IJIMS.2018.102

Type of Article: Original Research

Volume 5; Issue 2: 2018

Page No.: 577-581

DOI: 10.16965/ijims.2018.102

 

STUDY OF RATE, TRENDS AND DETERMINANTS OF CAESAREAN SECTION AMONG MOTHERS ATTENDING A TERTIARY CARE CENTER IN AHMEDABAD, GUJARAT, INDIA

Ujjval Parikh *1, Pradeep R Oza 2.

*1 Assistant Professor, Department of obstetrics and gynecology, Parul Institute of Medical science and  Research, Vadodara, Gujarat, India.

 2 Assistant Professor, Department of obstetrics and gynecology, GMERS Medical college, Vadnagar, Gujrat, India.

Corresponding Author: Dr Ujjval Parikh, Assistant Professor, Department of obstetrics and gynecology, Parul Institute of Medical science and  Research, Vadodara, Gujarat, India. E-Mail:ujjvalparikh11111@gmail.com

ABSTRACT:

Background: Caesarean section is recommended when vaginal delivery might pose a risk to the mother or baby. C-sections are also carried out for personal and social reasons. Systematic reviews have found no strong evidence about the impact of caesareans for non-medical reasons.

Materials and methods: This Cohort  study was conducted at gynecology department of B.J medical college and attached civil hospital , Ahmadabad, Gujarat,india from year 1993-1995 and it includes  all cases admitted in Labor Room in the hospital.

Results: Total deliveries conducted  during 2 year of period is 2500 and out of which 725 cases underwent for caesarean section for various indications. Prevalence rate of caesarean section was 29.0 %.Previous caesarean was the most common indication for caesarean delivery.

Conclusion: From Our study I would like to conclude that the prevalence of caesarean rate was higher in our study when compared to state and district caesarean rates.

Maternal age, Associated medical disorder and Nuliparity has significant effect on determining rate of caesarian section while Education and socioeconomic status has not significant effect on it. Utilization of ANC, better doctor patient communication, doctor’s commitment to reduce the rate of CS, government’s intention to develop better health care infrastructure and strict vigil on the private health institutions may help to reduce the high and increasing rate of caesarean delivery.

Key words: Robson’s Classification, Caesarean section.

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