E-ISSN 2231-3206 | ISSN 2320-4672
 

Original Research

Online Publishing Date:
05 / 05 / 2024

 


A retrospective study on proportion and indications of cesarean section in a tertiary care hospital

Ratan Chandra Mandal, Avijit Pan, Sripriya Nopany, Injamam Ul Hoque, Suman Maity, Tania Dey, Anjali, Brahmarshi Das.


Abstract
Background: The cesarean section (CS) stands as a prevalent and frequently conducted surgical procedure in obstetrics, both within India and globally. The rising rates of cesarean deliveries prompt a necessity to examine the factors that influence this trend.

Aims and Objectives: To analyze the proportion and different indications of CS to reduce the CS rate (CSR) in a tertiary care hospital.

Materials and Methods: This was a retrospective observational study, conducted over a period of 6 months, from July 1st, 2022, to December 31st, 2022, in the Department of Obstetrics and Gynaecology at Midnapore Medical College and Hospital, West Bengal, India. The data pertaining to patients who underwent C-section deliveries at our hospital during the specified period was documented, followed by a statistical analysis conducted to assess the proportions and various indications for CS.

Results: Out of 6365 women who gave birth during the study period, 2296 women underwent CS. This indicates that the proportion of CSs was 36.07%. The primary indication for CS was previous CS, accounting for 39.50%, followed by fetal distress (16.38%), preeclampsia with severe features and eclampsia (13.50%), severe oligohydramnios (7.40%), arrest of labor (5.70%), malpresentation (4.18%), antepartum hemorrhage (2.96%), premature rupture of membrane (2.70%), cephalopelvic disproportion (1.83%), induction failure (1.44%), fetal growth restriction (1.18%), multifetal gestation (1.09%), bad obstetric history (0.60), big baby (0.48%), cord prolapse (0.35%), and medical disorder (0.70%).

Conclusion: As a tertiary care hospital, we observed a high rate of cesarean deliveries. However, by individualizing indications and conducting careful evaluations in accordance with standardized guidelines, practicing evidence-based obstetrics, and conducting audits within the institution, we can work towards limiting the CSR. In addition, encouraging a trial of labor after a cesarean can be beneficial in reducing the overall rate of CS.

Key words: Preeclampsia with Severe Features; Oligohydramnios; Malpresentation; Trial of Labor after Cesarean Section


 
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How to Cite this Article
Pubmed Style

Mandal RC, Pan A, Nopany S, Hoque IU, Maity S, Dey T, Anjali , Das B. A retrospective study on proportion and indications of cesarean section in a tertiary care hospital. Natl J Physiol Pharm Pharmacol. Online First: 05 May, 2024. doi:10.5455/njppp.2024.14.02076202424042024


Web Style

Mandal RC, Pan A, Nopany S, Hoque IU, Maity S, Dey T, Anjali , Das B. A retrospective study on proportion and indications of cesarean section in a tertiary care hospital. https://www.njppp.com/?mno=190878 [Access: June 02, 2024]. doi:10.5455/njppp.2024.14.02076202424042024


AMA (American Medical Association) Style

Mandal RC, Pan A, Nopany S, Hoque IU, Maity S, Dey T, Anjali , Das B. A retrospective study on proportion and indications of cesarean section in a tertiary care hospital. Natl J Physiol Pharm Pharmacol. Online First: 05 May, 2024. doi:10.5455/njppp.2024.14.02076202424042024



Vancouver/ICMJE Style

Mandal RC, Pan A, Nopany S, Hoque IU, Maity S, Dey T, Anjali , Das B. A retrospective study on proportion and indications of cesarean section in a tertiary care hospital. Natl J Physiol Pharm Pharmacol, [cited June 02, 2024]; Online First: 05 May, 2024. doi:10.5455/njppp.2024.14.02076202424042024



Harvard Style

Mandal, R. C., Pan, . A., Nopany, . S., Hoque, . I. U., Maity, . S., Dey, . T., Anjali, . & Das, . B. (2024) A retrospective study on proportion and indications of cesarean section in a tertiary care hospital. Natl J Physiol Pharm Pharmacol, Online First: 05 May, 2024. doi:10.5455/njppp.2024.14.02076202424042024



Turabian Style

Mandal, Ratan Chandra, Avijit Pan, Sripriya Nopany, Injamam Ul Hoque, Suman Maity, Tania Dey, Anjali, and Brahmarshi Das. 2024. A retrospective study on proportion and indications of cesarean section in a tertiary care hospital. National Journal of Physiology, Pharmacy and Pharmacology, Online First: 05 May, 2024. doi:10.5455/njppp.2024.14.02076202424042024



Chicago Style

Mandal, Ratan Chandra, Avijit Pan, Sripriya Nopany, Injamam Ul Hoque, Suman Maity, Tania Dey, Anjali, and Brahmarshi Das. "A retrospective study on proportion and indications of cesarean section in a tertiary care hospital." National Journal of Physiology, Pharmacy and Pharmacology Online First: 05 May, 2024. doi:10.5455/njppp.2024.14.02076202424042024



MLA (The Modern Language Association) Style

Mandal, Ratan Chandra, Avijit Pan, Sripriya Nopany, Injamam Ul Hoque, Suman Maity, Tania Dey, Anjali, and Brahmarshi Das. "A retrospective study on proportion and indications of cesarean section in a tertiary care hospital." National Journal of Physiology, Pharmacy and Pharmacology Online First: 05 May, 2024. Web. 02 Jun 2024 doi:10.5455/njppp.2024.14.02076202424042024



APA (American Psychological Association) Style

Mandal, R. C., Pan, . A., Nopany, . S., Hoque, . I. U., Maity, . S., Dey, . T., Anjali, . & Das, . B. (2024) A retrospective study on proportion and indications of cesarean section in a tertiary care hospital. National Journal of Physiology, Pharmacy and Pharmacology, Online First: 05 May, 2024. doi:10.5455/njppp.2024.14.02076202424042024