Publication:

Indications and rates of lower segment caesarean section at tertiary care hospital - an analytical study

Background Over the past few decades, there has been a rise in the rates of caesarean section globally. The reasons for this are multifactorial including changes in women’s preferences, a growing number who have previously had a caesarean delivery and technological advances which aid in early identification of a compromised fetus.

Methods This study aims to analyze the rates and indications of lower segment caesarean section (LSCS) in our institution. This retrospective study was conducted over a period of six months - December 2015 to May 2016 at Mahatma Gandhi Medical College and Hospital, Jaipur. Total number of patients who delivered in our hospital during the defined study period was recorded and a statistical analysis of various parameters was done.

Results The total number of women delivered over the study period was 1645, out of which caesarean sections (CS) were 523. The overall CS rate calculated was 31.8%. Previous LSCS was the leading indication to the CS rate.

Conclusions Individualization of the indication and obstetric audits can help in reducing both maternal and peri-natal morbidity and mortality.