ASSESSMENT OF INDICATIONS FOR LOWER SEGMENT CAESAREAN SECTION IN A SECONDARY CARE CENTRE: A RETROSPECTIVE STUDY

Dr. Twinkle Sood and *Dr. Divya Dhiman

ABSTRACT

Background: Caesarean section (CS) is one of the commonly performed surgical procedures in obstetrics worldwide. In modern obstetrics a trend towards an increase in the caesarean section rate has been seen. The present study was conducted to estimate proportion of various indications of lower segment caesarean section (LSCS) in a secondary care centre. Methods: This was a descriptive retrospective study conducted over a period of 1 year on all patients who underwent caesarean section at civil hospital, Palampur, Himachal Pradesh. Data of patients who delivered by C-Section in our hospital from 1st January, 2022 till 31st January, 2022 was recorded and a statistical analysis was done for various indications of the lower segment CS. Results: The total number of deliveries conducted over a period of 1 year were 2030 out of which 528 women were delivered by CS and 1502 had normal vaginal delivery. Caesarean section rate was 25.98%. Previous LSCS was the most common indication for LSCS (36.36%). Other common indications were foetal distress (23.86%) and abnormal presentations (20.83%) which includes breech, transverse lie, oblique lie and face presentation. Conclusions: The caesarean section rate is higher than the WHO recommended rate of 10-15%. Caesarean section can cause significant and sometimes permanent complications and should be undertaken when medically necessary. Since previous LSCS forms the most common indication for repeat CS more effort should be made to encourage patient for TOLAC (trial of labor after caesarean section) wherever possible.

Keywords: Indication, Caesarean Section, Secondary Care.