Analysis of Cesarean Section Rates, Indications and Complications in Previous Cesarean Section at Tertiary Care Teaching Hospitals in India (An Icmr Task Force Study) (original) (raw)
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A critical appraisal of cesarean section rates at teaching hospitals in India
International Journal of Gynecology & Obstetrics, 2002
Objectives: To obtain an estimate of cesarean section rates and examine the indications and consequences at teaching hospitals in India. Methods: Information was obtained on total number of normal and cesarean deliveries during 1993–1994 and 1998–1999 from 30 medical colleges/teaching hospitals. In addition, prospective data were recorded for a period of 2 months on 7017 consecutive cesarean sections on indications for cesarean delivery, associated complications and mortality. Results: The overall rate of cesarean section increased from 21.8% in 1993–1994 to 25.4% in 1998–1999. Among the 7017 cesarean section cases, 42.4% were primigravidas, 31% had come from rural areas, 20.8% were referred including 8% with history of interference, 66% were booked cases, period of gestation was less than 37 weeks in 21.7% and in 18% the surgery was elective. Major indications for cesarean section included dystocia (37.5%), fetal distress with or without meconium aspiration (33.4%), repeat section ...
Prevalence of cesarean section in a tertiary care hospital in South India: A clinical audit
International Journal of Clinical Obstetrics and Gynaecology, 2021
The rapid rise in CS has become a grievous public health issue and have found increasing since the routine use of better facilities. This study assesses the common indications of LSCS and improve quality of obstetric care by taking steps to reduce unnecessary cesarean sections. Methods: This retrospective study was conducted among 381 women who delivered by cesarean section in a duration of 1 year at Travancore Medical College, Kerala. Variables including age, parity, gestational age, CS timing (elective or emergency), indications for LSCS were collected from their case records and entered in the proforma. Descriptive statistics used for the analysis. Results: The prevalence of LSCS was 45.84%. Out of the 381 LSCS performed, 44% were emergency cases and 56% were elective. Previous LSCS was the most common indication (153 cases, 42.5%), followed by failure of induction of labor (92 cases, 24.13%). Conclusion: Indications for LSCS are common in most institutions globally. The most common indication in the audit was previous LSCS, followed by failed induction of labor. Efforts should be made to focus on reducing the primary LSCS rates thereby reducing common indication of previous LSCS in subsequent pregnancies.
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...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Cesarean section is one of the most commonly performed surgical procedures in obstetrics worldwide. Over the last three decades, a tremendous increase in cesarean section rates has been observed globally, which is a cause for concern as procedure is associated with higher morbidity and mortality compared to vaginal delivery. This study was done to analyze the rate and indications for cesarean section and associated maternal morbidity and mortality.Methods: This retrospective study was conducted over a period of 6 months from 1st October 2017 to 31st March 2018 in the department of Obstetrics and Gynecology, Integral Institute of Medical Sciences and Research, Lucknow, India. Data of patients who were admitted for delivery in department of Obstetrics and Gynecology in OPD or emergency were recorded. Statistical analysis of various parameters namely, the cesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of w...
Rising trend in cesarean sections: a retrospective study at tertiary care hospital in Jammu
2021
From the last few decades there has been a growing trend in cesarean section rates both in developed and under developed countries. With the steadily increase in both primary and repeated cesarean birth rates, the public in particular health care providers are facing a challenging situation. In England, France, Sweden and twelve Latin American countries the cesarean section rates are above 15% with highest 40%.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2018
Background: Not only in India but globally the incidence of cesarean section deliveries is increasing and it is becoming an important cause of concern. The objective of the present study was to observe the incidence of cesarean section deliveries at a tertiary care hospital.Methods: A hospital record-based study was carried out from January 2017 to August 2018. All deliveries with live birth taking place among the primipara were included in the present study. Other than this was excluded. Data was analyzed using proportions.Results: A total of 12254 deliveries took place from January 2017 to August 2018. Maximum deliveries were seen during July 2017 to October 2017 where it ranged above 6%. Normal delivery rate ranged from 51.2% in March 2018 to 64.4% in February 2017. Overall it was 62.1%. The overall cesarean section rate was 37.9% in the present study. This rate is very low compared to the rates from private sector. The cesarean section rate ranged from 35.6% in February 2017 whi...
An Observational Study of Cesarean Trends at a Teaching Hospital in Punjab
Asian Journal of Pharmaceutical and Clinical Research
Objectives: The objective of the study was to study the indications and risk factors for caesarean section (CS) and to study the caesarean rates in various patient groups as per Robson’s classification. Methods: This prospective observational study was conducted at Government Medical College Amritsar over a period of six months. All the patients admitted for delivery beyond 22 weeks were allotted to Robson groups on admission and the indications of all CS were recorded. The data collected were tabulated and analyzed statistically. Results: There were 553 deliveries in the study period, of which there were 241 CS amounting to a caesarean rate of 43.6%. Nulliparity, previous caesarean delivery and malpresentation were significant risk factors for CS but induction of labor was not associated with increased probability of caesarean delivery. Previous caesarean delivery was the most common indication of CS followed by foetal distress. Among Robson groups, group 10 had the biggest group s...
Retrospective Observational Study of Caesarean Section Cases in a Tertiary Care Hospital in Odisha
Indian Journal of Obstetrics and Gynecology Research, 2017
Objective: To study the incidence and indications of LSCS. Place and Duration: This study was carried out from January to July 2016 in Department of Obstetric and Gynaecology, KIMS, Bhubaneswar. Methodology: In this retrospective analytical study, the total number of patients delivered and the number of LSCS done in the above mentioned study period were counted to find the incidence of LSCS in our hospital. Age, parity and gestational age of the patients who underwent LSCS were tabulated. The indications of LSCS were analyzed from pre operative and intra operative findings. Result: In our study the incidence of LSCS was 67.67%. Of these patients 43.22% belonged to age group 26 -30 yrs and 2.6% patients were in 35 – 39yr age group. 1.49% patients were less than 20 yrs of age and 0.37% were more than 40 yrs. 58.73% of patients were primigravida whereas 28.06% were second gravid and 13.19% were gravida three or more. In 50.74% LSCS was done at > 38 – 42 wk gestational age (GA) follo...
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, 2017
Background: Increasing rates of cesarean section during last three decades has become a cause of alarm since and a need for ongoing studies. Objective of present study was to investigate cesarean section rates as per modified Robsons Criteria and to determine area of concern which requires maximum focus to decrease overall caesarean rate Methods: This cross sectional study was conducted over a period of one year (From January 2016 to December 2016) in the Department of Obstetrics and Gynecology at King George’s Medical University, Lucknow. Results: Total number of deliveries for one year was 8526. Out of them, 4275 (50.1%) were vaginal and 4251 (49.9%) were abdominal. Overall maximum caesarean section rate was contributed by group 5 of modified Robsons criteria i.e. previous section, singleton, cephalic, ≥37 weeks (17.7%). Conclusions: Robson 10 group classification provides easy way in collecting information about Cesarean section rate which obtains good insight into certain birth ...