ABSTRACT

BACKGROUND: Caesarean section is the major obstetric surgery performed to save the mother and child for reducing the maternal and perinatal mortality. The rapid increase of global caesarean rate has become the most debated topic in modern obstetric care.The World Health Organization (WHO) recommended that the population?based c-section rate should be 5% to 15%. Unnecessary c-section may impose detrimental effect on maternal and perinatal outcome with inadvertent increase in maternal and neonatal mortality and morbidity.

AIMS AND OBJECTIVE: a) To find out the indications of c-section along with their obstetric determinants.

b) To identify factors needed to be addressed for strategies for improved MCH care.

Materials and METHODS: This observational study conducted at College of Medicine and JNM Hospital, Kalyani upon all patients undergoing caesarean section at this facility from June 2021 to April 2022. Patients with previous caesarean sections and C-sections on maternal requests were excluded from the study.

RESULTS: A total of 1716 caesarean sections were studied among which 505 cases were elective and 1211 cases were emergency. The percentage of primigravida women was significantly higher in emergency group (82%) than elective ones (64%). The most common indication of all caesarean sections being presumed fetal distress (28.61%) followed by failed induction (22.78%).

CONCLUSION: Caesarean section is considered as a process indicator in maternal health. There is a tremendous increase of population causing increasing caesarean rate globally. This causes burden to the general health system and may complicate maternal and child health. Obstetricians should cautiously take decision regarding c-section delivery. The government should also develop better health?care infrastructure and caesarean audit strategies to decrease preventable maternal as well as perinatal mortality.

KEY WORDS: Caesarean section, Indications, Elective, Emergency

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