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NEW FRONTIERS IN MEDICINE AND MEDICAL RESEARCH VOL. 6

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A DILEMMA FOR MODERN OBSTETRICS -RISING INCIDENCE OF CAESAREAN SECTION RATE

Zahra Safdar Sumera Zaib

New Frontiers in Medicine and Medical Research Vol. 6, 2 August 2021 , Page
56-63
https://doi.org/10.9734/bpi/nfmmr/v6/3796F Published: 2021-08-02

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ABSTRACT

Objectives: To study the rate of caesarean sections (indications, ratio in
emergency and elective caesarean sections) the percentage of vaginal birth after
caesarean sections and instrumental deliveries.

Methods: This retrospective study was conducted over a period of one year from
1st January 2018 to 31st December 2018 at the Department of obstetrics and
gynaecology, unit 2, Lahore general hospital, Lahore. The data of obstetrical
patients who got admitted in the unit and were delivered either vaginally or
through abdominal route during the defined study period was recorded and a
statistical analysis of various parameters namely the caesarean section rates,
its indications, the ratio of emergency and elective caesarean sections, the
rate of vaginal births after caesarean section (VBACS) and instrumental
deliveries was done.

Results: The total numbers of obstetrical patients admitted over the study
period were 18183. Out of which total deliveries were 6602, vaginal births were
3699 and caesarean sections were 2765. The overall caesarean section rate was
41.88%, elective sections were 473(17.1%) and emergency sections were
2292(82.89%). The vaginal births were 3699(56.02%), VBACS were 98(2.6%),
instrumental deliveries like forcep deliveries were 31(0.8%) and ventouse
deliveries were 47(1.2%). There were 38(1.02%) twin deliveries and 59(1.5%)
assisted breech deliveries. The caesarean sections done electively as well as in
emergency with different indications were calculated individually.

Conclusions: The rising incidence of caesarean section is most pressing fact of
the decade in modern obstetrics. The detailed audit of the caesarean sections
done over a year in a tertiary care hospital showed a large number of sections
done due to fetal distress. The confirmation of its diagnosis to prevent
unnecessary surgeries is pivotal. The previous scars and indications related to
them are the most important component in the study so concluding this study to
take steps in prevention of primary caesarean section is foremost. Audit and
surveillance of caesarean sections should be carried out annually to identify
the preventable causes of caesarean sections.

Keywords:
 * Caesarean section
 * indications
 * vaginal births
 * statistical analysis
 * tertiary care hospital

HOW TO CITE

Safdar, Z. ., & Zaib, S. . (2021). A Dilemma for Modern Obstetrics -Rising
Incidence of Caesarean Section Rate . New Frontiers in Medicine and Medical
Research Vol. 6, 56–63. https://doi.org/10.9734/bpi/nfmmr/v6/3796F
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