Trend of Caesarean Sections in Azad Jammu & Kashmir

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Professor, Consultant Pathologist, American Board Certified Pathologist, Fellow College of American Pathologists. Areas of interest Fine Needle Aspiration Cytology, Cytology, Cancer, Ethics, Islam, Humanity

Trend of Caesarean Sections in Azad Jammu & Kashmir

*Komal Manzoor, *Qurat ul Ain Malik, Maryam Saleem Raja, Maria Iftikhar Raja

Azad Jammu & Kashmir Medical College, Muzaffarabad Azad Kashmir

Abstracts

Introduction: C-section is a major surgical procedure to secure the life of baby and mother when required. Extensive variation in the frequency of C-Section is present between different areas and maternity centers indicating medical ambiguity and disparity in practice.

Objective: To determine the frequency and indication of caesarean section in tertiary care centers of Azad Jammu & Kashmir.

Materials & Methods: The study was conducted at teaching hospitals of Azad Jammu Kashmir Medical College. A total of 1633 Pregnant Women admitted in gynae ward from January-March 2014 were included in the study. Out of these, 71 cases were enrolled after informed consent to evaluate the factors responsible for C-section.  Women with inadequate background knowledge, low educational status and from remote areas which were not easily accessible were excluded from this study.

Results: During these three months of study period; there were 1633 deliveries in teaching hospitals of AJKMC. Out of these cases 1020 (62.46%) were vaginal deliveries and 613(37.53% ) were caesarean sections. A total of 71 cases with maternal ages ranged from 18-45 years were evaluated to analyze the factors responsible for rising trend. Out of these observed cases 54.9% were elective and 45.1% were emergency. Social status was poor in 35.2% and middle in 64.7%. Regarding parity primigravida were 38.02% and multigravida were 61.9%.Distance of referral areas ranged 50-150 km. Reasons for caesarean were fetal indication 29.57%, Cephalopelvic disproportion 22.53%,Breech presentation 18.31%,Hypertensive disorder 15.49%.  In 10.9%  no satisfactory explanation for C-section was found.

Conclusion: The study showed high caesarean section rate of 37.5% in both hospitals which is much higher than the WHO recommended rate of 15%.

Key words: Caesarean Sections, fetal indication , Cephalopelvic disproportion ,Breech presentation, Vaginal Deivery

         

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