A study of trends in caesarian section in a tertiary care hospital in faridabad

Background: WHO has considered the ideal rate for caesarean sections to be between 10% and 15%. Caesarean section done at proper time in a good health care facility can effectively decrease both maternal and perinatal mortality and morbidity. In India, C-section rates vary widely -- it is 6% in Nagaland and Bihar and 58% in Telangana, showed National Family Health Survey-4 (NFHS-4) data. Although many studies have been done on rates of Caesarian Section in various places , but no study on the rates and reasons for caesarian section has been done till date in ESIC institutions. This study was done to find out the caesarian rates and pregnancy outcome amongst the ESI beneficiaries in ESIC Hospital Faridabad. Methods: Cross-sectional retrospective study of deliveries conducted in a tertiary care hospital. Hospital records including case sheets of 250 LSCS done from January 1st to December 31st ,2019 in a tertiary care hospital were studied using a checklist. Systematic random sampling was used to select the records. Results: The total number of deliveries conducted during the year 2019 in this hospital were 3083. Out of these 1109 (36%) were caesarean sections (LSCS). 86% of caesarians were performed in Emergency. Mean age of mothers was 27 yrs.,27% were primigravida and 31% second gravida,42% gave history of previous LSCS. Mean gestational age at which LSCS were performed is 38 wks. of pregnancy. Main indications for performing LSCS were fetal distress (40 %) and previous LSCS.(32%) Majority of newborns weighed between 2.5 to 3.0 kg., and Apgar scores were 8 and10. No significant gender difference was observed in newborns.