Abstract
Rising rate of caesarean section since few decades has been a global public health issue.This study is aimed to determine the rate of caesarean section plus examine the indications and complications of caesarean section. A retrospective cross-sectional study was conducted using secondary data sources at Mid-Western Regional Hospital in Surkhet, Nepal. Data were collected from patients'records ofthe hospital dating from 16 July 2016 to 15 July 2017. All patients who had delivered their baby by caesarean section were included in this study. Data were analyzed by help of SPSS version 21.Ethical approval was obtained from the hospital authority prior to the study. During the study, out of total 3,694 deliveries, 695 (18.8%) were caesarean section. Most of the caesarean section were emergency than elective (83.0% vs 17.0%). Among all women who underwent caesarean section, majority were from 37 to 42 weeks pregnancy (88.5%), age group between 20 and 24 (42.9%) and multiparous (53.5%).Fetal distress (20.1%) was most common among all major indications of caesarean section.Maternal complications due to caesarean section was low (3.7%). Among all complications, Post-partum hemorrhage (30.5%) was the major maternal complication of caesarean section. Most of newborn babies had APGAR score six or more at one minute (94.5%) and five minutes (97.9%). In our study, caesarean section rate was 18.8%, which is higher than WHO recommendation (10 - 15%). Main indication for caesarean section was fetal distress. Maternal and fetal complications were low.
Highlights
IntroductionCesarean section (CS) is a life-saving surgical procedure
METHODSCesarean section (CS) is a life-saving surgical procedure
This study has explored the rate, indications and complications of CS in Mid-Western Regional Hospital in Nepal
Summary
Cesarean section (CS) is a life-saving surgical procedure. WHO recommended CS rate is 10 - 15%.1. The rate of CS has been increased dramatically worldwide since few decades in middle and high-income countries.[2,3,4,5] Evidences have emphasized that CS should be performed only in medical indications.[5,6] High rate of CS is positively associated with postpartum antibiotic treatment and severe maternal and child morbidity and mortality.[2,5,6] In developing countries, like Nepal, local health system in remote areas is still facing major challenges to provide safe and timely CS procedure which can save life of both mother and fetus.[7] Rate of CS is still low in rural areas of Nepal.[8,9] rate of CS is high in urban areas of Nepal.[10,11,12] Private facilities and better education of women can be attributed for rising rate of CS in urban settings.[13] This study has explored the rate, indications and complications of CS in Mid-Western Regional Hospital in Nepal. Rising rate of caesarean section since few decades has been a global public health issue.This study is aimed to determine the rate of caesarean section plus examine the indications and complications of caesarean section
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