STUDY OF RATE, TRENDS AND DETERMINANTS OF CAESAREAN SECTION AMONG MOTHERS ATTENDING A TERTIARY CARE CENTER IN AHMEDABAD, GUJARAT, INDIA

Background: There is increasing incidence of caesarean section throughout the world. As caesarean section is associated with infectious complications which increase the rate of morbidity and mortality of mothers. For prevention of infectious complications antibiotics are used but careless use of antibiotics increasing incidence of antibiotic resistance. Many guidelines and studies recommend single dose antibiotic prophylaxis for women undergoing elective or non-elective caesarean section. The aim of this study was to assess the effectiveness of Ceftriaxone as prophylactic antibiotic (single dose) in caesarean section in low risk patients.Methods: A Prospective single blind study was carried out in the department of obstetrics and gynaecology, TMMC and RC Moradabad, a tertiary care center, in all low risk patients underwent for Elective and Emergency Lower segment caesarean section for 1 year from 1st June 2015 to May 2016 on 110 patients. Data was collected and analyzed by percentage and proportion.Results: Prevalence of caesarean section was maximum in women of 26-35years age group (52.72%),about 67.27% was emergency LSCS, most common indication of caesarean section was Fetal distress (29.09%),refusal for vaginal delivery after caesarean section (10.90%) was one of the cause for increasing rate of repeat caesarean section, 41.81% women in labour,72.27% cases were with intact membrane, in 9.09% cases, antibiotic had to change in post-operative period due to urinary tract infection and surgical site infection, most common post-operative complication was superficial surgical site infection with purulent discharge (2.72%). No major life-threatening complication occurred.Conclusions: Single dose of Ceftriaxone is effective for prevention of post-caesarean infectious complication.

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Neighborhood Income and Caesarean Section Rates at a Tertiary Care Center in Canada [23A]

Obstetrics and Gynecology ◽

10.1097/01.aog.0000559370.88205.43 ◽

2019 ◽

Vol 133 (1) ◽

pp. 16S-16S

Author(s):

Meryl Hodge ◽

Minxue Shen ◽

Ri-hua Xie ◽

Shi-Wu Wen ◽

Mark Walker ◽

...

Keyword(s):

Caesarean Section ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Neighborhood Income

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Audit of caesarian deliveries in a tertiary care center, in rural Bangalore, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20191190 ◽

2019 ◽

Vol 8 (4) ◽

pp. 1408

Author(s):

Rajiv K. Saxena ◽

Anju Balan

Keyword(s):

Caesarean Section ◽

Teaching Hospital ◽

Care Center ◽

Caesarean Section Rate ◽

Tertiary Care ◽

External Cephalic Version ◽

Tertiary Care Center ◽

Tertiary Care Teaching Hospital ◽

Breech Delivery ◽

Care Teaching

Background: The Robson’s Ten-Group Classification System allows critical analysis of caesarean deliveries according to characteristics of pregnancy. The objective was to analyze caesarean section rates in a rural tertiary care teaching hospital in Bangalore, using Robson’s ten groups classification.Methods: This study was done in MVJ Medical College and Research Hospital, a rural tertiary care teaching hospital. All patients who underwent caesarean delivery, between November 2017 and October 2018, were included in the study. Women were classified in 10 groups according to Robson’s classification. For each group, authors calculated its relative contribution to the overall caesarean rate.Results: The overall caesarean section rate was 46.7%. The main contributors to this high caesarean rate were primiparous women in spontaneous labour (group 1) and women with previous caesarean section (group 5). 52.1% of CS were conducted on women who were unbooked or booked at a peripheral health facility and referred to present institution due to complications in labor. Strategies to lower CS rates would include encouraging women with previous CS, to undergo trial of labor to reduce CS rates for group 5C. Sensitization of staff in peripheral medical facilities for early referral of high-risk pregnancies to a tertiary care center for better control of medical complications like hypertensive disorders of diabetes mellitus. Other strategies include offering external cephalic version to eligible women with breech presentation and consider offering vaginal breech delivery to suitable women in groups 6 and 7.Conclusions: The Robson’s classification is easy to use. It is time to implement obstetric audit to lower the overall CS rates.

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Myomectomy in pregnancy: feasibility and safety

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20174394 ◽

2017 ◽

Vol 6 (10) ◽

pp. 4204 ◽

Cited By ~ 1

Author(s):

Reddi Rani P. ◽

Ashwini Vishalakshi L. ◽

Lopamudra B. John

Keyword(s):

Caesarean Section ◽

Recent Literature ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Imaging Technology ◽

Obstetrical Complications ◽

Uncontrolled Bleeding ◽

In Pregnancy

Prevalence of myoma in pregnancy is increasing due to advances in imaging technology. Majority are asymptomatic. Symptomatic myomas are usually large, increase in size during pregnancy and give rise to various obstetrical complications. Myomectomy during pregnancy is controversial. The management of fibroids encountered during pregnancy and caesarean section is a therapeutic dilemma. Myomectomy during pregnancy and caesarean section is discouraged traditionally due to fear of miscarriage, uncontrolled bleeding, failure to obliterate the cavity, and ending in hysterectomy. Recent literature suggests myomectomy during pregnancy and caesarean section is safe in well selected cases with experienced obstetrician in a tertiary care center.

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