A root cause analysis of increasing caesarean section rates in a tertiary care private hospital in North India

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dc.contributor.authorMakhija, Belaen_US
dc.contributor.authorVerma, Deepikaen_US
dc.contributor.authorMustafa, Asifen_US
dc.date.accessioned2020-10-16T07:59:59Z
dc.date.available2020-10-16T07:59:59Z
dc.date.issued2019-11
dc.description.abstractBackground: Increase in the incidence of caesarean section is a matter of concern worldwide. Robson’s criteria which is universally accepted now as a way for calculating caesarean rates takes into account only the obstetrical consideration, however, it is noteworthy that many socioeconomic and cultural factors also have a role to play. This study takes into account both Robson’s criteria and common socio-cultural factors which lead to increased caesarean rates with an attempt to suggest ways to curtail this trend.Methods: The study was a hospital based cross-sectional study at a private tertiary care hospital in New Delhi. 1200 consecutive live births after 34 weeks of gestation were analysed over a period of one year.Results: LSCS was the most common mode of delivery 733 (61.1%). 329 (27.4%) had induced labour of which 260 (76.2%) had LSCS. 333 women had elective LSCS. Rates of CDMR were 185 (25.2%) which is very significant. As per Robson’s criteria maximum number of women (318) were in group 2, of which 226 (71.1%) underwent caesarean section.Conclusions: High caesarean rates can be attributed to a multitude of factors. Robson’s criteria are an effective way for analysis of obstetric indications. Other added factors include comorbidities, CDMR, fear of litigations, etc which were analysed.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Max Smart Super Specialty Hospital, New Delhi, Indiaen_US
dc.identifier.citationMakhija Bela, Verma Deepika, Mustafa Asif. A root cause analysis of increasing caesarean section rates in a tertiary care private hospital in North India. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Nov; 8(11): 4531-4537en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/207191
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber11en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20194888en_US
dc.subjectCaesarean delivery on maternal requesten_US
dc.subjectLower segment caesarean sectionen_US
dc.subjectRobson’s criteriaen_US
dc.subjectTrial of labour after caesareanen_US
dc.subjectVaginal birth after caesarean sectionen_US
dc.titleA root cause analysis of increasing caesarean section rates in a tertiary care private hospital in North Indiaen_US
dc.typeJournal Articleen_US
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