To evaluate rising caesarean section rate and factors contributing to it by using Modified Robson's Criteria at a tertiary care hospital | [Pakistan Journal of Medical Sciences • 2022]

Author(s):

1. Erum Majid: Department of Obstetrics and Gynaecology, Ward-8, Jinnah Postgraduate medical centre, Karachi, Pakistan.

2. Shazia Kulsoom: Department of Neurology, National Institute of Child Health Karachi, Pakistan.

3. Sara Fatima: Department of Obstetrics and Gynaecology, Ward-8, Jinnah Postgraduate medical centre, Karachi, Pakistan.

4. Bader Faiyaz Zuberi: Department of Medicine/Gastroenterology, Dow University of Health Sciences, Karachi, Pakistan.

Abstract:

Objectives: To determine the frequency of caesarean section with its indication by grouping according to Modified Robson's Criteria at JPMC. Methods: This is a retrospective study done from 1st January to 30th June 2018. Records of all Caesarean Section performed during the study period were retrieved from elective and emergency operation theatres. Data was extracted from the emergency and elective Theatres registers. and entered in study proforma. Patients with missing data were contacted via a given phone number on file and data collected. None of the Patients Data was totally missing ,as all entries made were done very carefully .Data was entered in SPSS version 26.0. Group-11 and 12 were added in order to identify the main reason for the increase in caesarean sections. Results: Total number of deliveries in six months were 3400. Our study showed a Caesarean Section rate of 36.5 per all live births. The major group contributing was Group-5 (56%). Foetal distress (Group-12) and Primigravida with Inductions or caesarean section before labour (Group-2) showed nearly the same percentages 13.5% and 14% respectively. Conclusions: Planning of the caesarean section of primigravida should be carefully decided. The role of safe VBAC plays the key role in decreasing Cesarean Section rate. Moreover, foetal distress and caesareans in Primigravida should be evaluated with great accuracy to decrease the caesarean section rate.

Page(s): 2021-2025

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 38, Issue: 7, Year: 2022

Keywords:

Placenta accreta , Caesarean section , Modified Robsons Criteria

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