An Audit Of Caesarean Section And ITS Perinatal Outcome

Abstract

Summary A one year prospective study was performed. In this study total caesarean sections performed during the year were analysed regarding indications and perinatal outcome. Caesaren section rate in the year studied was 19.11%. Of these the maximum number of patients were grand-multigravidae 40.41%. The commonest indication for which caesaren section performed was cephalo-pelvic disproportion: 20.85%. Other common causes were placenta praevia and fetal distress accounting for 16.78 % and 16.60% of cases respectively. Perinatal mortality was 235/1000 births. While the highest was when caesaren section was performed for abruptio placenate 636.4/1000. In cases of neglected transverse lie it was 617.0/1000 and was 500/1000 in cases of retained second twin. For it was 48% . Perinatal mortaility decreased as the birth weight increased in each gestational age group but was high in post term macrosomic babies. Perinatal mortality was also foung tobe high in grane-multigravidae and in low social class patients. Birth asphysia was the commonest cause for stillbirths, and prematurity for neonatal deaths.