audit of caesarean sections carried out in a tertiary care maternity unit

ABSTRACT

A study was carried out to determine the caesarean section rate and to analyse the indications thereof to control the growing CSR and associated complications. The prevalence of C -section during the study period was about 24%. Major indications included dystocia [25%], repeat C-Section [24%], fetal distress [15%] and breech presentation [11%]. Statistically significant changing trends in the indications of caesarean sections were observed; dystocia and fetal distress being the commonest causes during the first half and repeat C-Section in the later half of the study period. Specific characteristics of our obstetric population, flaws in the areas of antenatal surveillance and effective working of the referral chain and departmental polices regarding dealing with commonest indications of C-sections have been identified as major causes of high CSR