Trends and Indications for Caesarean Section in a tertiary care Obstetric Hospital in Coastal South India (original) (raw)
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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 delivery in India : causes and concerns
2013
Caesarean section (CS or C-section) is a surgical intervention which is carried out to ensure safety of mother and child when vaginal delivery is not possible (emergency CS) or when the doctors consider that the danger to the mother and baby would be greater with a vaginal delivery (planned CS). Proportion of CS to the total births is considered as one of the important indicators of emergency obstetric care (World Health Organization, 2009). A figure below 5 per cent implies that a substantial proportion of women do not have access to surgical obstetric care; on the other hand a rate higher than 15 per cent indicates over utilization of the procedure for other than life saving reasons (WHO, 1985; WHO, 1993). In this context the rapid increase of CS rate throughout the world has become a serious public health issue because several studies have found that the high rate of caesarean section delivery does not necessarily contribute to an improved maternal health and pregnancy outcome. F...
Trends of Caesarean Delivery in a Tertiary Care Hospital in North Karnataka
Journal of Evolution of Medical and Dental Sciences
BACKGROUND The drastically increasing rate of Caesarean section (CS) is a topic of constant worry and analysis throughout the world. In order to understand the degree to which Caesarean section may be preventable, it is important to know why Caesarean sections are performed. Due to nonexistence of any standard classification for indications of Caesarean section, indications for the same vary among institutions. We wanted to evaluate the rates and predictors of Caesarean section among institutional deliveries in a tertiary care hospital in an economically backward rural area. METHODS This was a cross-sectional prospective study. Pregnant women who underwent Caesarean section (CS) between June 2019 and December 2019 at BLDE (DU) Shri. B. M. Patil Medical College Hospital and Research Centre, Vijayapur, Karnataka, were recruited for the study. Demographic and obstetric data including indications of Caesarean section and pregnancy outcomes were collected and analysed. RESULTS The mean a...
Delivery-related complications and determinants of caesarean section rates in India
Health Policy and Planning, 2002
Caesarean section rates have been increasing worldwide, raising the question of the appropriateness of the selection of cases for the procedure. This paper examines the levels and correlates of delivery-related complications and caesarean section deliveries in 18 selected states of India in terms of specific maternal and institutional factors, using data from the National Family Health Surveys, 1992-93. Goa (15.3%) and Kerala (13.7%) were the two states with relatively higher caesarean section rates. There is reason to believe that current rates are part of a rising trend. This cannot be attributed entirely to the rise in institutional deliveries alone because of the strong association between caesarean sections and private sector institutions. Apart from the fact that the states of Kerala and Goa have relatively high caesarean section rates, in Andhra Pradesh, Bihar, Gujarat, Karnataka, Punjab and Uttar Pradesh the risk of undergoing caesarean section in private sector institutions is four or more times that in the public sector. It is possible that this extremely useful surgical procedure is being misused for profit purposes in the private sector in several states. There is therefore a need to examine this phenomenon using data disaggregated by the nature of caesarean sections, i.e. whether it was an elective or an emergency caesarean section along with the reasons for the choice.
2016
One of the most alarming features of modern obstetrics is the relentless increase in c-section rates. Medical, institutional, legal, psychological and socio-demographic factors play a contributing role. Although c-sections can be lifesaving, c-section rates above the WHO recommended 15% raises global concern.India is also not excluded from this trend. It is time to realize that c-sections not only put both the mother and child at risk, but also pose huge economic burden compared to normal vaginal delivery. This study was designed to identify the maternal risk factors associated with csections. A hospital based case control design was approached. 360 mothers, all consenting 180 consecutive mothers who had c-section in singleton pregnancies and 180 mothers with singleton spontaneous vaginal deliveries were selected from postnatal ward. Data was collected using a pre-tested questionnaire. Out of the 11 variables examined, 7 were found statistically significant. Mothers who had a previo...
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...
Trends in caesarean section rates in a rural block of southern India
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Over the last decade many programmes have been implemented to improve the health of pregnant women and neonates. This study aims to look at the changes in modes of delivery and perinatal mortality rates in a rural block of Tamil Nadu between 2006 and 2015.Methods: Data on all the births that have occurred in this rural block of Tamil Nadu that has been prospectively collected between 2006 and 2015 was analysed. A longitudinal analysis was done to calculate the primary and overall caesarean section rate and the average annual rate of increase. The perinatal mortality rate was also calculated.Results: The primary LSCS rate has increased from 9.08% in 2005 to 16.1% in 2015. The overall caesarean section rate has increased from 11.7% to 19.2% in the same time with an average annual rate of increase of 5.1%. During this period the perinatal mortality has decreased from 33 per 1000 live births to 17 per 1000 live births.Conclusions: Though the overall caesarean section rate is...
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 ...
2001
Caesarean section rates have been increasing world-wide raising the question of the appropriateness of the selection of cases for the procedure.This paper examines the levels and correlates of delivery related complications and caesarean section deliveries in eighteen selected states of India in terms of specific maternal and institutional factors, using data from the National Family Health Surveys,1992-93.Goa (15.3 per cent)and Kerala (13.7 per cent)were the two states with relatively higher caesarean section rates.There is reason to believe that the current caesarean section rates are part of a rising trend.This can not be attributed entirely to the rise in institutional deliveries alone because of the strong association between caesarean sections and private sector institutions. Apart from the fact that the states of Kerala and Goa are having relatively high caesarean section rates, in Andhra Pradesh, Bihar, Gujarat, Karnataka, Punjab and Uttar Pradesh the risk of undergoing caes...