Profile of cesarean sections among primiparous women at a tertiary care hospital

Abstract

Background: World Health Organization has declared that an acceptable cesarean rate in any region should not be more than 15%. In modern obstetrics, cesarean section is an accepted standard procedure to reduce maternal morbidity and mortality. To reduce perinatal morbidity and mortality, cesarean section definitely helps, but it poses many health risks to the mother. In the present study, we aimed to study the primary cesarean rate, its complications, and the indications for primary cesarean sections in a tertiary care center. Material and Methods: This was an observational study conducted at a tertiary care teaching hospital.All the primiparous women delivering between October 2018 to May 2020 were included, and the cesarean rates, indications and complications were studied. were calculated. The data was taken from labor room register where details about every delivering woman is kept and the women are classified into different mutually exclusive groups based on Robson's Ten Group classification. Results: Among the delivering women enrolled during the study period, 42.55% of women delivered by cesarean section, and 54.97 % delivered vaginally. The primiparous cesarean rate was 40.9%. Conclusion: The study identifies a significant number of primiparous women undergoing cesarean section and suggests the need for appropriate labor care and regular audits.