To Study The Indications And Outcome Of Caesarean Section At A Tertiary Health Facility Located In A Rural Setting (original) (raw)
Related papers
2015
Background: Caesarean section (CS) is a common surgical procedure performed in women of reproductive age. The numerous indications for a CS may be due to fetal or maternal problems. Though it is a life saving procedure, it also carries a higher morbidity and mortality than vagina delivery. Method: This is a retrospective study conducted from January 2014 to December 2014 at a secondary health facility located in a rural setting in Ahmednagar. The theatre registers were the sources of data. Results: There were fourteen indications for the 731-caeserean sections performed with previous LSCS being the highest indication. Previous LSCS, Fetal distress, CPD and Oligohydromnios were the major indications for caesarean Section. There were 1 maternal death and 4 stillbirths out of the 731 babies delivered. Conclusion: Changing trends and changing indications are very well can be seen from the study suggesting that "Once a cesarean always a cesarean" is what we seem to achieve in near future.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Background: There is drastic rise in caesarean section (CS) rate worldwide in last decade as compared to optimal CS rate (10-15%) recommendation by WHO. This study was conducted to assess incidence and feto-maternal outcome in CS delivery.Methods: A cross-sectional study was conducted in pregnant women admitted over one year from September 2017- August 2018 in West Bengal. Demographic details and indication of CS were recorded along with documentation of feto-maternal outcomes. Statistical analysis was performed with help of Epi Info (TM) 7.2.2.2. Z-test and corrected Chi square (χ2) test. p<0.05 was considered to be statistically significant.Results: Out of total 10831 deliveries, 2914 (27%) women underwent CS. Demographic analysis shows maximum number of patients to be between 20-25years (51.7%), rural (58%), primigravida (51.3%), term pregnancy (87.7%). Non-progression of labour or NPL (45%) was most common indication of CS followed by previous CS (26.2%) and fetal distress (1...
Caesarean Section ; Its Frequency and Indications in DHQ Teaching Hospital , Sahiwal
2018
… Introduction: Caesarean Section (CS) is a surgical procedure carried out for the delivery of the baby when circumstances render the possibility of a safe vaginal birth. Though caesarean section can be life-saving in many situations, its unnecessary use has become a global health concern. For almost 3 decades, the ideal rate for caesarean sections was considered to be between 10% and 15% but its consistently increasing frequency over the past years has brought it to limelight. Objective: To determine the frequency and indications of Caesarean section at DHQ Teaching Hospital, Sahiwal. Study Design: A Cross-sectional descriptive study.
International Journal of Community Medicine and Public Health, 2016
Background: During the last few decades there has been an alarming rise in the incidence of caesarean section (CS). CS is one of the most common major surgical procedures in private health sector. This rise is of immediate concern and a major public health issue to address. Methods: A community based cross sectional study was done wherein 100 women were selected from Yenkapally and Peddamangalaram villages by household survey by convenient sampling technique. A pre designed, pre tested questionnaire was used to get the relevant information by adopting interview technique. Results: Present study found that the total caesarean section rate was found to be 62% of which primary caesarean section rate was 23%. Thirty seven (59.6%) had emergency caesarean section and twenty five (40.4%) had elective caesarean section. The most common indication for emergency section was failed induction (29.7%) and for elective section it was previous caesarean section (84%). Higher socio economic status, higher birth order and associated health problems during delivery were significantly associated with caesarean section (p<0.05). Conclusions: Present study found a high caesarean section rate with majority sections occurred in private sector hospitals.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
Background: Cesarean section remains the most commonly performed obstetric surgery but indications of it have been changed. Earlier it used to be done for health of the mother but now fetal interest has played a major role. The aim of the study was to find out incidence, indication of LSCS, maternofetal outcome in our rural medical college. Methods: This retrospective study was conducted at MMIMSR Mullana, Ambala, Haryana, India between 1 st April 2015-30 th March 2016. All women admitted for delivery in OBG department via OPD or emergency were taken in the study. Results: The total no of deliveries was 2196. There were 474 (21.6%) case of caesarean sections (LSCS). Among them 156 (32.9%) patients had elective LSCS, and 318 (67.1%) had emergency LSCS. Mean age of the study was 27.2 years. Fetal distress was the commonest indication of LSCS (25.1%) followed by pregnancy with previous LSCS. Post-partum hemorrhage (PPH) and adhesion were commonly encountered complications. Conclusions: LSCS due to maternal fetal indication is inevitable. Timely performed LSCS decrease the morbidity and mortality. Government also has taken initiative in making cesarean deliveries more acceptable and affordable to patients belonging to the rural areas.
Journal of Evolution of medical and Dental Sciences, 2014
The steady rise in caesarean section rate is an emerging area of concern in mother and child health care and a matter of international attention, which has been referred as a "global epidemic". MATERIAL AND METHODS: This was prospective study carried out in the department of Obstetrics and Gynaecology at IGMC, Shimla, from 1st May 2010 to 30th April 2011. All pregnant women were categorized according to Robson's Ten Group classification system (RTGCS) 2001. RESULTS: overall caesarean section rate was 21.86%. Majority of the births 35.30% occurred in group 1 and 11.20% in group 2. Maximum CS rate in each group was in group 9 (88.23%) followed by group 6 (79.63%) and group 7 (71.22%). Contribution made by each group to overall CS rate was maximum by group 1 (6.28%) and group 5 (5.26%). Postpartum haemorrhage (Atonic) occurred in 1.60% subjects belonged to group 2,3,4,8. Two had caesarean hysterectomy. Uterine rupture occurred in one (0.08%) subject during VBAC-TOL. CONCL...
Australasian Medical Journal, 2010
BackgroundIncreasing Caesarean Section (CS) rates is a concern in the health care systems all over the world, in a developing country an increase in the CS rate has major implications on the limited health care resources, this study was carried out with an objective to find out the trends and indications of CS in a government hospital. Method A hospital based retrospective study was carried out in a tertiary Government-run hospital specializing in Obstetrics and Gynaecology and all deliveries conducted from Jan 1st 2009 to Dec 31st 2009 were included, the data was collected using a pro forma designed based on the recommendations for routine reporting on caesarean delivery in developing countries. ResultsThere were 7543 deliveries in the study period with 1756 being CS, giving a rate of 23.27%. Most of the CSs were performed because of a previous CS. Foetal distress, breech presentation and failed induction were the other prominent indications. Placenta praevia and malpresentations w...
2019
Background: The incidence of Caesarean Section (CS) is increasing day by day among urban and rural population globally. Hence, a need of the study was required to find out the incidence of CS among population in a backward district of Karnataka. Aim and Objectives: To evaluate the rising trends in CS rate in both primigravida and multigravida. Material and Methods: This cross-sectional study was carried out among 513 patients (92.7% rural and 7.3% urban) admitted in labour ward at a tertiary referral centre, Vijayapura, Karnataka. The indications were analysed by standard procedures and the decision for CS were under taken by qualified professionals accordingly. Results: Total incidence of CS in the present study was 200(38.98%) out of 513 patients admitted. Out of 200 patients who underwent CS, were found to be primigravida 83 (41.5%) and were multigravida 117 (58.5%). The most common indication of CS in this study was found to be the Foetal Distress (FD) (35.5%) followed by Cephal...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2019
of the important indicators of emergency obstetric care is CS rate (World Health Organization 2009). A woman's socioeconomic characteristics have been reported to be associated with her risk of CS, although the direction of the association has not been unambiguous. The rapid rise of CS rate all around the world has become a grievous public health issue. It is ABSTRACT Background: Many studies have attempted to examine and evaluate the changes in population characteristics that may have contributed to the observed increase in CS rate. The aim of this study was to determine the caesarean section rate and demographic characteristics of women undergoing caesarean section in our rural tertiary health centre of central India. Methods: This prospective study was conducted in department of obstetrics and gynecology. The study instrument comprised a pre-structured data collection proforma which had various sections; social demographic characteristics, obstetric history and gestation details. Results: The overall caesarean section rate (CSR) was 36.88%. Maximum women (39.62%) who underwent Caesarean section were of age group 25-29 years. 58.05% from rural while 41.95% from urban area. CS was more in women of lower middle (22.80%) and upper lower (20.80%) class. Majority of women who had caesarean section were educated till higher school (31.87%) or were graduate (22.61%), 5.85% were illiterate. Majority of women (56.40%) were housewives. CSR was 70.83% in referred and 28.31% in booked. 52.86% women were nulliparous. Caesarean section was maximum (83%) in term, 16.92% preterm women and 0.08% post term women. 38.69% were referred from other health facilities. Maximum referrals 43.21% were from the district hospital. Conclusions: It was noted that the preference for caesarean section is more in women of 25-29 years, lower middle and upper middle class, rural women, educated upto high school and housewives at our centre. This hospital also serves as referral centre from surrounding health facilities increasing the caesarean section rate of the institute.
BMJ Open
ObjectiveOur objective was to describe trends in caesarean section (CS) rates, characteristics of women delivering by CS, reasons for CS and impact of CS on perinatal mortality, in a rural Indian population.DesignSecondary data analysis using a prospective population-based registry.SettingFour districts in Eastern Maharashtra, India, 2010 to 2013.Participants39 026 pregnant women undergoing labour and delivery.Main outcomesCS, single most likely reason, perinatal mortality.ResultsOverall, 20% of the women delivered by CS. Rates increased from 17.4% in 2010 to 22.7% in 2013 (p<0.001) with an absolute risk increase from 1% to 5% during this time-period. Women aged 25+ years old, being nulliparous, having at least a secondary school education, a body mass index 25+ and a multiple gestation pregnancy were more likely to deliver by CS. Perinatal mortality was higher among babies delivered vaginally than those delivered by CS (4.5% vs 2.7%, p<0.001). Prolonged and obstructed labour ...