Document Detail

A critical appraisal of cesarean section rates at teaching hospitals in India.
MedLine Citation:
PMID:  12427402     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To obtain an estimate of cesarean section rates and examine the indications and consequences at teaching hospitals in India. METHODS: Information was obtained on total number of normal and cesarean deliveries during 1993-1994 and 1998-1999 from 30 medical colleges/teaching hospitals. In addition, prospective data were recorded for a period of 2 months on 7017 consecutive cesarean sections on indications for cesarean delivery, associated complications and mortality. RESULTS: The overall rate of cesarean section increased from 21.8% in 1993-1994 to 25.4% in 1998-1999. Among the 7,017 cesarean section cases, 42.4% were primigravidas, 31% had come from rural areas, 20.8% were referred including 8% with history of interference, 66% were booked cases, period of gestation was less than 37 weeks in 21.7% and in 18% the surgery was elective. Major indications for cesarean section included dystocia (37.5%), fetal distress with or without meconium aspiration (33.4%), repeat section (29.0%), malpresentation (14.5%) and PIH (12.5%). Maternal and perinatal mortality was 299/100,000 and 493/1,000 deliveries, respectively, and is high in spite of the increase in the cesarean section rates. CONCLUSIONS: There is need for standardized collection of information on all aspects of childbirth to ascertain the incidence and indications of cesarean section nationally so that comparison and improvements of care can take place.
I Kambo; N Bedi; B S Dhillon; N C Saxena
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  79     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-12     Completed Date:  2003-03-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  151-8     Citation Subset:  IM    
Division of Reproductive Health and Nutrition, Indian Council of Medical Research, Ansari Nagar, New Delhi, India.
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MeSH Terms
Cesarean Section / adverse effects,  statistics & numerical data*
Databases, Factual
Dystocia / epidemiology
Fetal Distress / epidemiology
Hospitals, Teaching / statistics & numerical data*
India / epidemiology
Labor Presentation
Maternal Mortality
Pregnancy Outcome
Pregnancy, High-Risk
Prospective Studies
Rural Population
Uterine Rupture / epidemiology

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