Safia Bibi, Khanda Gul, Palwasha Gul, Zeenat Gul.
Pattern of Cesarean Delivery in Bolan Medical Complex Hospital Quetta.
J Surg Pak Jan ;22(1):20-4.

Objective: To analyze contemporary practices of cesarean section (CS) at a public sector hospital. Study design: A retrospective study. Place & Duration of study: A Department of Obstetrics and Gynecology Unit-4, Bolan Medical Complex Hospital Quetta, from January 2011 to December 2015. Methodology: In this study clinical records of all the patients who underwent cesarean section were reviewed. This included booked, un-booked or referred cases. Data regarding the indications, type of cesarean deliveries and demographic features as well as outcome were noted. Results: Out of 27791 total births, 2951 were cesarean deliveries, giving a cesarean section rate of 10.6%. The highest number of CSs were performed in multigravidas (54%) followed by primigravida (28.5%) and grand multigravida (17.5%). The commonest indication for CS was previous cesarean section (50.1%) in which previous one LSCS was 29.9% and previous two or more LSCS were 20.2%. Other common indications were obstructed labor (12.1%), cephalo-pelvic disproportion (CPD - 6.1%), placenta previa (5%), labor dystocia (4.7%) and breech presentation (4.7%). Conclusions: Previous ceserean section was the commonest indication for CS. Multigravida ranked highest among women who underwent CS. The ceserean section rate in this study was 10.6 indicating better obstetric care.

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