Volume : IX, Issue : VIII, August - 2020

Analysis of caesarean section and it's indications in a tertiary care centre

Dr. Mrinmayi Zurale, Dr. Ruchi N. Thakur

Abstract :

Introduction: A caesarean section can significantly reduce maternal and perinatal mortality, when medically indicated(4). However, unnecessary caesarean sections have no benefit. Instead, they are associated with short and long–term complications which can be detrimental to the health of the mother, her child as well as future pregnancies(1)(5). According to the WHO, at a population level, caesarean section rates higher than 10% do not show any reduction in maternal and newborn mortality(1) Objective: To classify all the caesarean section deliveries in the sample based on the Robson’s Ten Group Classification as well as based on their indications and to correlate the two. Methods: : A retrospective type of study was carried out in a total of 300 pregnant women who had undergone a caesarean section delivery using a structured questionnaire and the deliveries were classified under the Robson’s classification. Results: The results of our study showed that Robson’s Group 5 made the highest contribution of 35% (105 out of 300 cases) to the total number of caesarean sections. Out of the 300 caesarean section procedures performed in our study group, 188 (62.67%) were emergency, 87 (29%) were elective and 25 (8.33%) were not indicated. Overall, the highest contributing indication was found to be fetal distress which made a contribution of 20% (60 out of 300 cases). The most important cause for unindicated sections was maternal wish which made a contribution of 7% to the total number of caesarean sections. Conclusions and Relevance: The study showed that the Robson’s classification was an effective tool to analyse caesarean section deliveries. We also found that 8.33% of the sections were medically not indicated, out of which 7% were due to maternal wish. These cases should be targeted, especially those belonging to Group 5 as it is the highest contributing group, so as to reduce medically unnecessary caesarean sections. All women with a single previous caesarean section delivery should be evaluated for trial of labour after caesarean section (TOLAC) so as to achieve the goal of vaginal birth after caesarean section (VBAC) in these patients.

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Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

ANALYSIS OF CAESAREAN SECTION AND IT'S INDICATIONS IN A TERTIARY CARE CENTRE, Dr. Mrinmayi Zurale, Dr. Ruchi N. Thakur INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-8 | August-2020

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