An Audit of Rate and Indication of Cesarean Sections in a Private Teaching Hospital. | [Journal of Medical Science • 2017]

Author(s):

1. Shahnaz Parveen: Department of Obstetrics & Gynaecology, Mercy Teaching Hospital, Peshawar, Pakistan

2. Mohammad Naeem: Department of Community Medicine, Khyber Medical College, Peshawar, Pakistan

3. Rubeena Gul: Department of Community Medicine, Khyber Medical College, Peshawar, Pakistan

Abstract:

Objective: To determine the rate and analyse the clinical indications of caesarean section in a private teaching hospital of Peshawar. Materials and Methods: Retrospective record base study conducted in Mercy teaching Hospital, Peshawar. Records of caesarean section conducted from January 2011 to December 2013 were looked into and those patients who needed hysterectomy were excluded. Data was collected from admission/discharge records and analyzed in Microsoft Excel. Results: A total of 5230 deliveries were conducted in three years. The overall rate of caesarean was 4.36% (228) were caesarean births, of which elective caesarean were 71 (31.14%) and emergency caesarean were 157( 68.86%). Out of 228 patients primigravida were 26(26.32%) , multigravida were 122(53.51%), grand multigravida 42(18.42%) and great grand multigravida 4(1.75%). 35(15.3%) patients were booked, 36 (15.7%) were admitted through OPD one day before C-section. Majority of caesarean sections were done in multigravidas. The major indication for emergency C-section was obstructed labour in 48 (30.57%) followed by fetus distress in 30(19.11%). common indication for elective C-section was previous 2 or more C-sections in 28 multigravidas(39.45%) followed by malpresentation in 14(19.72%). Conclusion: The emergency C-section rate was high and most common indication was obstructed labour with its associated maternal and fetal complications. Selective and comprehensive emergency obstretical care (EmOC) should be implemented at the all health care facilities in order to further reduce the indications for ceasearen sections.

Page(s): 149-152

DOI: DOI not available

Published: Journal: Journal of Medical Science, Volume: 25, Issue: 1, Year: 2017

Keywords:

Keywords are not available for this article.

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