Publication:

A clinical study of rate and indications of cesarean section, maternal and fetal outcomes at tertiary care center in north western Rajasthan

Background Cesarean section is one of the most commonly performed surgeries in obstetric practice. This study aims to know the changing trends in cesarean section rates, varying indications and the maternal & fetal outcome of cesarean deliveries.

Methods Total 200 cases of cesarean section were selected including each of 100 elective and emergency groups. In these we studied and evaluated the various parameters of cesarean section, maternal morbidity, neonatal outcomes, morbidity and mortality.

Results The commonest indication for emergency cesarean section was MSL (28%) followed by previous cesarean section (27%). Mean age in elective cesarean section was 25.43±2.90 years and in emergency group it was 24.78±3.23. In present study 11 neonates of elective group had NICU admission while 64 neonates of emergency group had NICU admission. Perinatal mortality was present in 15 neonates and out of them 12 emergency groups and 3 belonged to elective group. The commonest indication for elective cesarean section was previous cesarean section (42%) followed by previous 2LSCS (15%).

Conclusions The rate of cesarean section is progressively increasing in the last 5 years. The most common indication is previous cesarean section. The outcome in elective is better than emergency.