Abstract
Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue. This study aimed to find out the prevalence of cesarean delivery in a tertiary care center of Nepal. A descriptive cross-sectional study was conducted among pregnant women at tertiary care centre from 15th September 2019 to 15th October 2020. Ethical clearance was taken from the Institutional Review Committee (Ref: CMC-IRC/077/078-200). Convenience sampling was done to reach the sample size. Basic demographic data, clinical indications and neonatal outcomes were noted. Data entry was done using Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Out of 3193 total deliveries, cesarean deliveries were 1412 (44.22%) at 95% Confidence Interval (42.49-45.94). Among caesarean deliveries 1086 (76.9%) were emergency cesarean sections. Most common indication for cesarean section was fetal distress (24.9%). Among 1437 newborns, 1428 (99.4%) were live births, 1387 (98.2%) were singleton and 801 (55.7%) were male. Nearly one third 418 (29.1%) neonates required neonatal intensive care unit admission and transient tachypnoea of newborns (44.28% in emergency and 60.46% in elective cesarean delivery) was the most common indication for admission. The prevalence of cesarean delivery was found to be higher than that recommended by the World Health Organisation. Fetal distress was the leading indication for cesarean deliveries.
Highlights
Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue
This study aims to find out the prevalence of Cesarean Delivery in a tertiary care center of Nepal
A descriptive cross-sectional study was conducted among pregnant women who delivered by Cesarean Section at Chitwan Medical College (CMC) from 15th September 2019 to 15th October 2020
Summary
Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue. Previous studies from Nepal have reported great variation in rates of CS ranging from 9.5% to 63%.35. The World Health Organization (WHO) has recommended Cesarean Section rate between 10-15% for optimal impact, there has been tremendous increase in its rate worldwide over the last decades.[6] When medically indicated, CS saves lives of both mother and baby, unnecessary C-section may adversely affect maternal, neonatal and infant morbidity and mortality.[2,3].
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