CAESAREAN SECTION

ITS FREQUENCY AND INDICATIONS IN DHQ TEACHING HOSPITAL, SAHIWAL.

Authors

  • Saeeda Bano SLMC, Sahiwal.
  • Myda Muzaffar SLMC, Sahiwal.
  • Masooma Zafar SLMC, Sahiwal.
  • Fareeha Yousaf SLMC, Sahiwal.

DOI:

https://doi.org/10.29309/TPMJ/2018.25.07.138

Keywords:

Caesarean Section, Indications, Frequency

Abstract

Introduction: Caesarean Section (CS) is a surgical procedure carried out for the
delivery of the baby when circumstances render the possibility of a safe vaginal birth. Though
caesarean section can be life-saving in many situations, its unnecessary use has become a global
health concern. For almost 3 decades, the ideal rate for caesarean sections was considered
to be between 10% and 15% but its consistently increasing frequency over the past years has
brought it to limelight. Objective: To determine the frequency and indications of Caesarean
section at DHQ Teaching Hospital, Sahiwal. Study Design: A Cross-sectional descriptive study.
Setting: Department of Gynaecology and Obstetrics, DHQ Teaching Hospital, Sahiwal affiliated
with Sahiwal Medical College, Sahiwal. Period: It was carried out over a period of 6 months
from December, 2016 to May, 2017. Methods: All the caesarean sections carried out during the
study duration were included. Both maternal and fetal indications were recorded. The patients
not willing to participate were not included. Results: Out of the total, Caesarean Section
accounted for 44.7% of the total deliveries. 72.05 % were elective and 27.49% were emergency
procedures. Most Common Indications were found out to be previous >2 C-Sections (36.4%),
previous 1 C-Section (28.3%). Rest of them were breech presentation (2.69%), obstructed labor
(1.68%), fetal distress (2.6%), placenta previa (8.08%), APH (2.02%), post-dated pregnancy
(4.04%), uterine rupture (7.56%) and others (6.58%). Conclusion: It was concluded that >2
previous C-Sections is the most common indication. The high frequency should be controlled
by proper counselling and education of the mothers and families, regarding the complications
of caesarean section.

Author Biographies

Saeeda Bano, SLMC, Sahiwal.

MBBS, FCPS, MRCOG (London),
Assistant Professor
Department of Obs/Gynae,

Myda Muzaffar, SLMC, Sahiwal.

MBBS
Medical Officer
Department of Obs & Gynae

Masooma Zafar, SLMC, Sahiwal.

MBBS
Medical Officer
Department of Obs/Gynae

Fareeha Yousaf, SLMC, Sahiwal.

MBBS
PGR Trainee
Department of Obs/Gynae

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Published

2018-07-10