A Study on the Trend of Caesarean Section in Regional Institute of Medical Sciences

Abstract

Methods: A prospective cross-sectional study was conducted among 500
patients who underwent Caesarean delivery starting from October 2013 for a
period of 18 months till August 2015. All caesarean delivery cases above the
age of 18 were included. A comparative study was made with a previous study
conducted by Uttam Kumar Kharka titled ‘The Changing Trend of Caesarean
Section in Obstetric Practice’ in RIMS, Imphal in the year 2010. Also, the
indications for Caesarean Section along with the maternal and foetal outcome
for all the patients was followed up and documented.
Results: The total number of deliveries during the period was 18181 out of
which 6363 patients underwent Caesarean Section. The mean age of the
women undergoing Caesarean Section was 29.3 years and most common
among Hindu patients with middle socio economic class. It was also most
common in the second gravida with term pregnancy. Elective Caesarean
Section was done in 345 of the cases and emergency caesarean sections in 155
of the cases. The most common cause of Caesarean Section was Post
Caesarean Section patients with cephalopelvic disproportion. Out of all the
babies delivered, 8 were admitted in Neonatal Intensive Care with no neonatal
mortality.
Conclusion: There is an increase in the rate of caesarean section at 35%
compared to 28% in 2010, the most common indication being post caesarean
section with cephalopelvic disproportion with no maternal or neonatal
mortality.