CAESAREAN SECTION

INDICATIONS AND RATE OF CAESAREAN SECTION IN PRIMIGRAVIDA

Abstract

Background: All over the world the rate of caesarean section is increasing day
by day due to multiple factors and Pakistan is no exception to it. According to World Health
Organization (WHO) the rate of caesarean section varies from 5% to 15%. This rate of C-section
is acceptable to WHO and is considered as justifiable which differs from country to country due
to diverse socio economic conditions, literacy rate, medico legal issues as well as availabilities
of health care facilities to patients and especially antenatal facilities. Objectives: To analyze
the rate and indications of caesarean section in primigravida. Study Design: Descriptive study.
Setting: Government Sardar Begum Hospital Sialkot. Period: 1st January 2017 to 31st December
2017. Materials and Methods: Inclusion and exclusion criteria were made and all patients which
underwent caesarean section were included in the study and all patients delivered vaginally were
excluded from the study. A proforma was designed specially to record the different parameters/
information of patients and indications of c-section. Data was analyzed using SPSS version 22.
Results: Total caesarean section rate was 40 %, out of which 30.87% were Primigravida and
69.13% were multigravida. Failure to progress was the most common indication and only in
0.47% patients, obstructed labour was an indication of C-section. Conclusion: In primigravida
women the prevalence of Caesarean Section is increased which also lead to enhance repeat
caesarean section chances and it is not free of risk. It is risk factor for placenta pervia, further,
repeat caesarean section adherent morbidly placenta which increased the chances of huge
PPH and acute maternal morbidity and mortality.