Incidence of cesarean section among primi at a tertiary care hospital in Mahabubnagar, Telangana, India

Abstract

Background: Not only in India but globally the incidence of cesarean section deliveries is increasing and it is becoming an important cause of concern. The objective of the present study was to observe the incidence of cesarean section deliveries at a tertiary care hospital.Methods: A hospital record-based study was carried out from January 2017 to August 2018. All deliveries with live birth taking place among the primipara were included in the present study. Other than this was excluded. Data was analyzed using proportions.Results: A total of 12254 deliveries took place from January 2017 to August 2018. Maximum deliveries were seen during July 2017 to October 2017 where it ranged above 6%. Normal delivery rate ranged from 51.2% in March 2018 to 64.4% in February 2017. Overall it was 62.1%. The overall cesarean section rate was 37.9% in the present study. This rate is very low compared to the rates from private sector. The cesarean section rate ranged from 35.6% in February 2017 which was lowest in the study period to 48.8% in the month of March 2018 which was the highest in the study period. But the cesarean section rate never crossed the 50% mark and most of the time it remained near 40% mark.Conclusions: It has been found that the cesarean section rate always remained on a lower side as compared to the normal deliveries rate. This can be attributed to the appropriate clinical practices in our settings.

Profile of cesarean sections among primiparous women at a tertiary care hospital

“…In a study (10) conducted by Anu Bala Chandel et al the primary cesarean (11) rate was calculated as 74.38%, and by Saha et al showed 74.34%, which is greater than the present study. The study (12) done by Janaki Vellanki showed 35.6%, which is lower than our study, as the study was done at a government hospital with a sample size of 12554 primiparous women; and also, the study didn't mention the details of medically indicated cesareans and cesarean done for labor dystocia were not mentioned which could probably contribute to low rate compared to our study. Ours is a tertiary care center and one of the most referred centers with a well-established high-risk pregnancy unit and competent neonatal and Intensive Care Unit (ICU) facilities; the cesarean rates were high, as reflected in our study.…”