Title: A Study on the Trend of Caesarean Section in Regional Institute of Medical Sciences in Imphal
Authors: Dr Harvey Vanlalpeka, Dr Ajit Kumar Singh, Prof S Randhoni Devi, Dr Rushulo Khing, Dr Pangertemsu
DOI: http://dx.doi.org/10.18535/jmscr/v4i7.67
Abstract
Objective: To determine the trend, indications and maternal and foetal outcome of Caesarean section in RIMS, Imphal.
Methods: A prospective cross-sectional study was conducted among 500 patients who underwent Caesarean delivery starting from October 2013 for a period of 18 months till August 2015. All caesarean delivery cases above the age of 18 were included. A comparative study was made with a previous study conducted by Uttam Kumar Kharka titled ‘The Changing Trend of Caesarean Section in Obstetric Practice’ in RIMS, Imphal in the year 2010. Also, the indications for Caesarean Section along with the maternal and foetal outcome for all the patients was followed up and documented.
Results: The total number of deliveries during the period was 18181 out of which 6363 patients underwent Caesarean Section. The mean age of the women undergoing Caesarean Section was 29.3 years and most common among Hindu patients with middle socio economic class. It was also most common in the second gravida with term pregnancy. Elective Caesarean Section was done in 345 of the cases and emergency caesarean sections in 155 of the cases. The most common cause of Caesarean Section was Post Caesarean Section patients with cephalopelvic disproportion. Out of all the babies delivered, 8 were admitted in Neonatal Intensive Care with no neonatal mortality.
Conclusion: There is an increase in the rate of caesarean section at 35% compared to 28% in 2010, the most common indication being post caesarean section with cephalopelvic disproportion with no maternal or neonatal mortality.
Keywords: Caesarean section, indication, mortality
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