RESUMO
The objective of this study was to analysis the Caesarean Birth in Private Teaching Hospital. Retrospective study. This study was carried out at the Department of Gynae /Obst Alkhidmat Teaching Mansoorah Hospital, Lahore affiliated with University College of Medicine and Dentistry, Lahore over a period of 1 year from April 2012 to March 2013. The study was carried out to analysis the indications and to assess the maternal mortality and mortality as well as fetal outcome after C/S. The frequency of caesarean section during the study period was about 46%. Indications included, repeat caesarean [38.21%], failed inductions [19.9%], fetal distress [15.6%], Ceaphaloplevic disproportions [7.6%] breech presentation [6.36%], APH and PIH [4.7%], Twins and mal presentations [3.82%] and other [3.66%]. Out of 628 patients [79.62%] were booked patients while [51.6%] patients had elective cesarean section. Anaemia, UTI, PPH and wound sepsis were common maternal complications. Two patients 0.31% died due to complications of surgery or anaesthesia. [97.29%] babies were born alive, [1.43%] were IUD either fresh or macerated while only [1.27%] babies died in the early neonatal period. Although caesarean section rate i.e.46.38% is quite high in our hospital but this is not a true caesarean section rate for a specific population. Majority of the patients who underwent C/s were booked, belonging to educated middle class families having awareness of the complications that may occur during trial of labour. Provision of adequate antenatal health services timely identification of high risk cases use of electronic fetal monitoring; involvement of senior, skilled and experienced personnel in the management of obstetrical emergencies are responsible for the apparently higher rate of caesarean section. In order to reduce C/S rate frequency of trial of labor must be increased with the goal of vaginal delivery but without compromising maternal and fetal health