Saeeda Bano, Myda Muzaffar, Masooma Zafar, Fareeha Yousaf.
Caesarean Section; its Frequency and Indications in DHQ Teaching Hospital, Sahiwal.
Professional Med J Jan ;25(7):1078-82.

Introduction: Caesarean Section (CS) is a surgical procedure carried out for the delivery of the baby when circumstances render the possibility of a safe vaginal birth. Though caesarean section can be life-saving in many situations, its unnecessary use has become a global health concern. For almost 3 decades, the ideal rate for caesarean sections was considered to be between 10% and 15% but its consistently increasing frequency over the past years has brought it to limelight. Objective: To determine the frequency and indications of Caesarean section at DHQ Teaching Hospital, Sahiwal. Study Design: A Cross-sectional descriptive study. Setting: Department of Gynaecology and Obstetrics, DHQ Teaching Hospital, Sahiwal affiliated with Sahiwal Medical College, Sahiwal. Period: It was carried out over a period of 6 months from December, 2016 to May, 2017. Methods: All the caesarean sections carried out during the study duration were included. Both maternal and fetal indications were recorded. The patients not willing to participate were not included. Results: Out of the total, Caesarean Section accounted for 44.7% of the total deliveries. 72.05 % were elective and 27.49% were emergency procedures. Most Common Indications were found out to be previous >2 C-Sections (36.4%), previous 1 C-Section (28.3%). Rest of them were breech presentation (2.69%), obstructed labor (1.68%), fetal distress (2.6%), placenta previa (8.08%), APH (2.02%), post-dated pregnancy (4.04%), uterine rupture (7.56%) and others (6.58%). Conclusion: It was concluded that >2 previous C-Sections is the most common indication. The high frequency should be controlled by proper counselling and education of the mothers and families, regarding the complications of caesarean section.

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