TRENDS IN CAESAREAN SECTION RATE AND ITS DETERMINANTS IN DISTRICT HOSPITAL GUJRANWALA

Abstract

Background:
C-section are showing increasing trend worldwide. This study aimed to measure the rate and various indications of Cesarean sections in DHQ-Teaching hospital, Gujranwala.

Material and Methods:

This was a cross-sectional descriptive study retrospective data was collected from hospital records. The mode of delivery and basic demographics of the patients who underwent elective and emergency cesarean section were noted down. Clinical indications were recorded. Data was analyzed in SPSS version 21.0

Results:

A total of 7159 pregnant women, booked and un-booked were admitted for delivery out of which 4038 (56.4%) patients had a vaginal delivery and 3121(43.6%) underwent cesarean section. Among Cesarean sections, 67.7 % (n=2112) were emergency cesarean sections and 32.3 % (n=1009) were elective cesarean sections. The top six indicators for cesarean sections were previous multiple Cesarean sections 49.8 % (n=1554), fetal distress 14.8% (n=462), failure to progress of labor 8.6 % (n=269), cephalo pelvic disproportion (CPD) 7.8 % (n=244), breech presentation 3.6% (n=112) and pregnancy-induced hypertension (PIH) 2.7% (n=84).

Conclusion:

The rate of cesarean section was 43.6% in Gujranwala. Most of the cesarean sections were emergency cesarean sections with fetal distress as a major risk factor.