THE PREVALENCE AND INDICATIONS OF PRIMARY CAESAREAN SECTION

*Dr. Selina Begum

ABSTRACT

Objectives: In this study analysis of cases where caesarean section was done for the first time in both primipara and multipara women. Methods: This observational cross-sectional study was carried out at Dhaka Combined Military Hospital, Bangladesh from January 2020 to March 2020. Total 205 pregnant women who underwent primary caesarean section were considered for the study. Results: During the study Primary caesarean section was done in 135 nulliparous women and 70 patients were parous women who had previous vaginal delivery,92 cases were belong to 21-25 years age group. Dystocia (failure to progress, CPD) in 79 cases (38%).62% study group went to hospital for antenatal care, Post-operative morbidity was 12%, maternal mortality was none and neonatal death were only 2 (0.97%). Conclusion: The increase in caesarean section rate may be due to combination of factors: increase safety of procedure, increase use of fetal monitoring. Medico-legal situation, obstetric indications and maternal request. Among the indication’s dystocia is the most common. Improved antenatal and intrapartum care can improve the obstetric outcome and low caesarean rate.

Keywords: Primary Caesarean section, nullipara, parous women.