Abstract
Background: Rate of cesarean section (CS) is one of the most frequently used indicators of healthcare quality at the national and international levels for clinical governance. Audit of indications of CS and to propose measures to reduce the rate of CS in our institution
 Methods: Prospective observational study was conducted at Department of Obstetrics and Gynaecology at Dr Rajendra Prasad Government Medical College Kangra at Tanda (HP)
 Results: In our study, previous CS (group 5) contributed the most (30.44%) of overall CS.Second largest contributor was nulliparous women with cephalic presentation at term (group 1 and 2).Induction of labor (group 2) was associated with higher CS (23.66%), as compare spontaneous labor (group1). Women with breech presentation (group 6 and 7) also showed high CS rate.
 Conclusion: In conclusion, RTGCS permits the easy identification of the leading contributing groups to CS increases. RTGCS is an internationally accepted classification that is much needed to scientifically study the effects of the rising CS rate. It identifies the contributors to differences in the CS rate but does not provide any explanation for these differences across various subgroups.
 Keywords: RTGCS, CS, NVD, Women.
Highlights
Rate of cesarean section (CS) is one of the most frequently used indicators of healthcare quality at the national and international levels for clinical governance
Audit of indications of CS and to propose measures to reduce the rate of CS in our institution Methods: Prospective observational study was conducted at Department of Obstetrics and Gynaecology at Dr Rajendra Prasad Government Medical College Kangra at Tanda (HP) Results: In our study, previous CS contributed the most (30.44%) of overall CS.Second largest contributor was nulliparous women with cephalic presentation at term.Induction of labor was associated with higher CS (23.66%), as compare spontaneous labor
In conclusion, RTGCS permits the easy identification of the leading contributing groups to CS increases
Summary
Rate of cesarean section (CS) is one of the most frequently used indicators of healthcare quality at the national and international levels for clinical governance. At a rate beyond the one recommended by WHO, there are no proven advantages for maternal or perinatal morbidity or mortality.[3,4] This worldwide rise in the rate of CS is a major public health concern and cause of considerable debate due to potential maternal and perinatal risks, cost issues and inequity in access.[5,6] An increase in the use of CS in low-resource settings may notably affect health services by increased maternal/neonatal complications.7,8Primary CS has important implications for maternal morbidity in the current pregnancy as well as in subsequent pregnancies.[9] The rising trends of CS rate will provide valuable insight into possible targets and interventions to reduce the CS. There is a growing concern about the higher incidence of long-term complications following one or more CS such as placenta accreta, retained placenta, and uterine rupture with possible need for peripartum hysterectomy.[12,13]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
