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Original Research 


A study of primary cesarean section-its rate, indications, and complications in a tertiary healthcare in Sikkim

Sana Sharfuddin, Anup Pradhan, Md Nazar Imam.

Abstract
Background: The indication of performing lower uterine section caesarean section has been changing a lot in recent year and they are expected to go on changing on basis of continuing trials.

Aims and Objectives: The aims to study are to assess rate, frequency along with complications of primary cesarean section. Along with to study the incidence and indications of primary cesarean section and causes maternal as well as fetal morbidity and mortality in these cases.

Materials and Methods: This prospective study included all pregnant women after 28 weeks period of gestation who underwent caesarean section for the 1st time between December 2016 and June 2018 at Central Referral Hospital of Sikkim Manipal Institute of Medical Sciences (SMIMS), Gangtok, Sikkim – India. Over a period of 1.5 years, 750 women at Central Referral Hospital, SMIMS, Sikkim, India, underwent primary cesarean section.

Results: The percentage of primary lower uterine section cesarean section was 27.38% and total cesarean section rate was found to be 49.59% which is far more than the expected rate of 15% as proposed by the world health organization. Elective lower uterine section cesarean section was done in 341 cases (45.47%) and emergency lower uterine section caesarean section was done in 409 cases (54.53%). Patient’s desire was the most frequent indication for elective lower uterine section cesarean section (38.40%).

Conclusions: There is tremendous rise in rate of primary cesarean section with patient’s request being the most common indication of elective lower uterine section cesarean section.

Key words: Primary Cesarean Section; LSCS; Indications; Maternal Outcome; Perinatal Outcome


 
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How to Cite this Article
Pubmed Style

Sharfuddin S, Pradhan A, Imam MN. A study of primary cesarean section-its rate, indications, and complications in a tertiary healthcare in Sikkim. Natl J Physiol Pharm Pharmacol. 2023; 13(3): 566-569. doi:10.5455/njppp.2023.13.07378202208082022

Web Style

Sharfuddin S, Pradhan A, Imam MN. A study of primary cesarean section-its rate, indications, and complications in a tertiary healthcare in Sikkim. https://www.njppp.com/?mno=92613 [Access: May 03, 2023]. doi:10.5455/njppp.2023.13.07378202208082022

AMA (American Medical Association) Style

Sharfuddin S, Pradhan A, Imam MN. A study of primary cesarean section-its rate, indications, and complications in a tertiary healthcare in Sikkim. Natl J Physiol Pharm Pharmacol. 2023; 13(3): 566-569. doi:10.5455/njppp.2023.13.07378202208082022


Vancouver/ICMJE Style

Sharfuddin S, Pradhan A, Imam MN. A study of primary cesarean section-its rate, indications, and complications in a tertiary healthcare in Sikkim. Natl J Physiol Pharm Pharmacol. (2023), [cited May 03, 2023]; 13(3): 566-569. doi:10.5455/njppp.2023.13.07378202208082022


Harvard Style

Sharfuddin, S., Pradhan, . A. & Imam, . M. N. (2023) A study of primary cesarean section-its rate, indications, and complications in a tertiary healthcare in Sikkim. Natl J Physiol Pharm Pharmacol, 13 (3), 566-569. doi:10.5455/njppp.2023.13.07378202208082022


Turabian Style

Sharfuddin, Sana, Anup Pradhan, and Md Nazar Imam. 2023. A study of primary cesarean section-its rate, indications, and complications in a tertiary healthcare in Sikkim. National Journal of Physiology, Pharmacy and Pharmacology, 13 (3), 566-569. doi:10.5455/njppp.2023.13.07378202208082022


Chicago Style

Sharfuddin, Sana, Anup Pradhan, and Md Nazar Imam. "A study of primary cesarean section-its rate, indications, and complications in a tertiary healthcare in Sikkim." National Journal of Physiology, Pharmacy and Pharmacology 13 (2023), 566-569. doi:10.5455/njppp.2023.13.07378202208082022


MLA (The Modern Language Association) Style

Sharfuddin, Sana, Anup Pradhan, and Md Nazar Imam. "A study of primary cesarean section-its rate, indications, and complications in a tertiary healthcare in Sikkim." National Journal of Physiology, Pharmacy and Pharmacology 13.3 (2023), 566-569. Print. doi:10.5455/njppp.2023.13.07378202208082022


APA (American Psychological Association) Style

Sharfuddin, S., Pradhan, . A. & Imam, . M. N. (2023) A study of primary cesarean section-its rate, indications, and complications in a tertiary healthcare in Sikkim. National Journal of Physiology, Pharmacy and Pharmacology, 13 (3), 566-569. doi:10.5455/njppp.2023.13.07378202208082022


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