To Evaluate the Indications of Caesarean Section among the Population of Karnataka: A Prospective Cross-Sectional Study.

ABSTRACT

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.