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FREQUENCY AND INDICATION OF CAESAREAN SECTIONS IN A TERTIARY CARE HOSPITAL IN KASHMIR

INTRODUCTION: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide.
There is progressive increase in caesarean deliveries across the world; in developed as well developing countries. Our aim
of the study was to determine the frequency and pattern of caesarean section indications in a tertiary care hospital in Kashmir.
MATERIALS AND METHODS: This retrospective observational study was carried in patients who were admitted in Lalla Ded hospital,
Department of Obstetrics and Gynaecology Government Medical College Srinagar during the study period from November 2020 to February
2021.All those pregnant females who delivered during this period either vaginally or through caesarean section were included in this study.
RESULTS: In our study the total number of deliveries was 6448.Of these caesarean sections were 4140(64.2%) and FTVD were 2308(35.8%).
Among 4140 patients ,1150(27.8%) had primary caesarean section and 2990(72.2%) had repeat caesarean section.
CONCLUSION: The caesarean section rates in our study are very high as compared to the WHO standards and the most common indication
being previous caesarean section. There is an urgent need for reduction in rates of primary caesarean sections, formulation of guidelines for the
absolute indications of caesarean sections and strong commitment at higher level of government.