Sajeela Noureen, Nusrat H Khan.
Changing trends in indications of Cesarean sections (a comparative study).
Med Channel Jan ;16(2):249-52.

INTRODUCTION: Women are now four times more likely to have caesarean birth than 30 years ago.2 The reasons for this increase in caesarean birth are multifactorial and most important is increasing number of women with prior caesarean delivery. The purpose of this study was to compare the frequency of caesarean section rate in past and recent years and to find out the changes in indications of caesarean section in recent years. STUDY DESIGN: Retrospective, comparative study. PLACE AND DURATION: Department of Obstetrics and Gynaecology unit iii, civil hospital Karachi, from 1997 to 2004. PATIENTS AND METHODS: This study was conducted in year 2004 in gynaecology and obstetrics department, unit 111 civil hospital Karachi. This was a retrospective, comparative study in which two year data i.e. of 1997 (group 1) and 2004 (group 2) was collected from the hospital record. Both groups were compared for caesarean section rate, and trends of indications of caesarean section. RESULTS: The rise in caesarean section rate was seen upto 4.4% in 2004 as compared to 1997. Amongst the statistics of year 2004, the drastic increase in the rate upto 9.96% was seen due to previous one caesarean section and associated problems e.g. scar tenderness

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