Title: Analysis of caesarean section in a district hospital
Authors: Anu Bala Chandel, Rohit Dogra
DOI: https://dx.doi.org/10.18535/jmscr/v8i6.24
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.
References
- Mutihir JT, Daru PH, Ujah IA (2005) Elective Caesarean Sections at Jos University Teaching Hospital. Trop J Obstet Gyaenecol. 22: 39-41.
- Kwawukume EY (2000) caesarean section In: Comprehensive Obstetrics in the tropics. Kwawukume EY, Emoveyan E, editors, Asante and Hittche Printing Press Limited 321-329.
- Bhasin SK, Rajoura OP, Sharma AK, Metha M, Gupta N, Kumar S, et al. A high prevalence of caesarean section rate in East Delhi. Indian J Comm Med. 2007;32(3):222-4.
- Santhanalakshmi C, Gnanasekaran V, Chakravarthy AR. A Retrospective Analysis of Cesarean Section in a Tertiary Care Hospital. Int J Sci Res. 2013;4(9):2097-9.
- Singh G, Gupta ED. Rising incidence of caesarean section in rural area in Haryana, India: a retrospective analysis. Internet J Gynecol Obstet. 2013;17(2):1-5.
- Haider G, Zehra N, Munir AA, Haider A. Frequency and indication of caesarean section in a tertiary care hospital. Pak J Med Sci. 2009;25(5):791-6.
- Gupta M, Garg V. The rate and indications of caesarean section in a teaching hospital at Jaipur, India. Int J Reprod Contracept Obstet Gynecol 2017;6:1786-92.
- Jawa A, Garg S, Tater A, Sharma U. Indications and rates of lower segment caesarean section at tertiary care hospital-an analytical study. Int J Reprod Contracept Obstet Gynecol. 2016;5:3466-9.
- Barber EL, Lundsberg LS, Belanger K, Pettker CM, Funai EF, Illuzzi JL. Indications contributing to the increasing cesarean delivery rate. Obstet Gynecol. 2011;118(1):29-38.
- Liu S, Rusen ID, Joseph KS, Liston R, Kramer MS, Wen SW, et al. Maternal Health Study Group of the Canadian Perinatal Surveillance System. Recent trends in caesarean delivery rates and indications for caesarean delivery in Canada. J Obstet Gynaecol Can. 2004;26(8):735-42.