Riffat Jaleel, Ayesha Khan.
Review of Cesarean sections at Lyari General Hospital.
Pak J Surg Jan ;23(4):291-5.

Objective: To determine the indications, morbidity and fetal outcome of Caesarean section in our set-up. Design & Duration: Cross sectional study from July 2005 to December 2006. Setting: Gynaecology & Obstetrics Unit V, Sindh Govt. Lyari General Hospital, Karachi. Patients: All patients undergoing Caesarean section. Methodology: Details of all cases including patients` characteristics, operative details, outcome and post-operative complications were recorded on a pre-designed proforma, and analyzed. Results: A total of 202 patients underwent Caesarean sections during the study period, the Caesarean section rate being 22.3%. Amongst these 26.2% patients were primigravidae, 56% were non-booked and 96.5% patients had co-morbid conditions. Dystocia (18.8%) was the most common indication for primary section, followed by malpresentations (17%) and foetal distress (17%). The frequency of repeat Caesarean sections was 42%, contracted pelvis being the commonest (37.2%) indication. Wound infection was the commonest maternal complication seen in 6.4% cases, while 13.3% babies suffered birth asphyxia. The perinatal mortality rate was 47.6/1000 births. Conclusion: Primary Caesarean section should be performed with clear justification. Pregnant women should be educated to seek antenatal care for early identification and management of problems. Unskilled birth attendants should be trained for early referral, as this will reduce maternal and perinatal morbidity and mortality.

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