Exploring the incidence and causes of cesarean Delivery : Partially Mixed Concurrent quantitative and Qualitative analysis from a Medical College

Authors

  • Ayesha Ahmad Fellow in Advanced Gynaecology Laparoscopy, Fellow in fetal medicine. Associate Professor, Dept. Of Obst. And gynae, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • Fareha Khatoon Associate Professor, Dept. Of Obst. And gynae, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • Suman Nishad Assistant Professor, Dept. Of Obst. And gynae, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • - Saambhavi PG Trainee, Dept. Of Obst. And gynae, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • Sonali Sonam PG Trainee, Dept. Of Obst. And gynae, Era’s Lucknow Medical College and Hospital, Lucknow, India

DOI:

https://doi.org/10.3329/bjms.v21i2.58060

Keywords:

Cesarean Delivery; Vaginal delivery; Incidence of Cesarean section; Maternal morbidity

Abstract

Background: India has seen a rise in the incidence of cesarean deliveries (CD) especially in the last decade. The present national average stands at 17.2%, which if taken as a stand alone figure represents an almost ideal statistical measurement. However, the country has widespread regional variations in the CD rate, ranging from 4.4% to 35.9%. Auditing individual CD rates by each institution, and exploring reasons for high incidence remains an essential component of maternal care.

Aim of the study: The present study was done to find out the incidence of CD at our facility, compare it with the national average and explore reasons for high incidence of CD.

Methodology: It is a partially mixed concurrent quantitative and qualitative study including retrospective analysis of one year data and filling up of questionnaire from resident doctors. Data extraction was done from Maternity Ward, for all women who delivered during the aforementioned period in our facility, including socio-demographic profile, number of births, mode of delivery, reasons for induction of labour and any complications during childbirth. Statistical analysis was done using appropriate tests.

Results: A total of 621 deliveries were studied, out of which 44.6% delivered vaginally and 55.3% had CD.

Conclusion: The incidence of CD in the present study is 55.3% . The main reasons for high incidence of CD are high risk pregnancies, previous CD, fear of litigation and logistical delays in performing Category I cesarean section, prompting early decision for CD.

Bangladesh Journal of Medical Science Vol. 21 No. 02 April’22 Page : 284-290

Downloads

Download data is not yet available.
Abstract
23
PDF
59

Downloads

Published

2022-02-25

How to Cite

Ahmad, A. ., Khatoon, F. ., Nishad, S. ., Saambhavi, .-., & Sonam, S. . (2022). Exploring the incidence and causes of cesarean Delivery : Partially Mixed Concurrent quantitative and Qualitative analysis from a Medical College. Bangladesh Journal of Medical Science, 21(2), 284–290. https://doi.org/10.3329/bjms.v21i2.58060

Issue

Vol. 21 No. 2 (2022)

Section

Original Articles

License

Copyright (c) 2022 Ayesha Ahmad, Fareha Khatoon, Suman Nishad, Saambhavi, Sonali Sonam

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.