Abstract

Background: The rate of cesarean births in India is steadily rising. It has already crossed the World Health Organization (WHO) threshold of 15 percent. The present study aimed to study the trends of cesarean birth in the Shimla district of Himachal Pradesh, India. Methods:Aretrospective review of records of Kamla Nehru Hospital, Shimla covering the period January 2016 to December 2020 was conducted. The total number of deliveries and cesarean deliveries conducted were retrieved. Results:Atotal of 34,799 deliveries were conducted in Kamla Nehru Hospital, Shimla from 2016 to 2020. There was a continuous increase in the number of deliveries conducted in Kamla Nehru Hospital, Shimla from 2016 to 2020. A total of 6476 deliveries were conducted in 2016, 6539 in 2017, 6926 in 2018, 7339 in 2019, and 7519 in 2020. Among the total deliveries, 9848 were done through cesarean section. On average, 28.30 % of deliveries were conducted through cesarean section. There was a constant increase in cesarean deliveries in Kamla Nehru Hospital, Shimla from 2016 to 2020. A total of 1820 (28.1%) deliveries conducted through cesarean section in 2016, 1947(29.78%)in 2017, 1964(28.36%) in 2018, 1978(26.95%)in 2019 and 2139(28.45%) in 2020. Conclusions: The study concluded that over 5 years there has been a rise in institutional deliveries in Himachal Pradesh. Trend analysis for the cesarean section has also shown an increasing trend.

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