Indications of Primary Caesarean Section: In A Medical College Hospital, Bangladesh.

ABSTRACT

Caesarean sections carry out properly and following suitable medical indication are potentially life-saving procedures. At the same time, in many settings, women are increasingly subjected to caesarean sections without any appropriate indication which may contribute to the worldwide secular trend towards higher rates of caesarean sections. Aim of this study was to find out the indications of primary caesarean section. It was a cross sectional observational study and carried out in the department of Obstetrics & Gynaecology, Mymensingh Medical College Hospital, Mymensingh, Bangladesh from December 2013 to May 2014. Total 100 patients were included in this study, both primi & multigravidae women at their term pregnancy, had primary caesarean section for delivery. Maximum 44% of patients were from the age group <20 years. More than 60% of the patients were primigravidae. Of the 100 patients, fetal distress was the highest (31%) indication among the list. Other common indications were failed induction (13%), severe pre-eclampsia (7%), eclampsia (4%), CPD (9%), APH (8%), breech presentation (7%), obstructed labour (5%) etc. Emergency operations were performed in majority (79%) of the mothers and elective operations in rest (21%) of the mothers. This study shows that the most common indication of primary caesarean section was fetal distress. Other common indications were failed induction, severe pre-eclampsia, eclampsia, CPD, APH, breech presentation, obstructed labour etc.