ANALYSIS OF RATE OF CHANGING TREND IN LOWER SEGMENT CAESAREAN SECTIONS IN LOCAL HOSPITALS OF PAKISTAN

Introduction: The incidence of cesarean section has doubled or tripled all over the world in the last 15 years. Though modern technology and facilities have made this operation remarkably safe, but still cesarean section is associated with increased risk of maternal morbidity and mortality as compared to vaginal delivery as well as it also complicates the management of subsequent pregnancies. Objectives of the study: The purpose of this study is to analyze the rate of changing trend in Lower segment Caesarean sections in local hospitals of Pakistan. Material and methods: This was a prospective study conducted at Services Institute of medical sciences Lahore, during 2016 to 2017. This study was based on the local female population of Pakistan. Total number of selected patients was 500. All patients who delivered vaginally or abdominally during this period were considered for study. Results: There were total 500 deliveries during this period. On comparing the indications of cesarean section in two groups , fetal distress accounted for 112 cases in primigravida while it was an indication for 64 cases in multigravida (p value