Department of Obstetrics and Gynaecology, Chitwan Medical College, Bharatpur, Nepal.
JNMA J Nepal Med Assoc. 2021 Sep 11;59(241):839-843. doi: 10.31729/jnma.6667.
Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue. This study aimed to find out the prevalence of cesarean delivery in a tertiary care center of Nepal.
A descriptive cross-sectional study was conducted among pregnant women at tertiary care centre from 15th September 2019 to 15th October 2020. Ethical clearance was taken from the Institutional Review Committee (Ref: CMC-IRC/077/078-200). Convenience sampling was done to reach the sample size. Basic demographic data, clinical indications and neonatal outcomes were noted. Data entry was done using Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
Out of 3193 total deliveries, cesarean deliveries were 1412 (44.22%) at 95% Confidence Interval (42.49-45.94). Among caesarean deliveries 1086 (76.9%) were emergency cesarean sections. Most common indication for cesarean section was fetal distress (24.9%). Among 1437 newborns, 1428 (99.4%) were live births, 1387 (98.2%) were singleton and 801 (55.7%) were male. Nearly one third 418 (29.1%) neonates required neonatal intensive care unit admission and transient tachypnoea of newborns (44.28% in emergency and 60.46% in elective cesarean delivery) was the most common indication for admission.
The prevalence of cesarean delivery was found to be higher than that recommended by the World Health Organisation. Fetal distress was the leading indication for cesarean deliveries.
在过去几十年中，全球范围内剖宫产率呈显著上升趋势，这已成为全球公共卫生问题。本研究旨在探讨尼泊尔一家三级保健中心的剖宫产率。
本研究采用描述性横断面研究，于 2019 年 9 月 15 日至 2020 年 10 月 15 日期间在三级保健中心对孕妇进行研究。本研究已获得机构审查委员会的伦理批准（注册号：CMC-IRC/077/078-200）。采用便利抽样法达到样本量。记录基本人口统计学数据、临床指征和新生儿结局。使用统计软件包 20 版进行数据录入。计算 95%置信区间的点估计值，以及二元数据的频率和比例。
在 3193 例总分娩中，剖宫产分娩 1412 例（44.22%），95%置信区间（42.49-45.94）。在剖宫产分娩中，1086 例（76.9%）为紧急剖宫产。剖宫产最常见的指征是胎儿窘迫（24.9%）。在 1437 例新生儿中，1428 例（99.4%）为活产，1387 例（98.2%）为单胎，801 例（55.7%）为男性。近三分之一（418 例）新生儿需要入住新生儿重症监护病房，新生儿短暂性呼吸急促（急诊剖宫产 44.28%，择期剖宫产 60.46%）是最常见的入院指征。
剖宫产率高于世界卫生组织推荐的水平。胎儿窘迫是剖宫产的主要指征。
