DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20162667

A clinical study of rate and indications of cesarean section, maternal and fetal outcomes at tertiary care center in north western Rajasthan

Suniti Verma, Jyoti Saini, Ramnarayan Sehra, Niranjan Nagaraj

Abstract


Background: Cesarean section is one of the most commonly performed surgeries in obstetric practice. This study aims to know the changing trends in cesarean section rates, varying indications and the maternal & fetal outcome of cesarean deliveries.

Methods: Total 200 cases of cesarean section were selected including each of 100 elective and emergency groups. In these we studied and evaluated the various parameters of cesarean section, maternal morbidity, neonatal outcomes, morbidity and mortality.

Results: The commonest indication for emergency cesarean section was MSL (28%) followed by previous cesarean section (27%). Mean age in elective cesarean section was 25.43±2.90 years and in emergency group it was 24.78±3.23. In present study 11 neonates of elective group had NICU admission while 64 neonates of emergency group had NICU admission. Perinatal mortality was present in 15 neonates and out of them 12 emergency groups and 3 belonged to elective group. The commonest indication for elective cesarean section was previous cesarean section (42%) followed by previous 2LSCS (15%).

Conclusions: The rate of cesarean section is progressively increasing in the last 5 years. The most common indication is previous cesarean section. The outcome in elective is better than emergency.

Keywords


Cesarean section, Maternal morbidity, Perinatal mortality, Neonatal outcome

Full Text:

PDF

References


Kambo I, Bedi N, Dhillon BS, Saxena NC. A Critical Appraisal of Cesarean section rates at teaching hospital in India. International J Obstet Gynecol. 2002;79:151-8.

Akolekar R, Pandit SN, Rao BS. The cesarean Birth FOGSI publications, 1st Edn. National Book Depot. 2010:1-3.

WHO Health statistics 2005, WHO.

Focus on: caesarean section - NHS Institute for Innovation and Improvement. Institute.nhs.uk.8 October, 2009.

Stark M, Chavkin Y, Kupfersztain C, Guedj P, Finkel AR. Evaluation of combinations of procedures in caesarean saction. Int J Gynecol Obstet. 1995;48(3):273.

Denis C. Fear of Pain causes a bid rise in Caesareans. 26 October 2008. The Guardian. Retrieved 27 October, 2008.

Smith S. C-section leap to 1 in 3 births in Bay State, to outstrip US. Boston Globe. 14 February 2008.

Arulkumaran S, Ratnam S, Bhaskar rao K: The management of labour. Orient Layman ltd. 1996;4:57-69.

Neilson TF, Hokegard KH. Post-operative cesarean section morbidity. A prospective study. Am J Obstet Gynecol. 1983;146(8):911-6.

Reddy UM, Bettegowda VR, Dias T, Yamada-Kushnir T, Ko CW, Willinger M. Term pregnancy: a period of heterogeneous risk for infant mortality. Obstet Gynecol. 2011;117(6):1279-87.

Cassady G. Effects of caesarean section on neonatal body water spaces. N Engl J Med. 1971;285:887-91.

High infant mortality rate seen with elective C-section. Reuters Health, September 2006. Available from: http://www.medicineonline.com/news/ 12/6008/High-infant-mortality-seen-with-elective-c-section.html.

Murphy KW. Reducing the complication of cesarean section. Bonnar J (ed) RA. Obstet Gynecol. Churchill livingstone, Edinburgh. 1998;20:141-52.