Prevalence and Indications of Cesarean Section in a Community Hospital of Western Region of Nepal

Krishna Bahadur Raut,Kristina Pradhan,Rajendra Kumar Chaudhary

doi:10.31729/jnma.3760

Abstract

Cesarean section is one of the common obstetric procedures done when the childbirth is not anticipated to occur by the normal vaginal delivery. There has been increased rate of cesarean section globally as well as in our country in recent decades. This descriptive cross-sectional study has been carried out by reviewing a year of data from maternity ward of Paschimanchal Community Hospital, Prithvi Chowk, Pokhara. The total number of delivery, their modes either vaginal or cesarean, indications for the cesarean section and their outcomes were analyzed. The obtained data was entered and analyzed in Microsoft Excel. Total of 257 cases underwent delivery during the study period and 174 (63.27%) were by cesarean section. Oligohydramnios is the most common indication for cesarean section. Around 25 (14.36%) of the women underwent repeat cesarean section. The rate of cesarean section was quite high in our study and further studies are recommended for understanding of causes and other associated factors with it.

Highlights

Cesarean section is one of the common obstetric procedures done when the childbirth is not anticipated to occur by the normal vaginal delivery
In Nepal the rate of cesarean section has increased in recent years and is variable in different hospitals starting from 15% up to 81%
This study has been undertaken with an objective to find out the different indications of cesarean section and its outcome in a Community Hospital in Western Region of Nepal

Summary

Introduction

Cesarean section is one of the common obstetric procedures done when the childbirth is not anticipated to occur by the normal vaginal delivery. There has been increased rate of cesarean section globally as well as in our country in recent decades. Cesarean Section is one of the commonly done operative obstetric procedures when done with appropriate indication is a lifesaving procedure and helps in significant reduction of maternal mortality.[1]. There has been worldwide increase in the trend of cesarean section to unprecedented levels in recent decades.[3] In Nepal the rate of cesarean section has increased in recent years and is variable in different hospitals starting from 15% up to 81%.4. In Nepal the rate of cesarean section has increased in recent years and is variable in different hospitals starting from 15% up to 81%.4 Women undergoing cesarean section in first pregnancy are more likely to deliver by cesarean section too in subsequent pregnancies and are in the risk of different operative and pregnancy related complications.[5]

Methods

Results

Conclusion