DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20172947

Study on factors influencing caesarean section delivery in urban field practice area of Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, India

Balmur Sarala Kumari, Guthi Visweswara Rao

Abstract


Background: Caesarean section is one of the most commonly performed major surgeries in obstetric practice intended to save the mother and child in turn reducing maternal and perinatal mortality. The steadily increasing global rate of caesarean section has become one of the most debated topics in maternity care. The objective of this study is to identify the factors influencing caesarean section delivery in the study area.

Methods: This is a community based cross sectional study conducted among 66 women who underwent caesarean section in urban slum of field practice area of KIMS Nalgonda from January 2017 to February 2017. Information regarding socio demographic factors, indication of caesarean section, maternal and neonatal outcome was recorded in pre-designed pretested questionnaire.

Results: The rate of caesarean section (CS) in this study was 55.9%. The commonest indication for elective caesarean was previous caesarean section (59.5%) and for emergence caesarean section the commonest indication was fetal distress (50%). 47.6% in elective group and 62.5% in emergency underwent caesarean section in government hospitals, 52.38% in elective group and 37.5% in emergency underwent caesarean section in private nursing homes.

Conclusions: Elective caesarean sections are more common than emergency sections. Most of the caesarian sections were in the age group of 18-25 years, Hindus, BC community, house wives, who have studied up to intermediate and above, below poverty line group and in multigravida women. Common indication for elective CS was previous CS and for emergency CS was fetal distress.


Keywords


Caesarean section, Socio demographic factors, Urban slum

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References


Tampakoudis P, Assimakopoulos E, Grimbizis G, Zafrakas M, Tampakoudis G, Mantalenakis S et al. Cesarean section rates and indications in Greece: data from a 24-year period in a teaching hospital. Clin Experimen Obstet Gynecol. 2004;31(4):289-92.

Lee SI, Khang YH, Lee MS. Women's attitudes toward mode of delivery in South Korea: a society with high cesarean section rates. Birth. 2004;31(2):108-16.

Hamilton be, Ventura SJ, Martin JA, Sulton PD, Menacker F. Preliminary births for 2004. Natl Vital Stat Rep. 2005;54(8):1-17.

Thomas Jothy S. The national sentinel caesarean section and it report. RCOG press. 2001. Available at https://www.rcog.org.uk/global assets/documents/guidelines/research-audit/nscs_audit.pdf.

Belizan JM, Althabe F, Barros FC, Alexander S. Rates and implications of caesarean sections in Latin America. BMJ. 1999;319(7222):1397-1402.

Focus on: Caesarean section-NHS institute for innovation and improvement institute. 2009. Available at https://www.qualitasconsortium.com/index.cfm/reference-material/delivering-value-quality/focus-on-csection/

Verma S, Saini J, Sehra R, Nagaraj N. A clinical study of rate and indications of cesarean section, maternal and fetal outcomes at tertiary care center in north western Rajasthan. Int J Reprod Contracept Obstet Gynecol. 2016;5(8):2791-4.

DENISC. Fear of pain causes a bit rise in caesarean section. 26.October 2008.

Gregory KD, Fridman M, Korst L. Trends and patterns of vaginal birth after caesarean availability in the United States. Semi perinatal. 2010;34(4)237-43.

Mc Mahon, Luther ER, Bowes Wa, Olshan Af. Comparision of a trial of labour with an elective secon caesarean section. N Engl J Med. 1996;335:689-95.

Cunningham FG, Bangdiwala S, Brown SS, Dean TM, Frederiksen M, Hogue CJ et al. National Institutes of health consensus development conferenced statement: vaginal birth after caesarean: new insights. Obstet Gynecol. 2010;115:1279-95.