Maskey Smriti, Bajracharya Manisha, Bhandari Sunita
Department of Obstetrics and Gynaecology, KIST Medical College and Teaching Hospital, Lalitpur.
JNMA J Nepal Med Assoc. 2019 Mar-Apr;57(216):70-73. doi: 10.31729/jnma.4282.
Cesarean section is a surgical procedure performed to deliver fetus through abdominal route. Increasing rate of cesarean section worldwide is an alarming concern for public health and obstetricians due to increase in financial burden and risk to health of the mother in comparison to vaginal delivery. The aim of the study was to find the prevalence of cesarean section and its most common indication in a tertiary care hospital.
This descriptive cross-sectional study was done in a tertiary care hospital, from July 2016 to June 2018 after taking ethical clearance from institutional review board registration number 38970/062/063. Convenience sampling was done. Data was collected and entry was done in microsoft excel, point estimate at 95% CI was calculated along with frequency and proportion for binary data.
Out of total deliveries conducted, 862 (36.8%) were CS deliveries, 1477 (63.1%) were vaginal deliveries, and 12 (0.51%) were instrumental deliveries. Prevalence of CS is 862 (36.8%) at 95% CI (34.82%-38.78%). Mean age±S.D of delivering mother was found to be 26.1±0.25 years. Primi cesarean section was more than repeat cesarean section. Most common indication of cesarean section was fetal distress 243 (28%) followed by previous cesarean section 165 (18%), non-progress of labour 106 (12%), oligohydramnios 59 (7%), malpresentation 59 (7%), cephalo pelvic disorders 52 (6.5%), and hypertensive disorder in pregnancy 33 (4%).
Prevalence of cesarean section in a tertiary care hospital is high compared to WHO data. The most common indication of cesarean section are fetal distress and previous cesarean section.
剖宫产是一种通过腹部途径分娩胎儿的外科手术。由于与阴道分娩相比，剖宫产会增加经济负担和母亲的健康风险，全球剖宫产率的上升已成为公共卫生和产科医生令人担忧的问题。本研究的目的是在一家三级护理医院中找出剖宫产的患病率及其最常见的指征。
本描述性横断面研究于2016年7月至2018年6月在一家三级护理医院进行，研究获得了机构审查委员会的伦理批准，注册号为38970/062/063。采用方便抽样法。收集数据并录入微软Excel，计算95%置信区间的点估计值以及二分类数据的频率和比例。
在所有分娩中，862例（36.8%）为剖宫产，1477例（63.1%）为阴道分娩，12例（0.51%）为器械助产。剖宫产的患病率为862例（36.8%），95%置信区间为（34.82%-38.78%）。分娩母亲的平均年龄±标准差为26.1±0.25岁。初产妇剖宫产多于经产妇剖宫产。剖宫产最常见的指征是胎儿窘迫243例（28%），其次是既往剖宫产165例（18%）、产程无进展106例（12%）、羊水过少59例（7%）、胎位异常59例（7%）、头盆不称52例（6.5%）以及妊娠期高血压疾病33例（4%）。
与世界卫生组织的数据相比，一家三级护理医院的剖宫产患病率较高。剖宫产最常见的指征是胎儿窘迫和既往剖宫产。
