DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20184943

Incidence of cesarean section among primi at a tertiary care hospital in Mahabubnagar, Telangana, India

Janaki Vellanki

Abstract


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 which was lowest in the study period to 48.8% in the month of March 2018 which was the highest in the study period. But the cesarean section rate never crossed the 50% mark and most of the time it remained near 40% mark.

Conclusions: It has been found that the cesarean section rate always remained on a lower side as compared to the normal deliveries rate. This can be attributed to the appropriate clinical practices in our settings.


Keywords


Cesarean section, Healthy normal delivery, Primipara

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References


Kozhimannil KB, Law MR, Virnig BA. Cesarean delivery rates vary tenfold among US hospitals; reducing variation may address quality and cost issues. Health Aff (Millwood). 2013;32(3):527-35.

Luthy DA, Malmgren JA, Zingheim RW Cesarean delivery after elective induction in nulliparous women: the physician effect. Am J Obstet Gynecol. 2004;191(5):1511-5.

Kottmel A, Hoesli I, Traub R, Urech C, Huang D, Leeners B et al. Maternal request: a reason for rising rates of cesarean section? Arch Gynecol Obstet. 2012;286(1):93-8.

Manohar S, Woods CF, Lindow SW. Individual consultant practice does not affect the overall intervention rate: a 6-year study. J Perinat Med. 2015;43(1):37-41.

Cavallaro FL, Cresswell JA, França GV, Victora CG, Barros AJ, Ronsmans C. Trends in caesarean delivery by country and wealth quintile: cross-sectional surveys in southern Asia and sub-Saharan Africa. Bull World Health Organ. 2013;91(12):914-922D.

Gibbons L, Belizán JM, Lauer JA, Betrán AP, Merialdi M, Althabe F. The global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: overuse as a barrier to universal coverage. World Health Report. 2010;30:1-31.

Leone T, Padmadas SS, Matthews Z. Community factors affecting rising caesarean section rates in developing countries: an analysis of six countries. Soc Sci Med. 2008;67(8):1236-46.

Davey MA, King J. Caesarean section following induction of labour in uncomplicated first births- a population-based cross-sectional analysis of 42,950 births. BMC Pregnancy Childbirth 2016;16(1):92.

Janoudi G, Kelly S, Yasseen A, Hamam H, Moretti F, Walker M. Factors Associated With Increased Rates of Caesarean Section in Women of Advanced Maternal Age. J Obstet Gynecol Can 2015;37(6):517-26.

Betran AP, Ye J, Moller AB, Zhang J, Gulmezoglu AM, Torloni MR. The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014. PLoS One 2016;11(2): e0148343.

Saha L, Chowdhury SB. Study on primary cesarean section. Mymensingh Med J. 2011;20(2):292-7.

Al-Kadri HM, Al-Anazi SA, Tamim HM. Increased cesarean section rate in Central Saudi Arabia: a change in practice or different maternal characteristics. Int J Womens Health. 2015;7:685-92.

Al Rowaily MA, Alsalem FA, Abolfotouh MA. Cesarean section in a high-parity community in Saudi Arabia: clinical indications and obstetric outcomes. BMC Pregnancy Childbirth 2014;14(1):92.

Kamil A, Perveen K, Al-Tannir MA. Factors associated with cesarean deliveries at Women Specialized Hospital Riyadh, King Fahd Medical City, Kingdom of Saudi Arabia. J Egypt Public Health Assoc. 2011;86(3-4):73-6.

Ahmed I, Shahwar D, Akhtar M, Amerjee A. Caesarean Section rate amongst Obstetricians at a tertiary-care hospital of Karachi. Pak J Med Sci 2018;34(3):553-7.