Indications for Caesarean Section Among the Antenatal Cases Admitted In a Tertiary Care Hospital of Kollam, Kerala
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 5
Abstract
Objectives: A rising trend in caesarean section in modern India is a matter of concern for the health system. WHO recommends an ideal caesarean section rate of 10-15%. But in a literate state like Kerala the trend stands out in alarming rates. Hence this study is done to find out the factors leading to Caesarean section in our state. Methods: This is a retrospective cross sectional study done in a tertiary care hospital of Kerala. A total of 739 deliveries happened in the year January 1st 2015 to Dec 31st 2015, of which 441 (59.68%) were caesarean delivery. Data was collected from the medical records department (secondary data). Study was done using a pre structured questionnaire which included questions to estimate Incidence rate of caesarean section, Rate of various indications, Role of maternal age, parity, extreme weight of the baby. Secondary data from the medical records were filled into the questionnaire by the investigator itself. Data was entered into Microsoft excel sheet and was analysed using SPSS 16. Results: Major indication for a Caesarean delivery was previous history of CS (41.7%).This could be avoided through vaginal birth after caesarean (VBAC). Other reasons for indications were failed induction (20.2%), foetal distress and cord prolapse (14.3%) and maternal GDM (13.2%) and PIH (10.9%) and cephalopelvic disproportion 12%. Conclusion: The major indication was previous caesarean section, as we see in almost all studies across India. This vicious cycle needs to be put to a stop which is possible only if Caesarian section is undertaken only after careful consideration and when the obstetric risks outweigh those of the procedure itself.
Authors and Affiliations
Vincy Nelson, Rakesh P S, Sony Simon, Amruthavani A K, Arjun Ganeshan
Keywords
Related Articles
- EP ID EP547284
- DOI 10.21276/ijmrp.2017.3.5.001
- Views 106
- Downloads 0
Role of Bohler’s Angle and Gissane’s Angle in Predicting the Functional Outcome in Surgically Treated Calcaneal Fractures
The displaced intra-articular fractures of the calcaneum should be treated by anatomical reduction and rigid internal fixation, to allow early movement and get a better functional outcome. We included 40 patients in our...
Assessment of Demographic Details of Patients with Hernia Visited in a Tertiary Care Teaching Hospital
Background: Hernia is generally defined as the protrusion of a viscus from the cavity in which it is normally contained or more precisely, as the protrusion of a loop or knuckle of an organ or tissue through an abnormal...
Sodium Valproate Drug Used in Painful Diabetic Neuropathy: A Randomized Double Blind Placebo Hospital Based Controlled Study
Background: Various drugs are effective in the management of painful diabetic neuropathy, but none is completely satisfactory. We previously found sodium valproate to be effective and safe in a short-term study. The aim...
Role of Dexamethasone in Supraclavicular Brachial Plexus Block: A Clinical Study
Background: The present study was conducted to assess the effect of dexamethasone on the onset and duration of anesthesia in low volume supraclavicular brachial plexus block. Materials & Methods: The present study was co...
Knowledge, Attitudes and Practices of Self-Ear Cleaning Among Medical Students, Majmaah University, Saudi Arabia
Background: Wax is the normal and healthy substance that has several functions, the quantity of production differs between individuals. Also, its components vary according to race. Most of the individuals of the populati...