KUMJ | VOL. 15 | NO. 4 | ISSUE 60 | OCT.-DEC. 2017
Indications and Fetal Outcomes of Caesarean Section in Sindhu Sadabahar Hospital, Sindhupalchok
Bhandari BR
Abstract: Background
There has been a sustained increase in the rate of caesarean section in the last few
years around the world. Caesarean section (CS) Audit which plays an important
role in the analysis of rate, indications and outcomes of caesarean section, helps to
modify the trend of caesarean delivery.
Objective
This study was done to know the indications and outcomes of caesarean section in
Sindhu Sadabahar Hospital, Khadichaur, Sindhupalchok.
Method
A hospital based descriptive study was conducted in gynaecological department of
Sindhu Sadabahar hospital, Sindhupalchok over 14 months period from 1
Baisakh
2070 to 30
th
Ashad 2071 (14
th
April 2013 to 14
th
July 2014) among 218 women who
underwent caesarean section.
Result
The foetal distress was the leading indication of caesarean section (34%, n=74).
Non-progress of labour and prolonged second stage of labour were seen in 15.6%
(n=34) women respectively. There was 3.2% (n=7) fresh still birth and 1.8% (n=4)
early neonatal death. Total perinatal death was 5% (n=11). There were 12.1% (n=27)
low birth weight baby and 9.9% (n=22) macrosomic baby. ≤ 5/10 Appearance, Pulse,
Grimace, Activity and Respiration (APGAR) score at five minutes was seen in 35.5%
(n=79) neonates.
Conclusion
This study showed that majority of patients had an emergency cesarean section
for foetal distress, nonprogress of labour and prolonged second stage of labour.
Prevalence of caesarean section was higher than the caesarean rate (15%)
recommended by World Health Organization (WHO). Cesarean sections performed
for appropriate medical or obstetric indications are life saving for both the mother as
well as the new born.
Keyword : Cesarean section, Fetal outcomes, Indication of cesarean section
