A root cause analysis of increasing caesarean section rates in a tertiary care private hospital in North India
dc.contributor.author | Makhija, Bela | en_US |
dc.contributor.author | Verma, Deepika | en_US |
dc.contributor.author | Mustafa, Asif | en_US |
dc.date.accessioned | 2020-10-16T07:59:59Z | |
dc.date.available | 2020-10-16T07:59:59Z | |
dc.date.issued | 2019-11 | |
dc.description.abstract | Background: 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.affiliations | Department of Obstetrics and Gynecology, Max Smart Super Specialty Hospital, New Delhi, India | en_US |
dc.identifier.citation | Makhija 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): 4531-4537 | en_US |
dc.identifier.issn | 2320-1770 | |
dc.identifier.issn | 2320-1789 | |
dc.identifier.place | India | en_US |
dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/207191 | |
dc.language | en | en_US |
dc.publisher | Medip Academy | en_US |
dc.relation.issuenumber | 11 | en_US |
dc.relation.volume | 8 | en_US |
dc.source.uri | https://dx.doi.org/10.18203/2320-1770.ijrcog20194888 | en_US |
dc.subject | Caesarean delivery on maternal request | en_US |
dc.subject | Lower segment caesarean section | en_US |
dc.subject | Robson’s criteria | en_US |
dc.subject | Trial of labour after caesarean | en_US |
dc.subject | Vaginal birth after caesarean section | en_US |
dc.title | A root cause analysis of increasing caesarean section rates in a tertiary care private hospital in North India | en_US |
dc.type | Journal Article | en_US |
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