DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20191216

Rising trends of caesarean section: a retrospective study

Namrata Sethi, Sushma P. Sharma

Abstract


Background: The indications of Caesarean Section (CS) have been changing over time, along with a visible, much talked about rise in the rate. Without a doubt, C-sections can effectively prevent maternal and perinatal mortality when done for a medical indication. However, little is researched about the extent of maternal indications and the fetal outcomes of C-sections.

Methods: Data of January to March 2012 and January to March 2017 was obtained by detailed study of the patient files from the Medical Records Department of the hospital. A predesigned proforma was used to record the relevant information. Data was analysed using standard statistical methods.

Results: Cephalo pelvic disproportion (CPD) and fetal distress (FD) remained the major causes of CS in both the groups, being 50.4% in group2012 and 60.5% in group2017. Trends of CS due to maternal demand and tubal ligations are emerging. Though the rise in CS was not significant in the 5 year period having gone up from 45.41% to 48.81%, there was significant increase in deliveries without complications, having jumped up from 74.8% to 88.3%.

Conclusions: As per the study, there was non-significant rise in the incidence of C-sections in the time period of study. Major contributory factors observed were CPD and FD, in which it is imperative to perform C-sections.


Keywords


Caesarean section, Cephalo pelvic disproportion, Fetal distress, Maternal demand, Rising trend, Tubal ligation

Full Text:

PDF

References


Cesarean section-a brief history. Available at: https://www.nlm.nih.gov/exhibition/cesarean/.

WHO statement on caesarean section rates. Available at: https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/.

Betrán AP, Ye J, Moller AB, Zhang J, Gülmezoglu AM, Torloni MR. The increasing trend in caesarean section rates: global, regional and national estimates: 1990-2014. PloS One. 2016;11(2):e0148343.

FOGSI-Cesarean Rates (JDT). Available at: https://www.fogsi.org/fogsi-cesarean-rates-jdt/.

Mittal S, Pardeshi S, Mayadeo N, Mane J. Trends in Cesarean Delivery: Rate and Indications. J Obstet Gynaecol India. 2014;64(4):251-4.

Barber EL, Lundsberg L, Belanger K, Pettker CM, Funai EF, Illuzzi JL. Contributing indications to the rising cesarean delivery rate. Obstet Gynecol. 2011;118(1):29.

Desai G, Anand A, Modi D, Shah S, Shah K, Shah A, et al. Rates, indications, and outcomes of caesarean section deliveries: A comparison of tribal and non-tribal women in Gujarat, India. PLoS One. 2017;12(12):e0189260.

Verma S, Saini J, Sehra R, Nagaraj N. A clinical study of rate and indications of cesarean section, maternal and fetal outcomes at tertiary care center in north western Rajasthan. Int J Reprod Contracept Obstet Gynecol. 2016;5:2791-4.

Das RK, Subudhi KT, Mohanty RK. The rate and indication of caesarean section in a tertiary care teaching hospital eastern India. Int J Contemp Pediatr. 2018;5:1733-9

Santhanalakshmi C, Gnanasekaran V, Chakravarthy AR. A retrospective analysis of cesarean section in a tertiary care hospital. Int J Sci Res. 2013;4(9):2097-9.