Tehmina Parveen, Seema Ghani, Ramna Devi.
Rising trend in primary caesarean section among low risk Nulliparous women.
Pak J Surg Jan ;37(1):37-43.

Caesarean section rates have increased dramatically all over the world, in our hospital there is a sharp rise in caesarean delivery at first birth, which ultimately leads increased repeat caesarean section. We want to do this study to evaluate our practice performance and see why it is raising it may be help us to achieve the target. Objective: The objective of this study was to identify the rate and major causes of primary caesarean section among low risk (term, vertex and singleton) nulliparous women. Material and Methods: A prospective observational study carried out on 300 women with singleton foetus at Hospital, Karachi from January 2015 to December 2018. The study was evaluate all primary caesarean section in nulliparous women with vertex presentation in full term pregnancy. Result: We included 300 pregnant women of reproductive age group (18-40 years), we found the most common indication of caesarean section was compromised foetal heart rate 101(33.6%), non-progress of labour (primary dysfunction 53(17.7%) and secondary arrest 43(14.3%). Conclusion: We concluded that intra-partum caesarean sections rate can be reduced by the implementation of evidenced-based protocols and training workshops on labour management, this could help in reducing the high Caesarean section rate.

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