Abstract
Introduction: Over the last few decades, rate of cesarean section has increased due to increase in primary cesarean rate, a decrease in VBAC (Vaginal birth after cesarean section) trial, decrease in operative vaginal deliveries (Forceps/Ventouse), increase in litigations, increasing facility of fetal electronic monitoring, and decreasing thresholds of patients for bearing labour pains.
Material & Methods: A retrospective study was carried out in 200 patients in the tertiary care hospital from January 2019 to December 2019.
Results: Most common indication was Previous cesarean section (24.5%), followed by Preterm Labour (20.5%), Prolonged Labour (12%), PROM (12%), Fetal distress (7%).
Conclusion: It is recommended to reduce the number of primary cesarean section and successful VBAC trials to keep the cesarean section rate to the minimum level.
Keywords: Previous cesarean section, Preterm Labour, Fetal distress.
References
- World Health Organization. Appropriate technology for birth. Lancet. 1985;2 (8452):436-7.
- Hamilton BE, Martin JA, Ventura SJ. National Vital Statistics Reports. 2011;60,1.
- Belizan JM, Althabe F, Barros FC, Alexander S.Rates and implications of Cesarean Sections in Latin America: ecological study. BMJ. 1999;319:1397-1402.
- Hamilton BE, Ventura SJ, Martin JA, Sulton PD. Priliminary births for 2004: infant and maternal health. Health E-Stats. Released, 2005.
- Stanton CK, Holtz SA. Studies in Family Planning, 2006.
- Kambo I, Bedi N, Dhillon BS, Saxena AC. A critical appraisal of Cesarean section rates at teaching hospitals in India. Int J Gynaecol Obstet.2002;79:151-8.
- Sreevidya S, Sathiyasekaran BW. British Journal of Obstetrics and Gynaecology, 2003.
- Tollånes MC. Increased rate of Cesarean sections--causes and consequences. Tidsskr Nor Laegeforen. 2009; 129(13):1329-31.
- Silver RM, Landon MB, Rouse DJ, Leveno KJ, Spong CY, Thom EA et al. Risk of placenta previa and accrete to number of previous cesarean deliveries. Obtetrics & Gynecology. 2006;107:1226.
- Emma L, Lisbet L, Kathleen B, Christian M,Edmund F, Jessica L. Contributing Indications to the Rising Cesarean Delivery Rate. Obstet Gynecol. 2011;118(1):29–38.
- Unnikrishnan B, Rakshith P, Aishwarya A, NithinK,Rekha T, Prasanna P et al. Indications for Cesarean Section in a tertiary care Obstetric Hospital in Coastal South India. Australasian Medical Journal AMJ. 2010;3(12):821-825.
- Wang CP, Tan WC, Kanagalingam D, Tan HK. Why we do cesears: a comparison of trends in cesarean section delivery over a decade. Ann Acad Med Singapore. 2013;42(8):408-12.
- Guise JM, Eden K, Emeis C, Denman MA. Vaginal birth after cesarean: new insights. Evidence Report/Technology Assessment Jorunal. 2010;(191):1-397.
- Hofmeyr GJ, Kulier R. External cephalic version for breech presentation at term. Cochrane Database Syst Rev., 2012.
- Leung C, Pun WC. Term breech trial. Lancet.2001;357(9251):225.
- Hannah ME , Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR. Planned cesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. Term Breech Trial Collaborative Group. Lancet. 2000; 356(9239):1375-83.
Corresponding Author
Dr Rashmi Verma
Associate Professor, Department of Obstetrics and Gynaecology, Katihar Medical College and Hospital, Bihar, India
DOI: https://dx.doi.org/10.18535/jmscr/v8i1.78
