FREQUENCY AND INDICATIONS OF CESAREAN SECTION IN A TERTIARY CARE MATERNITY UNIT
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Abstract
Objective: To determine the frequency of cesarean section (C-section), to analyze the indications, so as to
introduce measures to control the caesarean section rate.
Material and Methods: This descriptive study was conducted at Gaynae A unit, Postgraduate Medical
Institute, Lady Reading Hospital, Peshawar form January 2001 to August 2001. Patients with emergency as
well as elective cesarean section were included in the study.
Results: From a total of 2394 deliveries 428 (17.8%) patients were delivered by cesarean section. Out of
428 patients, 80 (18.69%) were booked for elective C-section while 348 cases (81.31%) underwent
emergency C-section. Out of 428 patients, 104 (24.1%) patients were primigravidas, 111(26%) were
multigravidas and 13(3%) great-grand multigravidas. Out of 428 cases, 181 (42.3%) cesarean sections
were done for obstructed labour and 101 (23.6%) patients had history of previous cesarean section. In 56
(13.1%) cases, C-section was done for antipartum hemorrhage and in 42 (9.8%) cases for breach
presentation. Other indications (n=48; 11.20%) were bad obstetrical history, fetal distress, PIH, diabetes,
eclampsia and other malpresentation.
Conclusion: Cesarean section is a common form of delivery. Majority of cesarean section are done in
emergency situations and obstructed labour is the most frequent indication of cesarean section. Early
detection of at risk cases and proper referral in time is the key factor in decreasing the cesarean section
rate.
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