A cross sectional study to evaluate indications and outcomes of caesarean section in a tertiary care hospital

Abstract

Introduction: Cesarean delivery is defined as the birth of the fetus through incision in the abdominal wall and the intact uterine wall. This definition does not include removal of fetus from the abdominal cavity in the case of abdominal pregnancy or in case of rupture uterus. Cesarean section is the second commonest surgery done on the women in India after tubectomy and has great impact on maternal and neonatal health. Materials and Methods: Cesarean delivery is defined as the birth of the fetus through incision in the abdominal wall and the intact uterine wall. This definition does not include removal of fetus from the abdominal cavity in the case of abdominal pregnancy or in case of rupture uterus. Cesarean section is the second commonest surgery done on the women in India after tubectomy and has great impact on maternal and neonatal health. Results: During study period, total deliveries conducted were 3650. Out of which, deliveries conducted by Caesarean section were 2044 (56%). Out of 1113 primipara 1052 were live births, 20 (1.81%) baby died after birth and 41 (3.63%) were still births. Amongst multipara, 900 (96.8%) were live births, 20 (2.10%) baby died after birth and 10 (1.05%) was still birth. Proportion of Still birth is higher amongst primipara. Conclusion: With passing time, the rate of caesarean section is increasing. As primary caesarean section usually determines the future obstetric course of a lady, it is of prime importance to give effort for safe reduction of caesarean. Individualization of the indication and careful evaluation, following standardized guidelines and practice of evidenced-based obstetrics followed by audits in the institution, can help us limit the caesarean rates.