Bhandari B R
Department of Obstetrics and Gyanecology, MIDAT Hospital, Lalitpur, Nepal.
Kathmandu Univ Med J (KUMJ). 2017;15(60):284-287.
Background There has been a sustained increase in the rate of caesarean section in the last few years around the world. Caesarean section (CS) Audit which plays an important role in the analysis of rate, indications and outcomes of caesarean section, helps to modify the trend of caesarean delivery. Objective This study was done to know the indications and outcomes of caesarean section in Sindhu Sadabahar Hospital, Khadichaur, Sindhupalchok. Method A hospital based descriptive study was conducted in gynaecological department of Sindhu Sadabahar hospital, Sindhupalchok over 14 months period from 1st Baisakh 2070 to 30thAshad 2071 (14th April 2013 to 14th July 2014) among 218 women who underwent caesarean section. Result The foetal distress was the leading indication of caesarean section (34%, n=74). Non-progress of labour and prolonged second stage of labour were seen in 15.6% (n=34) women respectively. There was 3.2% (n=7) fresh still birth and 1.8% (n=4) early neonatal death. Total perinatal death was 5% (n=11). There were 12.1% (n=27) low birth weight baby and 9.9% (n=22) macrosomic baby. ≤ 5/10 Appearance, Pulse, Grimace, Activity and Respiration (APGAR) score at five minutes was seen in 35.5% (n=79) neonates. Conclusion This study showed that majority of patients had an emergency cesarean section for foetal distress, nonprogress of labour and prolonged second stage of labour. Prevalence of caesarean section was higher than the caesarean rate (15%) recommended by World Health Organization (WHO). Cesarean sections performed for appropriate medical or obstetric indications are life saving for both the mother as well as the new born.
在过去几年中，全球剖宫产率持续上升。剖宫产审计在分析剖宫产率、指征和结局方面发挥着重要作用，有助于改变剖宫产的趋势。目的：本研究旨在了解辛杜帕尔乔克县卡迪乔尔的辛杜萨达巴哈尔医院剖宫产的指征和结局。方法：在辛杜帕尔乔克县辛杜萨达巴哈尔医院妇科进行了一项基于医院的描述性研究，研究时间为2070年白莎克月1日至2071年阿沙德月30日（2013年4月14日至2014年7月14日），共纳入218例接受剖宫产的妇女。结果：胎儿窘迫是剖宫产的主要指征（34%，n = 74）。分别有15.6%（n = 34）的妇女出现产程无进展和第二产程延长。有3.2%（n = 7）的新生儿为新鲜死产，1.8%（n = 4）的新生儿为早期新生儿死亡。围产期总死亡率为5%（n = 11）。低体重儿占12.1%（n = 27），巨大儿占9.9%（n = 22）。35.5%（n = 79）的新生儿在出生后5分钟时的阿氏评分≤5分（外观、脉搏、 grimace、活动和呼吸）。结论：本研究表明，大多数患者因胎儿窘迫、产程无进展和第二产程延长而行急诊剖宫产。剖宫产率高于世界卫生组织（WHO）建议的剖宫产率（15%）。因适当的医学或产科指征进行的剖宫产对母亲和新生儿均有救命作用。
