Sultana Anwar, un Nisa Aziz
Department of Gynaecology, Gomal Medical College, D. I. Khan and Ayub Medical College, Abbottabad.
J Ayub Med Coll Abbottabad. 2003 Jul-Sep;15(3):36-8.
Rates and indications of Caesarean Section (CS) are the subject of controversies. The safety of elective Caesarean Section in the developed world has given rise to another controversy. Now the women in the developed world are requesting elective caesarean section by choice as a mode of delivery in the absence of any specific indication. The indications of CS performed in a district hospital were studied.
The study is descriptive in type. It was carried out in District Headquarter Hospital for Women, D.I. Khan in 2002. The data was collected from the history sheets and labour room registers.
During one-year period, 209 CS were performed. The rate of CS was 11.86%. Emergency CS were 82.38%, elective CS were 17.14%, 18.1% were booked and 81.9% were un-booked. Antepartum haemorrhage contributed to 23.92%, obstructed labour to 18.09%, failure of progress to 13.3%, previous CS to 11.9% and cephalopelvic disproportion to 11.9% of the indications. Miscellaneous conditions contributed to 7.14% of the cases. In the majority of cases more then one factors had operated.
The study showed that all CS performed had specific indications. Caesarean Section was accepted as the last resort for delivery.
剖宫产（CS）的发生率及指征一直存在争议。发达国家选择性剖宫产的安全性引发了另一场争论。如今，发达国家的女性在没有任何特定指征的情况下，主动要求选择剖宫产作为分娩方式。本研究对一家区级医院实施剖宫产的指征进行了调查。
本研究为描述性研究。于2002年在迪尔汗女子区总部医院开展。数据收集自病历表和产房登记册。
在一年时间里，共实施了209例剖宫产。剖宫产率为11.86%。急诊剖宫产占82.38%，选择性剖宫产占17.14%，其中18.1%为预约剖宫产，81.9%为非预约剖宫产。前置胎盘出血占指征的23.92%，产程梗阻占18.09%，产程进展不佳占13.3%，既往剖宫产史占11.9%，头盆不称占11.9%。其他情况占病例的7.14%。大多数情况下，不止一个因素起作用。
研究表明，所有实施的剖宫产均有特定指征。剖宫产被视为分娩的最后手段。
