Caesarean Delivery in a Tertiary Care Hospital; A One-Year Survey

Abstract

Background: Caesarean section (CS) rates are growing worldwide. It contributes to substantial maternal and perinatal morbidity and mortality. South Asian countries including Bangladesh have recorded substantial increases in caesarean section rates over the past decade. Prolonged labour and cervical dystocia, hypertensive disorder, malpresentation were also contributing factors for caesarean section. The World Health Organization (WHO) has recognized an ideal caesarean section (CS) rate for a nation of around 10-15%. In recent times the proportion of delivery conducted by caesarean section has improved. Objectives: The aim of this study is to assess A One-year survey of caesarean delivery in a tertiary care hospital. Methods: This is an observational study. The study used to be carried out in the admitted patient’s Department of Gynecology and Obstetrics, Dhaka Medical College Hospital, Dhaka, Bangladesh. In Bangladesh for the duration of the period from January 2007 to June 2008. Results: This study shows that the according to age of 250 Patients aged 20 to 40 years where, 96(38.4%) were 20-25 years, 108(43.32%) were 26-30 years, 33(13.2%) were 31-35 and 13(5.2%) were 36-40 years And according to Gestational age, 17(6.8%) were 30-35 years, 200(80.0%) were 36-40 years, and 33(13.2%) were 40+ years and according to outcome, improved were 243(90.00%) and death were 7(2.8%).Conclusions: Careful monitoring of the fetus and selecting patients for CS at all levels of health care services, and consciousness among general population about the difficulties of the caesarian sections would decrease the caesarian sections.