A study on primary caesarean section at tertiary care hospital
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20243163Keywords:
Caesarean section, Primigravida, Retrospective studyAbstract
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: A retrospective study was conducted at SMS Multispecialty Hospital and Dr. M. K. Shah Medical College and Research Centre from November 2022 to April 2023.The study include all the patients for primary caesarean section those patient have previous cesarean section were excluded.
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 (91.4%). With respect to parity, primigravida were high in number (85%), 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 8.5% and the most common postoperative complication was wound gape in 8.5%.
Conclusions: Maximum efforts should be made to allow progression of vaginal delivery in primigravida which helps us to bring down the primary caesarean rate.
Metrics
References
Caughey AB, Cahill AG, Guise JM, Rouse DJ, American College of Obstetricians and Gynecologists. Safe prevention of the primary cesarean delivery. Ame J Obstetr Gynecol. 2014;210(3):179-93.
World Health Organization. Monitoring emergency obstetric care: a handbook. Geneva, Switzerland; 2009. Available at: https://www.who.int/publications/i/item/9789241547734. Accessed 01 May 2024.
Barros FC, Victora CE, Vaughan JP, Huttly SR. Epidemic of caesarean sections in Brazil. The Lancet. 1991;338(8760):167-9.
World Health Organization. Appropriate technology for birth. Lancet. 1985;2:436-43.
National family health survey (NFHS-4) 2012-14. Mumbai: International institute for population sciences (IIPS) and Macro International; 2009. Available at: http://www.rchiips.org/nfhs/nfhs4.shtml. Accessed 01 May 2024.
American College of Obstetricians and Gynecologists. ACOG committee opinion no 761: caesarean delivery on maternal request. Obstet Gynecol. 2019;133(1):e73-7.
Robson MS. Can we reduce the caesarean section rate?. Best Pract Res Clin Obstet Gynaecol. 2001;15(1):179-94.
In FW, Labour ID. Best practice advice on the 10-Group Classification System for cesarean deliveries. Int J Gynaecol Obstet. 2016;135(2):232-3.
Datta K, Singh P, Chopra N. Retrospective analysis of indications of primary caesarean sections done at a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol.2019;8(8):3161-7.
Betran AP, Ye J, Moller AB, Souza JP, Zhang J. Trends and projections of caesarean section rates: global and regional estimates. BMJ Glob Heal. 2021;6(6):e005671.
Samal R, Palai P, Ghose S. Clinical study of primary caesarean section in multiparous women in a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2016;5(5):1506-9.
Onankpa B, Ekele B. Fetal outcome following cesarean section in a university teaching hospital. J Nat Medi Associa. 2009;101(6):578-81.
Nair RV, Sowbharnika CP, Seetha PM. A clinical study on indication for cesarean section among primigravida in a tertiary care centre. Obstet Gynecol Rev. 2019;5(2):119-24.
Fahad A, Makhdoom T. The rate and indications of primary cesarean section at dubai Hospital, Dubai Health Authority, Dubai, UAE. Open J Obstet Gynecol. 2020;10(5):626-33.
Bablad A. Cesarean section in primiparous women: a retrospective study. J South Asian Fed Obstet Gynaecol. 2021;13(1):16.
Bamon W, Goswami SN, Roy I, Saikia N. A comparative study of primary caesarean section in primigravida and multigravida in a tertiary care hospital in Shillong. Meghalaya Sch Int J Obstet Gyn. 2021;4(6):225-40.
American College of Obstetricians and Gynecologists. Safe prevention of the primary cesarean delivery. Obstetric Care Consensus No. 1. Obstet Gynecol. 2014;123(3):693-711.
Kacerauskiene J, Bartuseviciene E, Railaite DR, Minkauskiene M, Bartusevicius A, Kliucinskas M, et al. Implementation of the Robson classification in clinical practice: Lithuania’s experience. BMC Pregn Childb. 2017;17:1-5.
Martin JA, Hamilton BE, Osterman MJK, Curtin SC, Mathews TJ. Births: Final Data for 2012. Nat Vital Stat Rep. 2013;62(9):1-67.
Singh P, Hashmi G, Swain PK. High prevalence of caesarean section births in private sector health facilities- analysis of district level household survey-4 (DLHS-4) of India. BMC Publ Heal. 2018;18(613):2-10.
US Department of Health and Human Services, National Institute of Health. Caesarean child birth. Publication no. 82-2067;1981. 10.1097/AOG.0b013e3182952242.
Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dasha JS. William obstetrics, “Cesarean Delivery.” 24th ed. McGraw Hill Education; 2014:588.
Caesarean section, 7th edition;571, Renu Mishra, Nupur Guptha, Ian Donald.
Prameela RC, Farha A, Bhanumathi PM, Prajwal S. Analysis of caesarean section rate in a tertiary hospital according to Robson's ten group classification system. IOSR J Dent Med Sci. 2015;14(2):46-9.
Downloads
Published
How to Cite
Issue
Section
