AN AUDIT OF RATE AND INDICATION OF CESAREAN SECTIONS IN A PRIVATE TEACHING HOSPITAL
Keywords:
Elective, caesarean section, emergency, Fetal distressAbstract
Objective: To determine the rate and analyse the clinical indications of caesarean section in a private teaching hospital
of Peshawar.
Materials and Methods: Retrospective record base study conducted in Mercy teaching Hospital, Peshawar. Records of
caesarean section conducted from January 2011 to December 2013 were looked into and those patients who needed
hysterectomy were excluded. Data was collected from admission/discharge records and analyzed in Microsoft Excel.
Results: A total of 5230 deliveries were conducted in three years. The overall rate of caesarean was 4.36% (228) were
caesarean births, of which elective caesarean were 71 (31.14%) and emergency caesarean were 157( 68.86%). Out of
228 patients primigravida were 26(26.32%) , multigravida were 122(53.51%), grand multigravida 42(18.42%) and great
grand multigravida 4(1.75%). 35(15.3%) patients were booked, 36 (15.7%) were admitted through OPD one day before
C-section. Majority of caesarean sections were done in multigravidas. The major indication for emergency C-section
was obstructed labour in 48 (30.57%) followed by fetus distress in 30(19.11%). common indication for elective C-section
was previous 2 or more C-sections in 28 multigravidas(39.45%) followed by malpresentation in 14(19.72%).
Conclusion: The emergency C-section rate was high and most common indication was obstructed labour with its
associated maternal and fetal complications. Selective and comprehensive emergency obstretical care (EmOC) should
be implemented at the all health care facilities in order to further reduce the indications for ceasearen sections.
Downloads
Published
How to Cite
Issue
Section
License
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.
