The rate and indications of caesarean section in a tertiary care hospital at Jaipur, India

Background: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and foetus during the difficult delivery. To analyze the rate and indications for C-Section and associated maternal morbidity and mortality were the main objectives of present study.Methods: This retrospective study was conducted over a period of one year from 1st Jan 2016 to 31st Dec 2016 at the Department of OBG, RUHS College of Medical Sciences, Jaipur (Rajasthan), North India. Data of patients who delivered by C-Section in our hospital during the defined study period was recorded and a statistical analysis of various parameters namely, the caesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of women delivered over the study period were 2959, out of which C-Sections were 931. The overall CS rate was 31.46%. Previous LSCS was the leading indication to the CS rate (36.52%) followed by arrest of labour (13.65%), CPD (12.03%), foetal distress (11.82%), breech presentation (7.52%), oligohydroamnios/IUGR (5.16%) and failed induction of labour (3.54%). 11.60% patients had various complications mainly infection (5.58%) and haemorrhage (3.98%). There was no mortality during this period.Conclusions: Being a tertiary care hospital, a high rate of Caesarean deliveries was observed. Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit CSR.

Download Full-text

The rate and indication of caesarean section in a tertiary care teaching hospital eastern India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20182963 ◽

2018 ◽

Vol 5 (5) ◽

pp. 1733

Author(s):

Ratan Kumar Das ◽

K. Trimal Subudhi ◽

Ranjan Kumar Mohanty

Keyword(s):

Caesarean Section ◽

Tertiary Care ◽

Breech Presentation ◽

Morbidity And Mortality ◽

High Rate ◽

Care Hospital ◽

Eastern India ◽

Medical College ◽

Failed Induction ◽

Evidenced Based

Background: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and foetus during the difficult delivery. To analyze the rate and indications for C-Section and associated maternal morbidity and mortality were the main objectives of present study.Methods: This retrospective study was conducted over a period of one year from 1st May 2017 to 30th April 2018 at the Department of Pediatrics and OBG, IMS & SUM Medical college and Hospital, Bhubaneswar (Odisha), eastern India. Data of Patients who delivered by C-Section in our hospital during the defined study period was recorded and a statistical analysis of various parameters namely, the caesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of women delivered over the study period were 1619, out of which C-Sections were 574.The overall CS rate was 35.45%. Previous LSCS was the leading indication to the CS rate (29.96%) followed by arrest of labour (13.94%), CPD (11.84%), foetal distress (10.97%), breech presentation (5.74%), oligohydroaminous/IUGR (5.21%), failed induction of labour (5.21%), pregnancy induced hypertension(PIH) (4.87%) and multifetal gestation (3.84%), prematurity (3.31%). 12.01% patients had various complications mainly infection (6.27%) and hemorrhage (3.48%). There was no mortality during this period.Conclusions: Being a tertiary care hospital, a high rate of Caesarean deliveries was observed, Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit CSR.

Download Full-text

Trends of caesarean section: an analytical overview of indications

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20196036 ◽

2019 ◽

Vol 9 (1) ◽

pp. 288

Author(s):

Shruti A. Gavhane ◽

Shilpa N. Chaudhari

Keyword(s):

Caesarean Section ◽

Caesarean Delivery ◽

Graphical Representation ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

High Rate ◽

Care Hospital ◽

Chi Square ◽

Chi Square Test ◽

Evidenced Based

Background: Caesarean section is one of the commonly performed surgical procedures in obstetrics. An increasing trend has been observed in both primary and repeat caesarean sections. The reasons for its increase are multifaceted. So, this study was carried out to compare the rates of caesarean delivery and to analyse various indications contributing to it.Methods: This retrospective study was conducted over a period of three year from 1st January 2016 to 31st December 2018 at the department of obstetrics and gynaecology, tertiary care hospital Pune, Maharashtra, India. All caesarean delivery (primary and repeat) taken place during the study period. The rate and indications of caesarean section was calculated over the study period to find out the trends in caesarean delivery. The data so collected was presented with graphical representation. Statistical analysis was performed with SPSS software and t-test was used for continuous data and pearson chi square test for discrete data.Results: There were a total of 12373 deliveries during the study period out of which, 3701 had delivered via Caesarean Section. So, the rate of caesarean section in the study was found to be 29.91%.Conclusions: Being a tertiary care hospital, a high rate of caesarean deliveries was observed, Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit caesarean section rates.

Download Full-text

Study of incidence and risk factors of surgical site infections in lower segment caesarean section cases of tertiary care hospital of north India

Indian Journal of Medical Microbiology ◽

10.1016/j.ijmmb.2020.11.005 ◽

2020 ◽

Author(s):

Vikas Manchanda ◽

Shilpi Gupta ◽

Poonam Sachdev ◽

Rajesh Kumar Saini ◽

Minimol Joy

Keyword(s):

Risk Factors ◽

Caesarean Section ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Surgical Site Infections ◽

North India ◽

Care Hospital ◽

Lower Segment ◽

Lower Segment Caesarean Section

Download Full-text

The impact of primary postpartum hemorrhage in "Near-Miss" morbidity and mortality in a tertiary care hospital in North India

Indian Journal of Medical Sciences ◽

10.4103/0019-5359.25905 ◽

2006 ◽

Vol 60 (6) ◽

pp. 233 ◽

Cited By ~ 9

Author(s):

Rashmi Bagga ◽

Vanita Jain ◽

Sarala Gopalan ◽

Virochana Kaul

Keyword(s):

Postpartum Hemorrhage ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Near Miss ◽

Morbidity And Mortality ◽

North India ◽

Care Hospital ◽

The Impact

Download Full-text

Assessment Of Perinatal Outcome Of Breech Presentation At A Tertiary Care Hospital, Quetta

Journal of Bahria University Medical and Dental College ◽

10.51985/jbumdc2018098 ◽

2019 ◽

Vol 09 (03) ◽

pp. 218-221

Author(s):

Safia Bibi ◽

Khanda Gul ◽

Fozia Mohammad Bukhsh ◽

Palwasha Gul

Keyword(s):

Caesarean Section ◽

Perinatal Outcome ◽

Analytical Study ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Breech Presentation ◽

Care Hospital ◽

Breech Delivery ◽

Vaginal Breech Delivery ◽

Clinical Records

Objective: To review the mode of delivery and perinatal outcome in breech presentation in a tertiary care hospital. Study Design and Setting: Retrospective Analytical Study. Department of Obstetrics and Gynecology Unit-4, Bolan Medical Complex Hospital, Quetta, from 1st January 2012 to 31st December, 2016. Methodology: This retrospective analytical study included review of clinical records of all patients who delivered either vaginally or via caesarean section with breech presentation. Results: During the study period, 806 patients presented with breech (2.4%). Vaginal breech delivery was carried out in 71.8% patients and caesarean section was done in 28.2% patients. In vaginal breech group 30.7% patients were primigravida and 69.3% patients were multigravida. In caesarean section group 50.3% patients were primigravida and 49.7% were multigravida. Most common birth weight was between 2.5-3.5 kg in both group. Most common indication for cesarean section was breech with previous one LSCS. Conclusion: Like all vaginal births, vaginal breech delivery is not only beneficial in the chance of having a vaginal birth in future but also prevents from the complications of caesarean delivery.

Download Full-text