The Incidence and Indications of Caesarean Sections in King George Hospital (KGH), Visakhapatnam

• Author Details:   
• Sravani K ^*
• Lavanya P

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Background: Caesarean section is the delivery of the fetus alive or dead through an abdominal uterine incision after the period of viability. It is the most commonly done surgical procedure in the modern day practice for the better maternal and fetal outcome. To analyse the incidence and indication of caesarean sections is the main objective of this study. Materials and Methods: This is a prospective study conducted in King George Hospital, Visakhapatnam from June 2018 to May 2019. Data is collected and statistical analysis of various parameters like age, parity, antenatal care, period of gestation and indication of caesarean section is done. Results: Total number of deliveries occurred in KGH during the period are 2811. Of which C-Sections are 1241(44%). The leading cause for this is prior caesarean delivery (36%), followed by Nonreassuring fetal status (14.26%), Non-progression of labor (9.6%), Oligoamnios (8.3%), Malpresentation (7.4%), Failed induction (6.5%), Cephalopelvic disproportion (6.2%). Conclusion: Being a tertiary care hospital, a high rate of caesarean sections is observed. Nonreassuring fetal status is the leading cause of primary c-section. Individualization of indication and careful evaluation, following standard guidelines, practice of evidence based Obstetrics and audits may help to limit C-section rate. Keywords: Caesarean section, oligoamnios, malpresentation.