Assessment of trend and etiological factors for cesarean delivery among women residing in Ahmedabad, Gujarat, India
DOI:
https://doi.org/10.18203/2320-6012.ijrms20171846Keywords:
Cesarean delivery, Socio-demographic profile, TrendAbstract
Background: Cesarean section (CS or C-section) is a surgical intervention and it is the 2nd commonest surgery performed on women in India after tubectomy operation. So, the study was conducted with objectives to assess the socio-demographic profile of recently delivered women and to assess the trend and etiological factors of cesarean delivery among women.
Methods: A cross sectional study was conducted among recently delivered women of Ahmedabad city, Gujarat, India during April to September 2015. Pretested performa was used for study after informed consent. Total 200 women were selected for study.
Results: Majority (56%) of women were belongs to 25 to 30 year. age group. Few (5%) of women were found illiterate. 31% women were delivered through cesarean section. Majority (63.5%) of women were delivered at Government hospitals. Most common reason (23%) for cesarean delivery was previous history of LSCS. Most preferred (33%) first choice of contraceptive method was barrier method.
Conclusions: Commonest reasons for cesarean deliveries were previous history of LSCS, Oligohydramnios and prolonged labor. Most preferred first choice of contraceptive method was barrier method followed by Oral Contraceptive pills.
References
Biswas AB, Das DK, Misra R, Roy RN, Ghosh D, Mitra K. Availablity and Use of Emergency Obstetric Care Services in Four Districts of West Bengal, India. J Health Popul Nutr. 2005;23(3):266-74.
Leone T, Padmadas SS, Mathews Z. Community Factors Affecting Rising Caesarean Section Rates in Developing Countries: an Analysis of Six Countries. Social Science and Medicine. 2008;67:1236-46.
Mishra US, Ramanathan M. Delivery-related complications and determinants of caesarean section rates in India. Health Policy and Planning. 2002;17(1):90-8.
Porreco RP, Thorp JA. The cesarean birth epidemic: trends, causes, and solutions. Am J Obstet Gynecol. 1996;175:369-74.
Gregory KD. Monitoring, risk adjustment and strategies to decrease cesarean rates. Curr Opin Obstet Gynecol. 2000;12:481-6.
NIH State-of-the-Science Conference statement on cesarean delivery on maternal request.NIH Consens State Sci statements. 2006;23(1):1-29.
Hopkins K. Are Brazilian Women Really Choosing to Deliver by Caesarean?” Social Science and Medicine. 2000;51:725-40.
Declercq E, Menacker F, MacDorman M. Rise in ‘No Indicated Risk, Primary Caesareans in the United States, 1991-2001: Cross Sectional Analysis. BMJ. 2005;330:71-2.
Gibbons L, Belizan JM, Lauer JA, Betran AP, Merialdi M, Althabe F. The Global Numbers and Costs of Additionally Needed and Unnecessary Caesarean Sections Performed per Year: Overuse as a Barrier to Universal Coverage. World Health Report. 2010.
Kambo I, Bedi N, Dhillon BS, Saxena NC. A Critical Appraisal of Caesarean Section Rates at Teaching Hospitals in India. Int J Gynecol and Obstet 2002;79(2):151-8.
IIPS and Macro International: National Family Health Survey (NFHS-3), 2005-06, India, Vol. I andVol. II, International Institute for Population Sciences, Mumbai. 2007.
Leone T, Padmadas SS, Mathews Z. Community Factors Affecting Rising Caesarean Section Rates in Developing Countries: an Analysis of Six Countries. Social Science and Medicine, District Level Health survey (DLHS-3). 2008;67:1236-46.
Primary Census Abstract for Slum. http://www.censusindia.gov.in/2011 (accessed on December 30, 2011).
