A Retrospective Analysis of Annual Cesarean Section Rate in a Tertiary Care Hospital, KOTA
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 7
Abstract
Objective: Caesarean Section is the second commonest surgery done in India after tubectomy and has great impact on maternal and neonatal health. Increasing Caesarean rates have raised the need to study its influencing factors. The objective is to analyze the different indications and frequency of caesarean sections in order to reduce such deliveries in a tertiary hospital. Methods: This retrospective study was conducted over a period of one year from 1st July 2016 to 30thJune 2017 at the Department of OBG, medical college, Kota (Rajasthan), India. Data of patients who delivered by C-Section in our hospital during the defined study period was recorded and a statistical analysis of various parameters namely, the caesarean section rates, its indications, demographic features, the patient’s morbidity and mortality was done. Results: The total numbers of women delivered over the study period were 11477, out of which C-Sections were 4545. The overall CS rate was 39.60%. Previous CS was the leading indication to the CS rate (43.07%) followed by fetal distress (11.15%), oligohydroamniosiugr (09.32%), breech presentation (7.50%), cephalopelvic disproportion (CPD) (6.15%) and arrest of labor (04.61%). 15.08% patients had various complications mainly infection (7.50%) and operative injury (3.26%). There was 3mortality during this period. Conclusions: Being a tertiary care hospital, a high rate of Caesarean deliveries was observed. Although individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics are done in our institute but due to multiple and unavoidable factors cesarean rate is increasing. Audit and feedback is the best way to judge clinical practice and to reduce the frequency of cesarean section in any tertiary setup.
Authors and Affiliations
B. L. Patidar
Keywords
Related Articles
- EP ID EP527258
- DOI -
- Views 90
- Downloads 0
Complications in Patients with Type II Diabetes Mellitus- A Clinical Study
Background: Complications in type II diabetes mellitus patients are quite common. The present study was conducted to assess complications in type II DM patients. Materials & Methods: This study was conducted in departmen...
Two Novel C-Terminal Frame shift Mutations in the CYB5R3 Gene Lead to Global Growth and Developmental Delay Associated with Recessive Congenital Methemoglobinemia Type II
Deficiency of NADH-cytochrome b5 reductase is the rare cause of recessive congenital methemoglobinemia (RCM) Type-II. It is associated with the mild cyanosis and mental retardation. We have identified three new patients...
Immature Platelet Fraction as a Prognostic Indicator of Platelet Recovery in Patients with Thrombocytopenia – An Observational Study
Background & Objectives: Immature Platelets or Reticulated Platelets (RP) are newly released platelets which are larger and more reactive than mature platelets and contain RNA. Immature Platelet Fraction (IPF) is the per...
A Clinical Study of Pelvic Inflammatory Disease and Its Management with Unani Drugs
Pelvic Inflammatory Disease is an important public health problem with serious repercussion on women’s health and wellbeing. According to World health organization (WHO), 330 million cases are reported to have RTI while...
A Rare Case of ACROGERIA from Odisha
Acrogeria, Gottron type is a rare premature aging syndrome. Characteristic signs include fragile, thin skin on the hands and feet. Other parts of the body (e.g., face, forearms, and lower legs) are variably affected. It...