CESAREAN DELIVERY RATES AND INDICATIONS AT A TEACHING HOSPITAL
Keywords:
Cesarean section, Cesarean section rate, primipara, M aternal m ortality ratio, Perinatal m ortality rate (PNMR)Abstract
A descriptive study was conducted to assess the cesarean delivery rates. Indications and fetomaternal outcome at the D epartm ent o f Gynecology and Obstetrics, U nit 1V, Sindh Govt. Lyari General Hospital, Karachi, from June 2005 to M ay 2008. Demographic and obstetrical data of the subjects under going cesarean section was collected. During the study period, 506 cesarean sections were performed at the rate of 22.92%, 22.78% and 22.83% in respective years. Unbooked cases were 47.43 %. Primiparous wom en were 33.5 %. M ajority (80.83 %) were between 21-30 years o f age. Elective cesarean sections were 16.2% and emergency section were 83.79%. Main indications of cesarean sections in primiparous women were dystocia (35%), malpresentation (17.6%) and fetal distress (16.4%). In multiparous women, m ain indications were previous cesarean section
(53%), malpresentation (12.7 %) and dystocia (12.5 %). Projected maternal mortality ratio was 197.6/100,000 live births and perinatal m ortality rate was 69/1000 live births.
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Copyright (c) 2021 Shakira Parveen, Subhana Tayyab
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