Saima Rafi Que, Gul E Raana.
Changing trends in caesarean section rate and indications.
Pak J Surg Jan ;28(1):60-4.

Objectives: To determine the caesarean section rate and to analyze the indications of caesarean section Study design: Institutional based cross sectional descriptive study Place and duration: The study was carried out over a period of six months (from September 2009 - Feb 2010) at Nawaz Sharif Social Security teaching hospital Lahore. Patients and method: Th e total number of live births was 1115 out of which 614 patients had caesarean section. The data of patient who underwent caesarean delivery were analyzed regarding the indication & maternal outcome. All information was collected by specially designed proforma. Result: Frequency of caesarean section in the study period was 55%. Out of total 614 cases, 420 (68.5%) patients under went emergency caesarean section while 194 (31.5%) had elective caesarean section. The indications of caesarean section in order of frequency were previous caesarean section in 346 (56.3%) patients, followed by fetal distress in 108 (17.5%); failure to progress in 88 (14.3%), mal-presentation & PIH in 20 (3.2%) cases each, placenta praevia in 18 (2.93%); twin in 8 (1.3%) and placental abruption in 6 (0.9%) cases. Conclusion: Caesarean section rate is quite high and previous caesarean section is the commonest indication followed by fetal distress. Obstetrical audit will help us a lot in reducing the rate.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com