scholarly journals Delivery Profile and indications of Cesarean Section in a rural referral Hospital: what could be the implications?

2018 ◽  
Vol 1 (3) ◽  
pp. 8-13
Author(s):  
U. Shrestha ◽  
Binod Aryal
Keyword(s):  
Cesarean Section ◽  
Urban Areas ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Emergency Procedure ◽  
Cross Sectional ◽  
Institutional Review ◽  
Failed Induction ◽  
Post Term Pregnancy

Introduction: There is huge difference in cesarean section rate between rural (3.5%) and urban (15%) areas of Nepal. The national CS rate is around 5% whereas global CS rate is 26%. The objective of this study is to find out the delivery profile and rate and indications of CS in a rural university hospital. Methodology: This is a three -year’s retrospective cross-sectional study done from January 2016 to January 2019 (Magh 2072 to Poush 2075) at Karnali Academy of Health Sciences, Jumla. The data was retrieved from hospital birth profile records and analyzed using SPSS 20. Permission was taken from Institutional review committee (IRC) to conduct the study. Results: Total number of delivery during this period was 1841 out of which 172 were Cesarean delivery giving a CS rate of 9.3%. The most common indication of CS were fetal distress (33.7%), previous CS (9.3%), failed induction of labor (9.3%). Non progress of Labor (8.1%) and post term pregnancy (8.1%). Majority of the CS were done as an emergency procedure. Conclusion: The CS rate at KAHS teaching hospital was within WHO recommendation of between 5-15% and was very low in comparison to other centers situated in urban areas of the country. The indications of CS was also similar to the other national and international statistics.

scholarly journals Cesarean Section Among all Deliveries in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (241) ◽  
pp. 839-843
Author(s):  
Renuka Tamrakar ◽  
Sachin Sapkota ◽  
Deekshanta Sitaula ◽  
Rohit Thapa ◽  
Bandana Pokharel ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Cesarean Deliveries

Introduction: Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue. This study aimed to find out the prevalence of cesarean delivery in a tertiary care center of Nepal. Methods: A descriptive cross-sectional study was conducted among pregnant women at tertiary care centre from 15th September 2019 to 15th October 2020. Ethical clearance was taken from the Institutional Review Committee (Ref: CMC-IRC/077/078-200). Convenience sampling was done to reach the sample size. Basic demographic data, clinical indications and neonatal outcomes were noted. Data entry was done using Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 3193 total deliveries, cesarean deliveries were 1412 (44.22%) at 95% Confidence Interval (42.49-45.94). Among caesarean deliveries 1086 (76.9%) were emergency cesarean sections. Most common indication for cesarean section was fetal distress (24.9%). Among 1437 newborns, 1428 (99.4%) were live births, 1387 (98.2%) were singleton and 801 (55.7%) were male. Nearly one third 418 (29.1%) neonates required neonatal intensive care unit admission and transient tachypnoea of newborns (44.28% in emergency and 60.46% in elective cesarean delivery) was the most common indication for admission. Conclusions: The prevalence of cesarean delivery was found to be higher than that recommended by the World Health Organisation. Fetal distress was the leading indication for cesarean deliveries.

scholarly journals Quality of life of men with AIDS and the model of social determinants of health

2015 ◽  
Vol 23 (2) ◽  
pp. 183-191 ◽  
Author(s):  
Gilmara Holanda da Cunha ◽  
Maria Luciana Teles Fiuza ◽  
Elucir Gir ◽  
Priscila de Souza Aquino ◽  
Ana Karina Bezerra Pinheiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
University Hospital ◽  
Cross Sectional ◽  
Institutional Review ◽  
One Year

OBJECTIVE: to analyze the quality of life (QoL) of men with AIDS from the perspective of the model of social determinants of health (MSDH). METHOD: cross-sectional study conducted in an outpatient infectious diseases clinic from a Brazilian university hospital over the course of one year with a sample of 138 patients. A form based on the MSDH was used to collect sociodemographic data addressing individual, proximal, intermediate determinants and the influence of social networks together with an instrument used to assess the QoL of people with HIV/AIDS. The project was approved by the Institutional Review Board (Protocol No. 040.06.12). RESULTS: according to MSDH, most men with AIDS were between 30 and 49 years old (68.1%), mixed race (59.4%), heterosexual (46.4%), single (64.5%), Catholic (68.8%), had a bachelor's degree (39.2%), had no children (61.6%), and had a formal job (71.0%). The perception of QoL in the physical, level of independence, environment, and spirituality domains was intermediate, while QoL was perceived to be superior in the domains of psychological and social relationship. A perception of lower QoL was presented by homosexual (p=0.037) and married men (p=0.077), and those with income below one times the minimum wage (p=0.042). A perception of greater QoL was presented by those without a religion (p=0.005), living with a partner (p=0.049), and those who had a formal job (p=0.045). CONCLUSION: social determinants influence the QoL of men with AIDS.

Frequency and Indications of Lower Segment Cesarean Section in Multiparous Women with previous Normal Deliveries

2020 ◽  
Vol 11 (3) ◽  
pp. 30-33
Keyword(s):  
Cesarean Section ◽  
Fetal Distress ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Lower Segment ◽  
Singleton Pregnancy ◽  
Cross Sectional ◽  
Lower Segment Cesarean Section ◽  
Multiparous Women ◽  
Made In

Background: Cesarean section (CS) has become a frequent practice in the recent years while this increase has been seen in developing as well as developed countries. The aim of current study was to determine the frequency of lower segment cesarean section (LSCS) along with indications of LSCS in multiparous women with previous normal deliveries. Methods: This was a cross sectional study, done at the Department of Gynaecology & Obstetrics, Nishtar Hospital, Multan, from 20th July 2018 to 20th January 2019. A total of 222 pregnant women with live singleton pregnancy at term with gestational age between 37 to 41weeks and multipara with no previous LSCS were included in the study. The decision to undertake LSCS if indicated was made in every case after complete assessment. Data was collected for frequency of LSCS and its indications in shape of fetal distress, antepartum hemorrhage and malpresentation. Results: Mean age was 32.720±1.96 years, mean height 1.551±0.11 meters and mean BMI was 27.855±3.14 Kg/m2. Most women were 31-35 years (90.5%) of age and 2-4 parity (89.2%). Primary caesearen section was seen in 43 patients (19.4%). Indications for primary caesarean section were malpresentation 27.9%, fetal distress 41.9% and antepartum hemorrhage 30.2%. Conclusion: The frequency of LSCS in multiparous women with previous normal deliveries was noted to be 19.4%. Fetal distress turned out to be commonest indication for primary caesarean followed by antepartum hemorrhage and malpresentation.

Indications of Emergency vs Elective Cesarean Section: Cross-sectional Study done at Holy Family Hospital, Rawalpindi, Pakistan

2017 ◽  
Vol 9 (1) ◽  
pp. 14-17
Author(s):  
Kiran Javaid ◽  
Abida Sultana ◽  
Muneeba Faisal ◽  
Rahim Iqbal ◽  
Mohammad Bin Khalid ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Elective Cesarean Section ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gynecology And Obstetrics ◽  
Emergency Cesarean ◽  
Elective Cesarean ◽  
Previous Cesarean

ABSTRACT Aim To assess the indications of emergency vs elective cesarean section in patients at Holy Family Hospital, Rawalpindi. Materials and methods A descriptive cross-sectional study was conducted on 675 women who underwent cesarean section in the Gynecology and Obstetrics Department of the Holy Family Hospital, Rawalpindi, Pakistan over a period of 2 months. Sociodemographic features, type of cesarean, and their indications were recorded on a structured questionnaire. Data were analyzed by using Statistical Package for the Social Sciences version 23. Results A total of 675 women underwent cesarean section during the study period. The emergency cesarean section rate was 70.4%, while elective cesarean constituted of 29.6% cases. The most common indications for emergency cesarean were fetal distress (43.2%) followed by previous cesarean (19.2%) and failure to progress (9.3%), while that for elective cesarean were previous cesarean (41%) and malpresentation (24.5%). Conclusion Fetal distress and previous scar are the leading causes of cesarean section in our study. The improvement of maternal and child health facilities at basic health units, appropriate training of lady health workers and midwives, timely involvement of senior obstetrician, and formation of strict policies regarding cesarean section can have a profound effect in decreasing the rate of cesarean section. Clinical significance This study can prove to be of profound value in getting an insight into the continuously increasing rate of cesarean section. In developing countries like Pakistan, these increasing cesarean deliveries prove to be a burden on the already-constrained resources. How to cite this article Sultana A, Faisal M, Iqbal R, Javaid K, Khalid MB, Khalid MA. Indications of Emergency vs Elective Cesarean Section: Cross-sectional Study done at Holy Family Hospital, Rawalpindi, Pakistan. J South Asian Feder Obst Gynae 2017;9(1):14-17.

scholarly journals INDUCTION OF LABOR BY PROSTAGLANDIN: A REVIEW FOR INDICATIONS AND RISK FOR CESAREAN SECTION

2017 ◽  
Vol 10 (10) ◽  
pp. 75
Author(s):  
Pravati Tripathy ◽  
Prasanna Baby
Keyword(s):  
Cesarean Section ◽  
Fetal Distress ◽  
Induction Of Labor ◽  
Term Pregnancy ◽  
Drug Of Choice ◽  
The Common ◽  
Failed Induction ◽  
Poor Outcomes ◽  
The Impact ◽  
Post Term Pregnancy

  Objective: Labor induction by medication is now preferred by many obstetricians. The impact of induction remains ambiguous, although many studies and systematic reviews have been conducted. Few studies have reported for its better outcomes while other studies with poor outcomes. The objective of the study is to identify the common indications of induction and the risk of cesarean section after induction.Methods: Various standardized databases, such as Pub Med, Scopus, and Google Scholar, were used to collect the scientific studies, where prostaglandin was used as drug of choice for induction of labor. The key words used were induction of labor, indications of induction, induction by misoprostol, induction and risk of cesarean section, etc. The survey spans over 22 years of study articles published from the year 1995-2017.Result: A total of 112 studies have been included to analyze the indications and risk of cesarean section. The most common indication found in most of the studies was post-term pregnancy. The risk of cesarean section varied from 3% to 48.7%. The common reasons for which the cesarean section was planned were, failed induction, nonprogress of labor, fetal distress, and undiagnosed CPD.Conclusion: Most of the studies recommend induction of labor as a safer option with lower risk of c-section.

scholarly journals Prevalence-pattern and risk factors of Cesarean section in a multiethnic cohort

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Khadija Murtaza ◽  
Madeeha Chaudhry ◽  
Shabana Nazeer ◽  
Sajid Malik
Keyword(s):  
Risk Factors ◽  
Cesarean Section ◽  
Birth Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Obstetric Complications ◽  
Cross Sectional ◽  
Multiethnic Cohort

Objective: This study was aimed to elucidate the prevalence-pattern and determinant of cesarean section (CS) in a multiethnic cohort from Pakistan. Methods: Through a cross-sectional study design, women delivering at a tertiary care center were recruited during 2013-2017. Data on socio-demographic variables, obstetric complications and birth outcome were obtained. Descriptive statistics, bivariate and multivariate logistic regression analyses were performed. Results: A total of 5,275 pregnant women were recruited and 43% of the deliveries underwent CS. Odds of CS were significantly higher in subjects originating from Azad JammuKashmir and Sindh regions, speaking Potohari and Pahari languages, women in advance ages, and those who were housewives. CS had significantly lower odds of prenatal mortality but increased odds of postnatal mortality. Obstetric factors that appeared to be significant predictors of CS were multiparity, breech position, fetal distress, oligohydroamniosis, preeclampsia, and previous scar. Conclusion: This study revealed high variability in CS in various socio-demographic strata of study population. The obstetric complications highlighted in this study may be reduced by proper perinatal counseling and pregnancy monitoring and should be the focus of intervention programs as suggested in the Millennium Development Goals. doi: https://doi.org/10.12669/pjms.37.3.3186 How to cite this:Murtaza K, Chaudhry M, Nazeer S, Malik S. Prevalence-pattern and risk factors of Cesarean section in a multiethnic cohort. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3186 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals PREVALENCE AND INDICATION AND OUTCOME OF CESAREAN SECTION IN JUGAL HOSPITAL, HARARI REGIONAL STATE, ETHIOPIA, 2019: A RETROSPECTIVE STUDY

2019 ◽  
Vol 5 (4) ◽  
pp. 85-90
Author(s):  
Arif Hussen Jamie
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Birth Asphyxia ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
World Health ◽  
Steady Increase ◽  
Cross Sectional ◽  
Cesarean Section Delivery ◽  
Regional State

Background: Rising rates of cesarean delivery is becoming a concern to developing countries. Though cesarean section is a lifesaving surgical intervention, the rise in rates has resulted in significant health problems of mothers and newborns. Objective: The aim to undertaking this research is to know the prevalence, indications and outcome of cesarean section delivery In Jugal Hospital, Harari regional state, Ethiopia.Methods: Hospital based record review cross-sectional study was conducted in Jugal Hospital, Harar, Ethiopia from September 1, 2015 to September 1, 2019. Trained data collector and the principal investigator collected data employing a pre-tested extraction format. After checking the filled extraction format for completeness, data was entered, cleaned and analyzed using SPSS software Version 20.Results: In five years’ time (2015-2019), there were 6,111 deliveries, of which 1,817 were delivered by cesarean section which gives the overall rate of 29.7%. The most common indications for cesarean section were Cephalo-pelvic Disproportion (CPD) 323 (17.78%) followed by fetal distress 292(16.07%) and the least indication was pre-eclampsia 9(0.5%) and the most cause of prenatal death was birth asphyxia 38% followed by prematurity34%.Conclusion: In this study, there is a steady increase in the rates of cesarean delivery in five years’ time, the overall rate of C-section in Jugal Hospital was 29.7%. This rate is higher than the World Health Organization standard. Policies and efforts aimed at decreasing the unnecessary cesarean sections should be promoted and implemented at each health facility. 

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