DefinePK

Abstract

Objective: To evaluate the common reasons for C/section done at tertiary carehospital and to look into their major determinants, in order to reduce the rate of C/sectiondelivery and its associated mortality and morbidity. Study design: Retrospective, descriptivestudy. Place and duration of study: At Ibn-E-Siena Hospital, the duration of study was 1 yearfrom November 2016 to October 2017. Material methods: The study included 250 patientswho were delivered by Caesarean delivery. All the patients who were delivered abdominallyafter 28 weeks of gestation were included in this study. The women delivered abdominallybefore 28 weeks gestation were excluded from study. Results: The common indications forC/section in this study were previous C/section delivery in 37.6%, oligohydramnios 36%, fetaldistress 12%, hypertensive disorders of pregnancy 7.2%, multiple pregnancy 5.6%, pretermlabour 5.6%, failed progress of labour and bad obstetrical history 4.8% each, placenta previa3.2% and cardiac disease 0.8%. Conclusion: Repeat C-section has become the commonestindications for C-section effort should be put in to reduce the rate of C/section in primigravidas,proper trial of labour should be given, and fetal distress should be properly diagnosed beforegoing for C/section.