Analysis of caesarean rate, indications and complications: review from medical college Ambala, Haryana, India

Abstract

Background: Cesarean section remains the most commonly performed obstetric surgery but indications of it have been changed. Earlier it used to be done for health of the mother but now fetal interest has played a major role. The aim of the study was to find out incidence, indication of LSCS, maternofetal outcome in our rural medical college.Methods: This retrospective study was conducted at MMIMSR Mullana, Ambala, Haryana, India between 1st April 2015 - 30th March 2016. All women admitted for delivery in OBG department via OPD or emergency were taken in the study.Results: The total no of deliveries was 2196. There were 474 (21.6%) case of caesarean sections (LSCS). Among them 156 (32.9%) patients had elective LSCS, and 318 (67.1%) had emergency LSCS. Mean age of the study was 27.2 years. Fetal distress was the commonest indication of LSCS (25.1%) followed by pregnancy with previous LSCS. Post-partum hemorrhage (PPH) and adhesion were commonly encountered complications. Conclusions: LSCS due to maternal fetal indication is inevitable. Timely performed LSCS decrease the morbidity and mortality. Government also has taken initiative in making cesarean deliveries more acceptable and affordable to patients belonging to the rural areas.