A STUDY OF SOCIO-DEMOGRAPHIC PROFILE OF WOMEN UNDERGOING CESAREAN SECTION IN A TERTIARY CARE CENTRE

Poonam Chouhan, Ankaj Sharma*, Rama Thakur, Suman Thakur and B. R. Thakur

ABSTRACT

Background: Caesarean section is one of the most commonly performed surgical procedure in today’s obstetric practice and it improves the parturition outcome. We conducted a study to compare the socio-demographic profile of women undergoing cesarean section in a tertiary care centre. Material & Methods: This was a Cross sectional comparative hospital-based study conducted at Kamla Nehru State Hospital for the Mother and Child, Department of Obstetrics and Gynecology, Indira Gandhi Medical College, Shimla from June 1, 2020 to May 31st, 2021). A total of 200 consenting participants (100 participants undergoing elective cesarean section & 100 participants undergoing emergency cesarean section) were enrolled. The analysis was performed using statistical package for social sciences (SPSS) version 21. Results: Majority i.e. 68.5% (137/200) of women belonged to age group 26- 35years, most of them i.e. 56.2% (77/137) underwent elective cesarean section and 43.7% (60/137) underwent emergency cesarean section which was significantly less (P value 0.03). 51% (102/200) were nulliparous and the rest 49% (98/200) were multiparous. The difference in elective and emergency cesarean sections in relation to parity was significant (P value 0.004). Most of the cesarean deliveries were done in women from urban background & the difference was statistically significant (P value 0.04). Majority of women who belonged to lower (73.9%) & upper lower class (59.6%) had emergency cesarean delivery whereas majority (85.1%) of women who belonged to upper middle class (85.1%) had elective cesarean delivery and the difference was statistically significant (P value < 0.05). Most of the women belonging to lower socioeconomic status were delivered by emergency cesarean section (overall P value 0.0003). Conclusion: Majority of women in the age group of 26-35years, multiparous, urban area, upper class & upper middle class had elective cesarean section while majority of women in the age group 19-25 years & >35years, nulliparious, rural, lower class & upper lower class had emergency cesarean section.

Keywords: Elective versus emergency, Cesarean section, Tertiary care centre, Socio-demographic profile.