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Indian Journal of Obstetrics and Gynecology

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Analysis of Rates and Indications for Caesarian Section: A Hospital Based Observational Study

Madhu Patil, Assistant Professor, Department of Obstetrics and Gynecology, Azeezia Medical College, Meeyyannoor, Diamond Hill, Kollam, Kerala 691537, India. , Madhu Patil* , Rashmi Patil**

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Indian Journal of Obstetrics and Gynecology 6(1):p 43-47, Jan-Feb 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6118.8

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Abstract

Background: Caesarian section is the one of the most commonly performed operation worldwide. LSCS is the most commonly used type of caesarian section.The increase in LSCS rate has been a global phenomenon.In a developing country like India there is an increasing trend of caesarian section with increase in the institutional deliveries and growing access to obstetric care. Material & Methods: A Retrospective observational study was conducted in the department of OBG at the Raichur institute of medical sciences, Raichur from 1st January 2015 to 30th June 2015. During this period 1352 deliveries were conducted and among these 362 who underwent LSCS were selected for the study. Results: The maximum incidences of caesarian section were in the age group of 20- 25 years (43.5%). Maximum patients belonged to primigravida (50.3%). Majority of the study group were booked patients (60.5%). Previous LSCS was the leading cause of caesarian section in 28.4% of cases followed by CPD in 13.6% of cases. Conclusion: Previous caesarean section was the leading indication for a caesarean delivery in this study group. Therefore a careful individualization of every case, meticulous clinical examination and use of intensive intrapartumfoeto maternal surveillance could probably reduce the rates of caesarean section.

Keywords: Caesarian Section; Foetal Distress; CPD. 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6118.8

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