Indian Journal of Obstetrics and Gynecology Research


Retrospective Observational Study of Caesarean Section Cases in a Tertiary Care Hospital in Odisha


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Author Details: Manasi Patnaik, Banya Das

Volume : 4

Issue : 2

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 112

Article End Page : 115


Abstract

Objective: To study the incidence and indications of LSCS.
Place and Duration: This study was carried out from January to July 2016 in Department of Obstetric and Gynaecology, KIMS, Bhubaneswar.
Methodology: In this retrospective analytical study, the total number of patients delivered and the number of LSCS done in the above mentioned study period were counted to find the incidence of LSCS in our hospital. Age, parity and gestational age of the patients who underwent LSCS were tabulated. The indications of LSCS were analyzed from pre operative and intra operative findings.
Result: In our study the incidence of LSCS was 67.67%. Of these patients 43.22% belonged to age group 26 -30 yrs and 2.6% patients were in 35 – 39yr age group. 1.49% patients were less than 20 yrs of age and 0.37% were more than 40 yrs.
58.73% of patients were primigravida whereas 28.06% were second gravid and 13.19% were gravida three or more. In 50.74% LSCS was done at > 38 – 42 wk gestational age (GA) followed by 40.89% in 34 – 38wk GA and 8.36% in <34wks of GA.
The commonest indication of LSCS was previous caesarean section in 23% followed by cephalo pelvic disproportion(CPD) in 11.3%, preterm premature rupture of membranes and premature rupture of membranes in 9.8%. Pregnancy induced hypertension (PIH), foetal distress and oligohydramnious each accounted for 9.4%. 1.67% patients underwent LSCS after some form of treatment for primary infertility and 0.73% of patients had LSCS on request.
Conclusion: LSCS rate is high compared to the WHO standard and previous LSCS is the commonest indication followed by CPD.

Keyword:
Lower Segment Caesarean Section, Indication, Previous Caesarean Section