scholarly journals Changing Trends in the Rates and Leading Indications of Cesarean Sections in a Tertiary Care Hospital

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Nazia Liaqat ◽  
Sonia Rafiq ◽  
Wajeeha Syed ◽  
Nazish Hayat
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Major Surgery ◽  
Care Hospital ◽  
Cesarean Sections ◽  
Changing Trends ◽  
The Times

Background: Caesarean section is a time honoured approach that evolved to save maternal lives in the times of difficult deliveries. The rise in the rates of caesarean section is a matter of concern as being a major surgery, it is associated with risks that can extend for years and affect the health and future pregnancies of women.Objective: This study is carried out to analyses changing trends in the rates and indications of caesarean sections in the last six years in a Tertiary Care Hospital of Peshawar.Materials and Methods: This retrospective study is carried out by collecting record of all deliveries including indications of caesarean sections of the years 2014,2016 and 2018 of the unit. Results: The caesarean rate was 174/1000 total births for year 2014.It was 143 and 176 per 1000 total births for the year 2016 and 2018. The commonest indication for primary caesarean section was fetal malpresentations with rates as 31.5,30.2 and 29.9 per 1000 total births for 2014,2016 and 2018 respectively. Fetal distress was observed as the second commonest indication. Previous 2 or more caesareans was the commonest indication for repeat caesarean sections in all three years , with rise in rates from 21.4 to 28.70 per 1000 total births from 2014 to 2018.Conclusion: The rates of caesarean sections of the last five years on average are close to the WHO rates. Fetal Malpresentations, Distress and Previous two or more caesarean section are the leading indications of caesarean sections.

scholarly journals Rising trend in cesarean sections: a retrospective study at tertiary care hospital in Jammu

2021 ◽  
Vol 10 (5) ◽  
pp. 1958
Author(s):  
Shazia Zargar ◽  
Nikita Gandotra
Keyword(s):  
Retrospective Study ◽  
Health Care Providers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Care Hospital ◽  
Care Providers ◽  
Cesarean Sections ◽  
Mortality And Morbidity ◽  
Maternal Mortality And Morbidity

Background: The uncontrolled wave of cesarean rates has increased globally which has resulted in a significant amount of maternal mortality and morbidity. The present study aims to evaluate the trend in cesarean section rates in Jammu, India. Methods: The present retrospective study was carried out at the department of Obstetrics and Gynecology, SMGS Hospital, Jammu, India. We collected data based on total number of deliveries and cesarean sections performed at the hospital during (March2015-Feb2020) along with indications for CS.Results: The percentage of cesarean sections has increased drastically from 39.4% during (2015-16) to 49.9% in (2019-20). The study shows that the most common indication for CS is post CS followed by NPOL, Fetal distress, breech, APH, CPD, PIH and others.Conclusions: There is a growing concern among public and health care providers regarding the escalating and uncontrolled trend of cesarean sections which needs to be curtailed within optimal limits recommended by WHO. 

scholarly journals A clinical study of primary caesarean section at a tertiary care hospital in coastal city: an observational study

2020 ◽  
Vol 9 (10) ◽  
pp. 4040
Author(s):  
Chaitanya K. T. ◽  
Lakshmi Manjeera M.
Keyword(s):  
Caesarean Section ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Tertiary Care Hospital ◽  
Post Partum ◽  
Tertiary Care ◽  
Steady Increase ◽  
Care Hospital ◽  
Age Group ◽  
Cesarean Sections

Background: Caesarean section represents the most significant operative intervention in obstetrics and its development and application has saved the lives of countless mothers and infants. However there has been a steady increase in the rate of caesarean sections worldwide. In this study, we aim to find the primary caesarean section rates and strategies to cut it down.Methods: This was a prospective observational study done from January 2018 to June 2019 at Justice K. S. Hegde Charitable Hospital, Deralakatte, Mangaluru which included 379 cases of primary cesarean sections. All patients undergoing primary caesarean section with gestational age >28 weeks confirmed by dates, clinical examination and ultrasound were included in this study. Patients who had undergone previous caesarean section or were less than 18 years of age or were less than 28 weeks of gestation were excluded from the study.Results: In this study the rate of primary caesarean section was found to be 14.5% and the majority of the study subjects belonged to the age group of 18-27 years (62.3%). With respect to parity, primigravida were high in number (71.2%), followed by multigravida. The number of emergency caesarean sections were (79%) more than elective (21%). The most common intra-operative complication was post-partum haemorrhage (PPH) in 2.8% and the most common postoperative complication was wound gape in 2.1%.Conclusions: Maximum efforts should be made to allow progression of vaginal delivery in primigravida which helps us to bring down the primary caesarean rate.

scholarly journals Indications and rate of caesarean delivery at tertiary care hospital: a retrospective study

2017 ◽  
Vol 6 (10) ◽  
pp. 4367
Author(s):  
Reena Sharma ◽  
Poojan Dogra
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Caesarean Delivery ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Number Of Patients ◽  
Increasing Trend

Background: Worldwide there has been an increase in the rate of caesarean delivery due to multiple factors. Objective of the study was to assess the prevalence and different indications of caesarean section in this institute.Methods: The aim of the study is to analyse the rates and indications of lower segment caesarean section (LSCS) in our institution. We conducted a retrospective study over a period of six months; 1st September 2016 to 1st March 2017 at SLBSGMC Mandi at Nerchowk. Total number of patients who delivered in our hospital during the defined study period was recorded and a statistical analysis of various parameters was done.Results: The total number of women delivered over the study period was 2075, out of which caesarean sections (CS) were 473. The overall CS rate calculated was 22.8%. Previous LSCS was the leading indication to the CS rate.Conclusions: Routine obstetric audits should be done to analyse the various indications of emergency and elective caesarean sections so that protocols and guidelines can be implemented to curtail the increasing trend of caesarean delivery.

scholarly journals Audit of caesarean deliveries in a tertiary care hospital of northern Andhra Pradesh using modified Robson criteria

2018 ◽  
Vol 7 (7) ◽  
pp. 2796
Author(s):  
Prabhavathi V. ◽  
Krishnamma B. ◽  
Prasad D. K. V. ◽  
Bhavya K. ◽  
Satyavathi R.
Keyword(s):  
Andhra Pradesh ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Care Hospital ◽  
Changing Trends ◽  
Increasing Trend ◽  
Common Group ◽  
Failed Induction ◽  
Group 1

Background: Today, there is an increased trend in the incidence of caesarean section (CS) rate worldwide particularly in India, even with the lack of evidence supporting considerable maternal and perinatal benefits with higher CS rates. The main objective of our study was to find the incidence of CS rate, auditing the data on the basis of modified Robson criteria, factors responsible for the most common group, to know the changing trends of CS and finally put forth the strategies to reduce CS rate.Methods: This is a retrospective study of 472 CS cases carried out in a tertiary care hospital during the year 2016. All the cases were grouped according to the modified Robson criteria and the data was analyzed. The data were grouped into 3 different slots of 4 months each (FF = first four months; MF = middle four months and LF = last four months of the year 2016).Results: A significant increasing trend was observed in the groups of 2B and 5C where as a significant decreasing trend was noticed in 6C and 7C. The most common indications for caesarean delivery were cephalo-pelvic disproportion (CPD) (28%) and fetal distress (22%) in group 1 whereas in group 2A CPD, fetal distress and failed induction were found to be 12%, 24% and 30% respectively.Conclusions: The change in trend has been noticed in the last few months particularly in 2B and 5C groups suggesting that there is a change in the attitude of obstetricians in conducting caesarean deliveries before the onset of labour rather than performing CS after the onset of labour. Targeting 2B along with 5C would help our efforts in reducing the CS rate.

scholarly journals Retrospective analysis of indications of primary caesarean sections done at a tertiary care hospital

2019 ◽  
Vol 8 (8) ◽  
pp. 3161
Author(s):  
Kamna Datta ◽  
P. Singh ◽  
Namita Chopra
Keyword(s):  
Caesarean Section ◽  
Tertiary Care Hospital ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Morbidity Rate ◽  
New Delhi ◽  
Care Hospital ◽  
Maternal Risk ◽  
Proper Patient Selection

Background: Caesarean section rates have globally risen above the levels that can be considered medically necessary. The aim of the study is to analyze the rate and indications of caesarean sections for primigravidae in the period 2016 to 2018 at a tertiary care hospital in Delhi.Methods: It is a retrospective observational study conducted in the Department of Obstetrics and Gynaecology at PGIMER and Dr RML Hospital, New Delhi. A total of 552 caesarean deliveries in primigravidae were studied.Results: The total deliveries during the study period were 3346 and the total caesarean section rate observed was 30.66%. The caesarean section rate among primigravidae was 29.1%. The rate of caesarean section in primigravidae rose from 22.7% in 2016 to 39.3% in 2018 with 17% increase. Majority of them belonged to the age group 20-30 years (79.34%) and 2.53% were elderly primigravidae. Out of the total number of primigravidae caesarean deliveries, 67.2% were performed in emergency and 32.7% were performed electively. Among the emergency caesarean sections performed, 64% of patients had induced labor and 22% had spontaneous labor. The most common indication of caesarean section was fetal distress (19.77%) followed by arrest of labor (17.87%) and malpresentations (8.9%). The short-term caesarean morbidity rate was 25.4% including one mortality. Wound infection was the most common complication.Conclusions: Various reasons like changing maternal risk profile increased IVF pregnancies, scientific advances, personal choice and medico legal considerations have been cited for increased caesarean rate. Following evidence-based labor protocols, judicious use of cardiotocography, proper patient selection for labor induction and patient education will contribute in reduction of caesarean sections and related complications.

scholarly journals Caesarean Section Rate and Frequencies of Indications Using Robson–Ten Classifications

2021 ◽  
Vol 8 (4) ◽  
pp. 43-47
Author(s):  
Sadia Ali ◽  
Shazia Khattak ◽  
Rabeea Sadaf ◽  
Shamshad Begum ◽  
Nasreen Kishwar
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Tertiary Care Hospital ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Cesarean Section Rate ◽  
Obstetrics And Gynecology ◽  
Care Hospital ◽  
Hospital Records

OBJECTIVES: To determine the caesarean section rate (CSR) and frequency of different indications of caesarean section (CS) in a tertiary care hospital. METHODOLOGY: A retrospective study done in the Department of Obstetrics and Gynecology Hayatabad Medical Complex Hospital Peshawar, a tertiary care hospital, from a period of 1st January 2019 till 31st December 2019. The required data was collected from the patient’s hospital records (clinical charts) with the consent of the hospital ethical committee. RESULTS: The total number of deliveries over the study period was 5611. Out of these 1258 patients were delivered through caesarean section (CS), giving a CSR of 22%. The main contributing groups in our study were Robson Groups R5 (multiparous with prior CS, singleton, cephalic and >37 weeks), R1 (nulliparous, cephalic, singleton >37 weeks in spontaneous labor or CS) and R6 (all nulliparous breeches) with percentages of 21.1%, 17.5% and 12.9% respectively. CONCLUSION: Our study showed Robson Groups 5, 2 and 6 as the major contributors, focusing on these groups could have an impact on decreasing the cesarean section rate in future. Limiting the primary cesarean section rate can affect the overall cesarean section rate (CSR).

scholarly journals Retrospective study of cesarean rate in a tertiary care hospital

2018 ◽  
Vol 7 (9) ◽  
pp. 3530
Author(s):  
Vasant Kabbur ◽  
Lakshmi K. S. ◽  
M. M. Umadi
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Caesarean Delivery ◽  
Post Partum ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Morbidity And Mortality ◽  
Care Hospital ◽  
Perinatal Morbidity ◽  
Fetal Outcomes

Background: Worldwide there has been an increase in the rate of caesarean delivery due to multiple factors. The main objective of this study is to analyze the various indications of caesarean delivery over a period of 4 years and to evaluate the maternal and fetal outcomes between elective and emergency caesarean section.Methods: Retrospective study conducted at the Department of Obstetrics and Gynecology, Belgaum Institute of Medical Sciences, Belagavi, India. The study period was from January 2016 - December 2017. The details were taken from case sheets, operation and parturition records and newborn records of 325 patients who underwent caesarean section. The data was analyzed with special reference to the indication of caesarean section, maternal and fetal outcomes among elective and emergency cases.Results: The incidence of cesarean section was 28%. The commonest indication for C-delivery was repeat cesarean (43%) followed by CPD (15%). Failed induction and Fetal distress were the next common indication (10%) and (7%) respectively. Maternal morbidity was 20% with 1 maternal death (0.1%). The commonest complications were primary hemorrhage and wound infection, intra OP and post OP respectively. The perinatal morbidity and mortality were 10% and 2.26% respectively.Conclusions: The incidence of ceaserean section is 12.5% in our hospital falling well within the WHO guidelines. Among the indications, previous LSCS is contributing to a greater percentage, which should be reduced by promoting more VBAC. It also emphasizes the need for reducing primary sections. Post-partum haemorrhage has been brought well under control, sepsis still accounts for greater postop morbidity and meconium aspiration is the commonest cause for perinatal morbidity and mortality.

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