%0 Journal Article
%T Caesarean Sections -Are we doing right ?
%A Vidyadhar B Bangal
%A Pravin S Thorat
%A Nisarg H Patel
%A Sai K Borawake
%J International Journal of Biomedical Research
%D 2012
%I 
%R 10.7439/ijbr.v3i6.540
%X Introduction- Caesarean section is the most commonly performed major emergency surgical procedure  in Obstetrics. With the improved caesarean skill of the obstetrician and  techniques of anesthesia, the caesarean section has become a safe surgical procedure .The rate of caesarean section has shown progressive rise in last three decades in most part of the world .The immediate operative morbidity and the likelihood of complications in subsequent pregnancies, raise question marks regarding rising caesarean section rates. Material and methods- Retrospective analysis of 3980 caesarean sections performed at tertiary care teaching hospital over six years period, was undertaken to find out the rate of caesarean sections, indications and associated maternal  morbidity and mortality . Results-The rate of caesarean section was in between 20 and 22 percent ,during the study period .The rate has been fairly constant throughout the study period. The common indications were previous caesarean section, fetal distress, cephalopelvic disproportion, pre-eclampsia or antepartum haemorrhage. Anemia and urinary infections resulted in postoperative febrile morbidity. Incidence of wound related complications were not significant .There were twelve maternal deaths ,of which six were  due to severe uncontrolled hemorrhage from placental bed during caesarean section. Conclusion-Caesarean section rate can be maintained at acceptable limits by judicious selection of cases, allowing vaginal births after caesarean sections, external cephalic versions , assisted vaginal breech deliveries in selected cases and proper interpretation of results of electronic fetal monitors. Pain relief by epidural analgesia can reduce the fear of labour and rate of elective caesarean sections.
%K Caesarean section rate
%K Indications of caesarean
%K Caesarean morbidity
%K mortality
%U http://www.ssjournals.com/index.php/ijbr/article/view/540