Abstract
Caeserean Section is a common operative procedure in obstetric practice throughout the world to ensure a healthy outcome of the mother and new-born. The advent of modern anesthesia, antibiotics and availability of blood transfusions the indications of this ceaserean section are being continually extended. It has been reported that the implementation of modern technology in labour and neonatology unit showed the incidence of abdominal delivery further raised to prevent potentially grave foetal and maternal morbidities. The rate of Caeserean delivery in the United States has quadrupled from 5% of obstetric delivery in 1964 to more than 23% in 19911.The national C - section rate of Canada was20% and Italy was 17.5%2.
The present study to determine the incidence and evaluate its indications in the department of Obs & Gynae in GVMCH, Vellore (Govt Vellore Medical College). This is a step to find out unnecessary indications of LSCS which may in future reduce the incidence rate in the country.
In India the ‘C’ section rate also increased up to 35%-45%. In Tamilnadu more than 90% deliveries are conducted by Govt institutions like ‘cemonc’ centre. Here we want to institution than Vellore in semi urban area, GVMCH is tertiary care unit all high risk and complicated cases from PHC and GH are managed by NS.
Keyword: Caeserean section, indications.
References
- Placek PJ. Taffel SM. Moien MC - Section rise; VBACS inch upwards. Am J Pub Health 1988; 78: 562 - 3.
- Notzon FC, Plack PJ, Taffel SM. Comparison of national caesarean section rates. N Engl J Med 1987 : 316 :386 - 9.
- Chowdhury SB. Begum A. Indication and complication of caesarian section; a study of 1083 cases. Bangladesh J obstet Gynaecol 1994 ; 9, 1 - 7.
- Zaman N. A clinical study on caesarian section in IPGMR (dissertation). Dhaka. Bangladesh College of Physicians & Surgeons; P 84-92.
- Geen JE Meclean F, Usher SR. Caeserean section study of latin American Hospital . Am J obstet Gynaecol 1982;142
- Alam ME, Study of indications of caesarean section in teaching hospital (dissertation). Dhaka. Bangladesh College of Physician and Surgeons ; 1994. P 80-89
- Panel and planning of the national consen-sus conference on aspects of casarean Birth. Indication for caesarean section: Final state-ment of the panel of the national consensus conference on aspects of caeses-ean birth. Can Med Asso J 1986; 134;1342-52
- Magnaun EF : Winchester Ml. Factors adversely affecting pregnancy outcome. Am J Perinatal 1995 ; 12 :464.
- Amrika H. Evan TN. Zone WB. Caeserean section : a 15 years review of changes in incidence of induction and risk : Am J obstet Gynaecol 1984 ; 104 , 81 -90.
- Demianezuk N, Hunter JS, Taylor DW. Trial of labour after previous caesarean section. Am J Obstet Gynecol 1982; 142:640
- Pardey JS. Jain M. Pandy LK Ten Years profile of caesarean section. J Obstet Gynaecol India 1986 :36: 448 Journal of Shaheed Suhrawardy Medical College
- Chakravorty DK. Dawn CS. Morbidity following Caeserean section. J Obstet Gynaecol India 1985 : 35 : 1037
- Hammouda A A . Caeserean section in the young gravida. Am J obstet Gynaecol 1968 ; 100 ; 267 – 9
Driscoll K. Folley M. Correlation of decrease in perinatal mortality and increase in caeserean section rates. Obstet Gynaecol 1983; 61 ; 1 -5.
Corresponding Author
Dr A.Rajeswari
Head, Department of Obstetrics and Gynaecology,
Government Vellore Medical College, Vellore, Tamilnadu, India
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.134
