Singh Neetu, Pradeep Yasodhara, Jauhari Sugandha
Department of Obstetrics and Gynaecology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Department of Community Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Int J Appl Basic Med Res. 2020 Oct-Dec;10(4):280-285. doi: 10.4103/ijabmr.IJABMR_3_20. Epub 2020 Oct 7.
Cesarean section is one of the most commonly performed surgeries in obstetric practice for saving the lives of women and their newborns from pregnancy- and childbirth-related complications. Its prevalence has increased alarmingly in the last few years, which has motivated this research to identify the indications and determinants, influencing cesarean section delivery in the study area and determine the associated correlates for emergency and elective cesarean sections.
This was a hospital-based cross-sectional study conducted at a tertiary care center from April 2019 to September 2019. A quantitative tool was designed to capture all the relevant information regarding sociodemographic factors, obstetric characteristics, and indications of cesarean section among the pregnant women delivering at the tertiary care center.
A total of 150 women with cesarean deliveries were included in this study. The percentage of primigravida women was significantly higher among emergency than elective cesarean section (χ = 28.19, = 0.0001). Majority of the women were illiterate or had primary education in emergency cesarean section than elective (χ = 44.9691, = 0.0001). Majority of the women with no or only one antenatal visit underwent emergency than elective cesarean sections (χ = 42.2195, = 0.0001). Those females who presented with previous Lower Segment Cesarean Section (LSCS) had greater chances of elective cesarean section, and it was statistically significant ( = 0.004).
The increase in cesarean section rate causes burden to the general health system and also strain on the family members. Hence, caution should be exercised in decision-making to perform cesarean section, especially for primigravida, and a comprehensive evidence-based approach needs to monitor the indication of cesarean section.
剖宫产是产科实践中最常进行的手术之一，用于挽救妇女及其新生儿免受与妊娠和分娩相关的并发症影响。在过去几年中，其发生率急剧上升，这促使本研究确定影响研究区域剖宫产分娩的指征和决定因素，并确定急诊和择期剖宫产的相关关联因素。
这是一项于2019年4月至2019年9月在三级医疗中心进行的基于医院的横断面研究。设计了一种定量工具，以获取在三级医疗中心分娩的孕妇中有关社会人口学因素、产科特征和剖宫产指征的所有相关信息。
本研究共纳入150例剖宫产妇女。初产妇在急诊剖宫产中的比例显著高于择期剖宫产（χ = 28.19，P = 0.0001）。与择期剖宫产相比，急诊剖宫产中大多数妇女为文盲或仅接受过小学教育（χ = 44.9691，P = 0.0001）。产前检查次数为零或仅进行过一次产前检查的妇女中，急诊剖宫产的比例高于择期剖宫产（χ = 42.2195，P = 0.0001）。那些既往有下段剖宫产史的女性进行择期剖宫产的机会更大，且具有统计学意义（P = 0.004）。
剖宫产率的上升给整个卫生系统带来负担，也给家庭成员带来压力。因此，在决定是否进行剖宫产时应谨慎，尤其是对于初产妇，需要采用全面的循证方法来监测剖宫产指征。
