Caesarean Birth Rates in Primigravida: A Quest for Determinants, a Hospital Based Retrospective Study

Abstract

BACKGROUNDRates of caesarean section have risen around the world in recent years, accordingly much effort is being made worldwide to understand this trend and counteract effectively. This increasing trend seems to be due to previous caesarean deliveries which in hindsight partly points towards an increased caesarean rate amongst the primigravida. AIMS AND OBJECTIVESThe main aim of this study is to highlight the indications of caesarean section in primigravida and to emphasise on the need to control it. METHODSA clinical records review was conducted from 1 st of September 2013 to 31 st of August 2015. During this period, records of all primigravida who underwent vaginal or caesarean delivery were reviewed. Simple descriptive statistical methods were used to describe the study variables. RESULTSOut of 382 primi deliveries during the study period, 154 caesarean sections were performed with a frequency of 40.3%. The most common indications were foetal distress (48.03%), Cephalopelvic disproportion (16.23%), and Non-progression of labour (13.63). INTERPRETATIONPreventive efforts should be directed towards decreasing the frequency of caesarean section in primigravida by appropriate management of labour. Efforts to lower caesarean section rate should focus on areas of Foetal distress, failure to progress in labour, failed induction and strict guidelines are to be formulated to define the same.