Caeserean Section is a common operative procedure in obstetric practice throughout the world to ensure a healthy outcome of the mother and new-born. The advent of modern anesthesia, antibiotics and availability of blood transfusions the indications of this ceaserean section are being continually extended. It has been reported that the implementation of modern technology in labour and neonatology unit showed the incidence of abdominal delivery further raised to prevent potentially grave foetal and maternal morbidities. The rate of Caeserean delivery in the United States has quadrupled from 5% of obstetric delivery in 1964 to more than 23% in 1991¹.The national C - section rate of Canada was20% and Italy was 17.5%².

 The present study to determine the incidence and evaluate its indications in the department of Obs & Gynae in GVMCH, Vellore (Govt Vellore Medical College). This is a step to find out unnecessary indications of LSCS which may in future reduce the incidence rate in the country.

In India the ‘C’ section rate also increased up to 35%-45%. In Tamilnadu more than 90% deliveries are conducted by Govt institutions like ‘cemonc’ centre. Here we want to institution than Vellore in semi urban area, GVMCH is tertiary care unit all high risk and complicated cases from PHC and GH are managed by NS.

Keyword: Caeserean section, indications.

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Dr A.Rajeswari

Head, Department of Obstetrics and Gynaecology,

Government Vellore Medical College, Vellore, Tamilnadu, India