Trends of Cesarean Section at Tertiary care Hospital in India over 10 years

Patil, Mithil; Nimbargi, Dr.Vandana; Dr.S.S.Mehendale, Dr.S.S.Mehendale

doi:10.15373/2249555x/dec2012/47

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…It is 43.35% in present study, 49% in the study done by Patil M et al, and 55% in the study done by Rafique and Raana. 11,12 Table 2 shows the percentage of primigravida and multigravida going for caesarean section in present study and compares it with the results obtained by Unnikrishnan B et al 13 It is observed that percentage of primigravida going for CS is more than that of multigravida. In present study 59.5% of primigravida underwent CS while rate of CS in multigravida was 40.5%.…”

Section: Methodssupporting

confidence: 65%

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Rising rates of caesarean section: an indicator of defensive medicine practiced by obstetricians

Bhatara¹,

Padmasri

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Defensive medicine can be in the form of excessive tests, procedures, surgeries, or visits by the doctors to primarily reduce their exposure to legal liabilities. It also includes avoidance of high risk patients or procedures. Medical profession has been included under consumer protection act which has led in developing hostile environment for medical practitioners. This has led to increase in defensive medicine. In obstetrics and gynaecology incorporation of defensive medicine can be scrutinized by observing trends in caesarean section.Methods: It is a retrospective study carried out for 1 year from January 2015 to December 2015. All patients in whom caesarean section was done were included in this study. Indications for which Caesarean section was done were studied and results were compared with similar studies in other hospitals.Results: Overall rate of caesarean section observed in this study was 43.3%. Incidence of caesarean section in primigravidae was 59.5%. Only 2.1% of the patients underwent trial of scar resulting in vaginal birth. Foetal distress was one of the most common indicatorsfor caesarean section and its detection was based on foetal cardiotocograph readings. Out of all patients taken for caesarean section due to foetal distress only 28.5% of the babies required neonatal intensive care admission. Rising trend towards caesarean section on maternal request was also seen.Conclusions: Current climate of high professional liability is detrimental to good patient care as defensive medicine provides less benefit and much harm. Practice of medicine should be safe and hassle free. For this, standard protocols should be made and followed and if practitioners are abiding with standard protocols they should be protected against litigation.

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Section: Methodssupporting

confidence: 65%

“…Table 1 shows rates of caesarean section in present study and other tertiary hospitals. 11,12 From Table 1 it is seen that rate of caesarean section is very high. It is 43.35% in present study, 49% in the study done by Patil M et al, and 55% in the study done by Rafique and Raana.…”

Section: Methodsmentioning

confidence: 99%

Rising rates of caesarean section: an indicator of defensive medicine practiced by obstetricians

Bhatara¹,

Padmasri

2018

Int J Reprod Contracept Obstet Gynecol

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“…[6] It has been stated that increase in the CS in low-risk women is associated with more maternal morbidity and mortality. [8] Review of more than 300 research studies done by Maternity Center Association showed that women who undergo CS are at significantly higher risk than women who have a vaginal birth, for infection, rehospitalization, and poor birth experience. [9] Hence, the study was undertaken to ensure that the selected aspect of postnatal care is contributed with careful thought.…”

confidence: 99%

Effect of Planned Early Ambulation on Psychophysical Well-being of Post-cesarean Patients

Thakur¹

2020

IJNR

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Introduction: As the well-being of maternal and child health occupies paramount place in health-care delivery system, cesarean section (CS) has become the most common intervention in obstetrics discipline. Since the past 25 years, factors such as medical, psychological, social, financial, and legal seem to have contributed to rise in CS rates. In spite of changes in its indications, CS is currently performed to benefit the fetus, not the mother. The present study aimed to study the effect of planned early ambulation on post-cesarean patients. Materials and Methods: Quasi-experimental approach with preand post-intervention multiple time series study design was adopted. A non-probability purposive sampling technique was used to meet sample size of 500, distributed equally in experimental and control groups. With routine post-cesarean care, planned early ambulation was initiated for the experimental group on the day of LSCS and was followed twice a day for the first 5 post-cesarean days. The study subjects of control group were refrained from this intervention. At the end of each day, the desired data were collected by structured observation and self-report techniques. Results: The study subjects of the experimental group had better responses in relation to selected aspect of psychophysical well-being as compared to the control group. The significant difference was noted in the selected aspects of psychophysical well-being among the experimental and control groups. Conclusion: The study concluded that planned early ambulation is effective strategy in achieving early psychophysical well-being in post-cesarean patients.

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“…[9][10][11][12][13][14][15][16][17][18] District Level Household and Facility Survey-4 (2012-13) data for the state of Telangana published by Ministry of Health and Family Welfare reveals that the CS rates are more than 4-times in private health institutions (42.3%) as compared to 10% in government health institutions. 19 The present study is an attempt to study the CS rates among rural populace in Nalgonda district of Telangana state.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of caesarean section in a rural community of Nalgonda District, Telangana

Karna

Malhotra

2017

Int J Community Med Public Health

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INTRODUCTIONCaesarean section (CS or C-section) is a surgical procedure in which fetus is delivered through an incision in the mother's abdomen and uterus. 1 The intervention is undertaken to ensure safety of baby or mother or both. When medically justified, CS can effectively prevent maternal and perinatal mortality and morbidity.2 As with any surgery, caesarean sections are associated with short and long term risk which can extend many years beyond the current delivery and affect the health of the woman, her child, and future pregnancies. These risks are higher in women with limited access to comprehensive obstetric care.3-5 The proportion of CS at the population level is a measure of the level of access to and use of this intervention. It can serve as a guideline for policy-makers and health planners in assessing progress in maternal and infant health and in monitoring emergency obstetric care and resource use.6 Based on the WHO systematic review, increases in CS rates up to 10-15% at the population level are associated with decreases in maternal, neonatal and infant mortality.7 Above this level, increasing the rate of caesarean section is no longer associated with favorable maternal and pregnancy outcomes. 8 ABSTRACT Background:The rapid increase of caesarean section rates globally is a public health concern because rates higher than those recommended by WHO do not contribute to improved maternal health and pregnancy outcome. This study aims to estimate the prevalence of caesarean section, establish relationship of relevant variables with caesarean section, and identify temporal trends of c-sec rates in rural populace of Nalgonda. Methods: A community-based cross-sectional analytic study was undertaken in rural field practice area of Kamineni Institute of Medical Sciences. Data were collected on structured questionnaire from selected and consenting women in reproductive age group who had delivered since 01 January 2000. Results: Our study included 224 study subjects who have undergone 389 deliveries. Of these 54% were by caesarean section and 46% were normal deliveries. Age of mother, type of family, educational status of mother, height of mother and place of delivery were identified as relevant variables. Their association with C-sec rates and time trend of c-sec rates are presented. Conclusions: Multi centre, large-sampled and 'in depth' studies are needed to analyze the problem of very high caesarean section rates. These would provide qualitative and quantitative data to plan strategies to reduce the prevalence of a surgical procedure that if carried out on 'non-medical grounds' has the potential to cause obstetrical and neonatal complications, and significant economical and health-planning implications.

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Trends of Cesarean Section at Tertiary care Hospital in India over 10 years

Cited by 4 publications

References 6 publications

Rising rates of caesarean section: an indicator of defensive medicine practiced by obstetricians

Rising rates of caesarean section: an indicator of defensive medicine practiced by obstetricians

Effect of Planned Early Ambulation on Psychophysical Well-being of Post-cesarean Patients

Prevalence and determinants of caesarean section in a rural community of Nalgonda District, Telangana

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