|
|
||||
|
Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
||||
|
ISSN 1681-715X |
||||
|
||||
|
- |
||||
|
ORIGINAL ARTICLE |
||||
|
- |
||||
|
Volume 25 |
October - December 2009 (Part-I) |
Number 5 |
||
|
|
||||
|
|
||||
|
|
||||
|
Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
||||
|
ISSN 1681-715X |
||||
|
||||
|
- |
||||
|
ORIGINAL ARTICLE |
||||
|
- |
||||
|
Volume 25 |
October - December 2009 (Part-I) |
Number 5 |
||
|
|
||||
|
|
||||
Frequency and indications of cesarean
section in a tertiary care hospital
Gulfareen Haider1, Nishat Zehra2,
Aftab Afroz Munir3, Ambreen Haider4
ABSTRACT
Objective: To determine the frequency of cesarean section and to analyze the indications, so as to introduce measures to control the cesarean section rate.
Methodology: This descriptive study was conducted in obstetric and gynecology department of Isra university hospital Hyderabad Sindh from 1st Jan 2007 to 31st Dce 2007.In this study clinical record of all the patients who underwent cesarean section was analyzed. It included all the pregnant ladies booked in the antenatal clinic and unbooked patients admitted in early labour for whom cesarean section was indicated later. It also included all those cases coming in emergency at any time for which cesarean section was indicated. Clinically diagnosed cases of ruptured uterus proved on laparotomy were not included in the study. Data was analyzed on SPSS version 11 and frequencies as wall as percentages were calculated.
Results: During one year study period, 380 cesarean section were performed. The rate of cesarean section was 64.7%. Emergency cesarean section was performed in 225 (59.2%) patients and elective cesarean section in 155 (40.7%). Among 380 patients, 167 (43.9%) were booked while 213 (56.0%) were unbooked. Repeat cesarean section was the commonest indication seen in 73 (19.2%) patients followed by dystocia in 51 (13.4%) patients, fetal distress in 48 (12.6%) and ante partum hemorrhage in 45 (11.8%) patients. Miscellaneous indications contributed to 16 (4.2%) of the cases.
Conclusion: Majority of patients who underwent cesarean section was unbooked and had an emergency cesarean section. The commonest indication was repeat cesarean section.
KEY WORDS:
Cesarean section, Indications, Frequency.Pak J Med Sci October - December 2009 (Part-I) Vol. 25 No. 5 791-796
How to cite this article:
Haider G, Zehra N, Munir AA, Haider A. Frequency and indications of cesarean section in a tertiary care hospital. Pak J Med Sci 2009;25(5):791-796.
1. Dr. Gulfareen Haider, FCPS, M.S
2. Dr. Nishat Zehra , FCPS
3. Dr. Aftab Afroz Munir, FRCOG
4. Dr. Ambreen Haider, MBBS
1-3: Department of Obstetrics & Gynecology
Isra University Hospital,
Hala Road,
Hyderabad - Sindh, Pakistan.
4: Department of Cardiology,
LUMHS,
Hyderabad - Sindh, Pakistan.
Correspondence:
Dr. Gulfareen Haider
Assistant Professor
Department of Obstetrics & Gynaecolgoy,
Isra University Hospital,
Hala Road,
Hyderabad - Sindh,
Pakistan.
Email: gfareen@yahoo.com
* Received for Publication: December 1, 2008
* Revision Received: August 5, 2009
* Revision Accepted: August 24, 2009
HOME | SEARCH | CURRENT ISSUE | PAST ISSUES
Professional
Medical Publications
Room No. 522, 5th Floor, Panorama Centre
Building No. 2, P.O. Box 8766, Saddar, Karachi - Pakistan.
Phones : 5688791, 5689285 Fax : 5689860
pjms@pjms.com.pk
