery due to multiple factors. Objective of the study was to assess the prevalence and different indications of caesarean section in this institute.Methods: The aim of the study is to analyse the rates and indications of lower segment caesarean section (LSCS) in our institution. We conducted a retrospective study over a period of six months; 1st September 2016 to 1st March 2017 at SLBSGMC Mandi at Nerchowk. Total number of patients who delivered in our hospital during the defined study period was recorded and a statistical analysis of various parameters was done.Results: The total number of women delivered over the study period was 2075, out of which caesarean sections (CS) were 473. The overall CS rate calculated was 22.8%. Previous LSCS was the leading indication to the CS rate.Conclusions: Routine obstetric audits should be done to analyse the various indications of emergency and elective caesarean sections so that protocols and guidelines can be implemented to curtail the increasing trend of caesarean delivery.

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supporting

confidence: 78%

Indications and rate of caesarean delivery at tertiary care hospital: a retrospective study

Sharma¹,

Dogra²

2017

Int J Reprod Contracept Obstet Gynecol

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“…Similar results were found in studies conducted in USA and in south India. 7,8 Previous caesarean section was the commonest indication in present study. 9 There were 40 cases with history of previous 2 caesarean section.…”

Section: Discussionmentioning

confidence: 99%

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

Goswam

Dudhrejiya

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Though WHO recommends a rate of 10-15% caesarean section for a given hospital, there has been a rising trend worldwide. We estimated the recent incidence of caesarean section in Obstetrics and Gynecology Department, P.D.U. Medical College, Rajkot (Gujarat and correlated these rates with the socioeconomic, demographic, and health variables.Methods: We have studied 1000 cases of lower segment caesarean section (cross sectional study) at Obstetrics and Gynecology Department, P.D.U Medical College, Rajkot (Gujarat) to find out rate of caesarean section, common maternal and fetal indication and complications of lower segment caesarean section.Results: Caesarean section rate of the present study is 19.9%. Most common indication of LSCS was scarred uterus 39.9%.followed by fetal distress 19.1%, malpresentation 18.6%, and failed induction 7.3%. Maternal morbidities and mortalities in emergency LSCS in compare to elective LSCS. Analysis based on Robson’s ten-group showed that group 5 (Previous CS, single cephalic,>37 weeks) made the greatest contribution to total CS rate.Conclusions: Scientific advances, social and cultural changes, and medico legal considerations seem to be the main reasons for the increased acceptability of caesarean sections. The decision to perform a C-section delivery must be chosen carefully and should not be profit oriented. There is a possibility of keeping the rate to minimum by reducing number of primary caesarean sections, by proper counseling of the patients, proper monitoring and patience.

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“…[1][2][3][4][5][6][7][8][9][10][11][12] There might be various factors associated involved in the high CSR. 3 It may be due to fear of litigation, health insurance system, CS by choice, increased use of electronic monitoring of fetus, and increased proportion of breech deliveries by CS and deliveries in private set up.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12] Increase in CSR has been attributed to factors such as fetal monitoring with early detection of fetal distress, need for repeated cesarean section (CS), advancing maternal age at delivery, socioeconomic factors and changes in clinical management of labor. [1][2][3][4][5][6][7][8][9][10][11][12] Although CSR in many countries have increased from recommended level in both developed and many developing countries with increasing institutional deliveries due to growing access to gynecological and obstetrical care, the rate of delivery through cesarean section is relatively low in Nepal. 9 However, some earlier studies from Nepal on hospital based data shows that cesarean section deliveries are increasing rapidly in eastern part of Nepal.…”

Section: Introductionmentioning

confidence: 99%

Profile of Caesarean Section at Kathmandu Medical College

Prasad

Bhandari

Saha

2017

J Nepal Health Res Council

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Background: There is a world-wide rise in caesarean section rateduring the last three decades and has been a cause of alarm and needs an in-depth study. The objective of this study was to determine the rate and clinical indications of Caesarean Section.Methods: A hospital based study was carried out from 15th June 2015 to 15th January 2016 in Department of Obstetrics and Gynecology at Kathmandu Medical College, Sinamangal, Nepal. Patients who delivered by caesarean section were included in the study. Basic demographic data and clinical indications were noted.  Results: A total of 1172 deliveries were carried out during the study period. Total number of caesarean section was 537 accounting to 45.81%. Most of the patients were of the age group of 25-29 years (42.8%). Most of the patients were primigravida (n=274; 51%). Emergency caesarean section was 411 (76.5%) and elective caesarean section was 126 (23.4%). Multigravida (71%) underwent more elective procedure than primigravida (25. 39%).The most frequent indication was fetal distress19.55% (n=105), failed induction 19.73%(n=106), and previous caesarean section 21.3% (n=115).Conclusions: The rate of cesarean section is quite high than that recommended by WHO which is (10-15%). Most of the caesarean sections were emergency caesarean section with previous caesarean being the leading cause.

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Trends and Indications for Caesarean Section in a tertiary care Obstetric Hospital in Coastal South India.

Cited by 29 publications

References 16 publications

Indications and rate of caesarean delivery at tertiary care hospital: a retrospective study

Indications and rate of caesarean delivery at tertiary care hospital: a retrospective study

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

Profile of Caesarean Section at Kathmandu Medical College

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