RESUMO
Background: The incidence of Caesarean Section (CS)is increasing day by day among urban and ruralpopulation globally. Hence, a need of the study wasrequired to find out the incidence of CS amongpopulation in a backward district of Karnataka. Aimand Objectives: To evaluate the rising trends in CS ratein both primigravida and multigravida. Material andMethods: This cross-sectional study was carried outamong 513 patients (92.7% rural and 7.3% urban)admitted in labour ward at a tertiary referral centre,Vijayapura, Karnataka. The indications were analysedby standard procedures and the decision for CS wereunder taken by qualified professionals accordingly.Results: Total incidence of CS in the present study was200(38.98%) out of 513 patients admitted. Out of 200patients who underwent CS, were found to beprimigravida 83 (41.5%) and were multigravida 117(58.5%). The most common indication of CS in thisstudy was found to be the Foetal Distress (FD) (35.5%)followed by Cephalo-pelvic Disproportion (CPD)(21%) and others (43.5%). Study also shows 90% ofrural patients (n=180) and 10% of urban patients (n=20)had underwent CS (n=200). Interestingly it was noticedthat age group of 21-30 years had maximum number ofCS (74%). Conclusion: The results indicate the highincidence of CS among rural population of Vijayapura,Karnataka of which the common indication was FD,dystocia and failure to progress of labour. The increasedincidence of CS is in primigravida and primary CS inmultigravida in the perspective of various societal andmedico-legal issues.
RESUMO
Background: The indications of Caesarean Section (CS) have been changing over time, along with a visible, much talked about rise in the rate. Without a doubt, C-sections can effectively prevent maternal and perinatal mortality when done for a medical indication. However, little is researched about the extent of maternal indications and the fetal outcomes of C-sections.Methods: Data of January to March 2012 and January to March 2017 was obtained by detailed study of the patient files from the Medical Records Department of the hospital. A predesigned proforma was used to record the relevant information. Data was analysed using standard statistical methods.Results: Cephalo pelvic disproportion (CPD) and fetal distress (FD) remained the major causes of CS in both the groups, being 50.4% in group2012 and 60.5% in group2017. Trends of CS due to maternal demand and tubal ligations are emerging. Though the rise in CS was not significant in the 5 year period having gone up from 45.41% to 48.81%, there was significant increase in deliveries without complications, having jumped up from 74.8% to 88.3%.Conclusions: As per the study, there was non-significant rise in the incidence of C-sections in the time period of study. Major contributory factors observed were CPD and FD, in which it is imperative to perform C-sections.