6. Rate and Indications of Emergency Caesarean Sections at a Teaching Hospital in Pakistan
Samia Tabassum, Sadia Ali and Sadia Shamsher
ABSTRACT
Objective: Caesarean delivery is an important aspect of emergency obstetric care and a major tool in the reduction of maternal and perinatal morbidity and mortality. This study was done to determine the rate and indications of emergency caesarean sections at Mardan Medical Complex, KPK, Pakistan. Study Design: Retrospective analysis
Place and Duration of Study: This study was conducted at the Department of Obstet & Gynae, Mardan Medical Complex, KPK, Pakistan from 1st January 2014 to 31st December 2014.
Materials and Methods: A retrospective analysis of the clinical records of all patients delivered by caesarean section was conducted. There were 5409 deliveries with 630 caesarean sections during the review period, giving a caesarean section rate (CSR) of 11.6%.
Results: There were 5409 deliveries with 630 caesarean sections during the review period, giving a caesarean section rate (CSR) of 11.6%. Emergency caesarean sections accounted for 533 (84.5%) caesarean deliveries. The main indications for emergency caesarean sections were repeat caesarean section (16.9%), fetal distress (16.9%), followed by obstructed labour (11.4%).
Conclusion: The rate of emergency caesarean section can be decreased by proper training of lady health workers, skilled birth attendants, and general practitioners, so that they can recognize the risk factors early on and arrange a timely referral of those cases that may need caesarean sections.
Key Words: caesarean section rate, emergency caesarean section, traditional birth assistants, fetal distress, repeat caesarean section
Citation of articles: Tabassum S, Ali S, Shamsher S. Rate and Indications of Emergency Caesarean Sections at a Teaching Hospital in Pakistan. Med Forum 2017;28(9):21-24.