Current Trend of Caesarean Section in a Tertiary Care Military Hospital

Caesarean section rates are increasing worldwide. It contributes to substantial maternal and perinatal morbidity and mortality.South Asian countries including Bangladesh have recorded substantial increases in caesarean sectionrates over the past decade. In Bangladesh, the caesarean incidence rate was 2.6 percent in 2001 and 12.2 percent in 2010. So, the incidence rate increased five times over the last decade.This descriptive cross sectional study was conducted at Combined Military Hospital (CMH), Savar, Dhaka during January 2014 to December 2015, aimed to assess the current trend of mode of deliveries of babies. A total of 1253 pregnant women who attendedthis tertiary level hospital, for their delivery,were enrolled in the study. The study subjects wereselected by simple random sampling. A pretested structured questionnaire was used for data collection. The mean age of respondents was 25.81 ±4.46 years. Most (72%) of them were between 20-29 years of age. Some thirty nine percent of the respondents completed secondary level of education. The study showed that among 1253 respondents, 70.3% underwent CS and 29.7 % had normal vaginal delivery. Most common indication for caesarean section was previous CS (42.4%) that contributed an increase in total caesarean birth. Lowest incidence was antepartum haemorrhage (0.9%). Prolonged labour and cervical dystocia, hypertensive disorder, malpresentation were also contributing factors for caesarean section. So, previous caesarean birth wa...
Source: Bangladesh Medical Research Council Bulletin - Category: International Medicine & Public Health Source Type: research