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 104
- Downloads 0
Study of Serum Apolipoprotein A1 and Apolipoprotein B100 in Ischemic Heart Disease
Background: Apolipoprotein A1 (Apo A1), the major apoprotein in HDL promotes reverse cholesterol transport producing an antiatherogenic effect in body. Apolipoprotein B100 (Apo B100) a major apolipoprotein of LDL has ath...
Lichtenstein Hernioplasty Under Local Anaesthesia and Totally Extra Peritoneal (TEP) Laparoscopic Inguinal Hernias Repair Under General Anaesthesia: A Comparative Study
Background: Incidence of inguinal hernia has been increasing, with 500,000 new cases every year. Most surgeons prefer open hernia repair techniques; however, more recently, both surgeons and patients have begun to prefer...
Comparative Evaluation of Efficacy of General Anaesthesia versus Spinal Anaesthesia for Laparoscopic Cholecystectomy: An Observational Study
Background: Laparoscopic cholecystectomy (LC) with pneumoperitoneum has traditionally been performed under general anesthesia, however, owing in part to the advancement of surgical and anesthetic techniques, many LC have...
A Prospective Study on the Clinical Course of Acute Myeloid Leukemia And Outcomes following the Induction Therapy
Background: Acute myeloid leukemia (AML) is characterized by an increase in the number of myeloid cells in the marrow and an arrest in their maturation, frequently resulting in hematopoietic insufficiency (granulocytopen...
Performance, Barriers, and Satisfaction of Health Care Workers Toward Electronic Medical Records in Jeddah, Saudi Arabia
Background: Improvement in the quality of health care through utilizing an electronic medical record (EMR) system depends on getting the greatest number of physicians to effectively use the system. Objectives: To assess...