COMMON INDICATIONS AND DETERMINANTS OF C-SECTION DELIVERY AT TERTIARY HOSPITAL MULTAN

摘要

Objective: To evaluate the common reasons for C/section done at tertiary care hospital and to look into their major determinants, in order to reduce the rate of C/section delivery and its associated mortality and morbidity. Study design: Retrospective, descriptive study. Place and duration of study: At Ibn-E-Siena Hospital, the duration of study was 1 year from November 2016 to October 2017. Material methods: The study included 250 patients who were delivered by Caesarean delivery. All the patients who were delivered abdominally after 28 weeks of gestation were included in this study. The women delivered abdominally before 28 weeks gestation were excluded from study. Results: The common indications for C/section in this study were previous C/section delivery in 37.6%, oligohydramnios 36%, fetal distress 12%, hypertensive disorders of pregnancy 7.2%, multiple pregnancy 5.6%, preterm labour 5.6%, failed progress of labour and bad obstetrical history 4.8% each, placenta previa 3.2% and cardiac disease 0.8%. Conclusion: Repeat C-section has become the commonest indications for C-section effort should be put in to reduce the rate of C/section in primigravidas, proper trial of labour should be given, and fetal distress should be properly diagnosed before going for C/section.