FREQUENCY AND INDICATIONS OF CESAREAN SECTION IN A TERTIARY CARE MATERNITY UNIT

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S Nayab Bilal
Farhat Yasmin
Shahnaz Akhtar

Abstract

Objective: To determine the frequency of cesarean section (C-section), to analyze the indications, so as to

introduce measures to control the caesarean section rate.

Material and Methods: This descriptive study was conducted at Gaynae A unit, Postgraduate Medical

Institute, Lady Reading Hospital, Peshawar form January 2001 to August 2001. Patients with emergency as

well as elective cesarean section were included in the study.

Results: From a total of 2394 deliveries 428 (17.8%) patients were delivered by cesarean section. Out of

428 patients, 80 (18.69%) were booked for elective C-section while 348 cases (81.31%) underwent

emergency C-section. Out of 428 patients, 104 (24.1%) patients were primigravidas, 111(26%) were

multigravidas and 13(3%) great-grand multigravidas. Out of 428 cases, 181 (42.3%) cesarean sections

were done for obstructed labour and 101 (23.6%) patients had history of previous cesarean section. In 56

(13.1%) cases, C-section was done for antipartum hemorrhage and in 42 (9.8%) cases for breach

presentation. Other indications (n=48; 11.20%) were bad obstetrical history, fetal distress, PIH, diabetes,

eclampsia and other malpresentation.

Conclusion: Cesarean section is a common form of delivery. Majority of cesarean section are done in

emergency situations and obstructed labour is the most frequent indication of cesarean section. Early

detection of at risk cases and proper referral in time is the key factor in decreasing the cesarean section

rate.

Article Details

How to Cite
1.
Bilal SN, Yasmin F, Akhtar S. FREQUENCY AND INDICATIONS OF CESAREAN SECTION IN A TERTIARY CARE MATERNITY UNIT. J Postgrad Med Inst [Internet]. 2011 Jul. 25 [cited 2024 Mar. 29];19(4). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/48
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Original Article