Published: 2016-12-15

Indications and rates of lower segment caesarean section at tertiary care hospital - an analytical study

Ashmita Jawa, Swati Garg, Arihant Tater, Urvashi Sharma


Background: Over the past few decades, there has been a rise in the rates of caesarean section globally. The reasons for this are multifactorial including changes in women’s preferences, a growing number who have previously had a caesarean delivery and technological advances which aid in early identification of a compromised fetus.

Methods: This study aims to analyze the rates and indications of lower segment caesarean section (LSCS) in our institution. This retrospective study was conducted over a period of six months - December 2015 to May 2016 at Mahatma Gandhi Medical College and Hospital, Jaipur. Total number of patients who delivered in our hospital during the defined study period was recorded and a statistical analysis of various parameters was done.

Results: The total number of women delivered over the study period was 1645, out of which caesarean sections (CS) were 523. The overall CS rate calculated was 31.8%. Previous LSCS was the leading indication to the CS rate.

Conclusions: Individualization of the indication and obstetric audits can help in reducing both maternal and peri-natal morbidity and mortality.


Caesarean section, Previous LSCS, Indication of CS

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