Rising Caesarean Rates: A Reason for Concern
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 5
Abstract
Background: Caesarean section has become increasingly common in both developed and developing countries. Robson proposed a new classification system, Robson’s Ten –Group classification system to allow critical analysis according to characteristics of pregnancy. The objective was to evaluate the CS rate in each group and strategies to reduce the CS rate in each category. Methods: This retrospective study was conducted for a period of one year from 1st January 2016 to 31st December 2016 at a 100 bedded hospital, ABGH hospital. Govt of NCT of Delhi, New Delhi. All the women delivered during this period were included in this study. Women were classified into 10 groups according to Robson’s classification. For each group we calculated its relative size, CS rates in each group and its contribution to the overall CS rates. Results: The total number of women delivered for this period of one year were 1697, out of which CS deliveries were 397.Hence the CS rate was 23.4% in the present study. Group 5 made the highest contribution in the overall CS rates (31.5%). 2nd highest contribution was given by group 2 (24.43%). Group 1 stood 3rd in the LSCS contribution rates,(20.15%). Groups 8, 9 and 10 made minimal contribution in the overall caesarean rates (0.5%, 0.76% 2.52% respectively). Conclusions: As concluded by World Health Organisation, Caesarean sections are effective in saving maternal and infant lives, but only when they are required for medically indicated reasons. At population level, caesarean section rates higher than 10% are not associated with reductions in maternal and newborn mortality rates. Hence to reduce the overall LSCS rates, much needed effort is needed to reduce the primary caesarean rates and also giving a boost to Trial of labor after caesarean (TOLAC) for encouraging vaginal deliveries in previous CS women.
Authors and Affiliations
Dr. Surya Malik
Keywords
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