Abstract
Background: Caesarean section is a surgical operation to deliver a baby or babies by means of an incision through the abdomen and uterus. The World Health Organization (WHO) has recommended an ideal caesarean section (CS) rate as 10-15%.
Methods: This is a retrospective study of all the caesarean deliveries performed between 1st October 2019 to 31st March,2020 in the Department of Obstetrics and Gynaecology in Regional Hospital, Bilaspur, HP, India. Data were analysed from the hospital records. Maternal data collected included the age, parity, type of CS and indication of CS.
Results: During the study period a total of 809 patients delivered. 121 patients had undergone CS with the CS rate being around 14.96%. Maximum number of patients were between 21-30 years (80.17%) and 56.19% were primipara. Foetal distress (32.23%) was the commonest indication followed by post caesarean pregnancy (25.62%) and failed induction (14.05%).
Conclusions: The caesarean rate in our institution during the study period was 14.96% which is near the standard caesarean rate .Most of caesareans were done in emergency (92.66%). Our main emphasis is on reduction of rate of repeat caesarean sections which can be lowered at our level by increasing the trained staff for the continuous monitoring of such cases.
Keywords: foetal distress, post caesarean pregnancy, failed induction, failed progression.
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Corresponding Author
Dr Rohit Dogra
Department of Obstetrics and Gynaecology, Civil Hospital, Jaisinghpur, Kangra, Himachal Pradesh, India