DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20163424
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

Abstract


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.


Keywords


Caesarean section, Previous LSCS, Indication of CS

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References


WHO Statement on caesarean section rates; 2015, WHO reference number: WHO/RHR/15.02. Available at http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/. Accessed on 15 July 2016.

Belizán JM, Cafferata ML, Althabe F, Buekens P. Risk of patient choice caesarean. Birth. 2006;33:167-9.

Marshall NE, Fu R, Guise JM. Impact of multiple caesarean deliveries on maternal morbidity: a systematic review. Am J Obstet Gynecol. 2011;205(3):262.

Lumbiganon P, Laopaiboon M, Gulmezoglu AM, Souza JP, Taneepanichskul S, Ruyan P, et al. Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007-08. Lancet. 2010;375:490-9.

Nikhil A, Desai A, Vijay K, Seema P, Bhumika K, Patel R. Analysis of trends in LSCS rate and indications of LSCS: a study in a medical college hospital GMERS, Sola, Ahmedabad. IJPBS. 2015;2(1):1-5.

Caesarean section rates and indications in sub-Saharan Africa: a multi-country study from medecins sans frontieres; PLoS One. 2012;7(9):e44484.

WHO Euro Health for all database, 2014. Available at http://data.euro.who.int/hfadb/(53). Accessed on 15 July 2016.

Zaman N. A clinical study on caesarian section in IPGMR (dissertation). Dhaka. Bangladesh College of Physicians and Surgeons; 2015:84-92.

Geen JE, Meclean F, Usher SR. Caesarean section study of latin American Hospital. Am J obstet Gynaecol, 1982;142.

Indications for and risks of elective caesarean Section. Dtsch Arztebl Int. 2015;112(29-30):489-95.

Gillet E, Martens E, Martens G, Cammu HJ. Pre-labor caesarean section following IVF/ICSI in older-term nulliparous women: too precious to push? Pregnancy. 2011;2011:362518.

Vaginal birth after cesarean (VBAC): resource overview, 2016. Available at http://www.acog.org/Womens-Health/Vaginal-Birth-After-Cesarean-VBAC. Accessed on 20 July 2016.

Stanton C, Ronsmans C. Recommendations for routine reporting on indications for caesarean delivery in developing countries. Birth. 2008;35:204-11.

Torloni MR, Betran AP, Souza JP, Widmer M, Allen T, Gulmezoglu M, et al. Classifications for caesarean section: a systematic review. PLoS One. 2011;6:e1456.