Document Detail


Persistence of fruitless caesarean sections in Indian rural women.
MedLine Citation:
PMID:  19821665     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Caesarean section is one of the commonest major surgical procedures in public and private hospitals. The worldwide rise in the caesarean section rate during the last 50 years is cause for alarm and a matter of concern. This increase deserves international attention not only because of health consequences, resource administration and policies, but also because high caesarean section rates are not associated with low perinatal mortality rates. The present study is an analysis of indications of caesarean sections performed with no take-home baby ('fruitless' caesarean section) between April 1983 and March 2007. It was revealed that the caesarean section rate has increased from 15.47% of births in 1983 to 37.96% births in 2007, and 03.75% of these were fruitless. The overall perinatal mortality rate has reduced from 91.56 in 1983 to 51.20 in 2007, for various reasons. This analysis reveals a large increase in caesarean sections with many being fruitless. While the major causes of perinatal mortality were sepsis, prematurity and congenital anomalies which need to be addressed, it is also essential to review the indications of caesarean section, so as to prevent fruitless caesarean sections.
Authors:
S Chhabra; A Jaiswal; S Raman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  29     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-13     Completed Date:  2010-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  718-21     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India. chhabra_s@rediffmail.com
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MeSH Terms
Descriptor/Qualifier:
Cesarean Section / mortality*,  statistics & numerical data*,  utilization
Female
Fetal Mortality / trends
Humans
India / epidemiology
Infant Mortality / trends
Infant, Newborn
Perinatal Mortality / trends*
Pregnancy
Retrospective Studies
Rural Population / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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