Increasing Caesarean Rates: Analysis of Indications and Possible Interventions

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dc.contributor.authorKaur, Sen_US
dc.date.accessioned2019-11-04T04:58:07Z
dc.date.available2019-11-04T04:58:07Z
dc.date.issued2018-07
dc.description.abstractBackground: The alarming increase in caesarean section rates worldwide has led to a shift of focus to caesarean section rates and indications for caesarean section. The main objective of the study was to analyse the indications for caesarean section with the aim of finding viable interventions which could help decrease the caesarean rates. Methods: A retrospective study from 1st January 2017 to 31st December 2017 was conducted in which we analysed patient records of those delivering in unit III of our institute. Analysis of patient records was done and indication for caesarean was analysed. Results: A total of 496 women delivered in our unit in 2017, of these, 303 (61.09%) had a vaginal delivery and 193 (38.91%) had caesarean section. 108 patients (21.77%) had a history of at least one previous caesarean section and of these 94 (87.03%) underwent a repeat caesarean section. The primary caesarean section rate was 25.51%. Section was done for breech presentation in eleven primigravidae (5.7% of sections) and in fifteen multigravidae (7.77% of sections) including those with a previous section. Four patients had multiple pregnancy (2.04% of all sections). Eleven patients had a preterm section (5.7% of sections). Conclusion: In order to decrease caesarean rates the group that requires most focus is those in whom a primary section is being done. Few patients who have undergone at least one prior surgery are willing to take the risk inherent to a trial of labour (TOLAC). Classification and reporting of caesarean section according to the Robson ten point criteria will help in a better understanding of the indication, comparison and auditing and help to establish guidelines that can help decrease the caesarean rates.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 144001, Punjab, India; shgrewal@yahoo.comen_US
dc.identifier.citationKaur S. Increasing Caesarean Rates: Analysis of Indications and Possible Interventions. International Journal of Medical and Dental Sciences. 2018 Jul; 7(2): 1663-1666en_US
dc.identifier.issn2454-8952
dc.identifier.issn2320-1118
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/183621
dc.languageenen_US
dc.publisherDr. J.S. Sodhi Memorial Educational Societyen_US
dc.relation.issuenumber2en_US
dc.relation.volume7en_US
dc.source.urihttps://doi.org/10.18311/ijmds/2018/20642en_US
dc.subjectCaesarean Sectionen_US
dc.subjectClassificationen_US
dc.subjectLabouren_US
dc.subjectPregnancyen_US
dc.subjectPrimaryen_US
dc.subjectObstetrics and Gynaecologyen_US
dc.titleIncreasing Caesarean Rates: Analysis of Indications and Possible Interventionsen_US
dc.typeJournal Articleen_US
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