A STUDY ON RATE AND CHANGING TREND OF CAESAREAN SECTIONS IN LOCAL POPULATION OF PAKISTAN

Introduction: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and foetus during the difficult delivery. Objectives of the study: The purpose of this study is to analyze the rate and changing trend regarding caesarean sections in local population of Pakistan. Material and methods: This cross sectional study was conducted at Sharif Medical hospital, during 2017. This study was based on the local female population of Pakistan. Total number of selected patients was 500. Thorough history was taken and complete examination done. The data was collected through a questionnaire. Vitals were recorded and patients were closely monitored in labor room for fetal heart rate and progress of labor. Results: There were total 500 deliveries during this. On comparing the indications of cesarean section in two groups (table 1), fetal distress accounted for 112 cases in primigravida while it was an indication for 64 cases in multigravida (p value <0.001). Other indications were comparable in both the groups except for APE and APH. In primigravida, APE was responsible for 4.42% cesarean sections as compared to 0.73% cases in multigravida (p value <0.01). With respect to APH, abruption placenta was an indication in only 1.89% of cases in primigravida whereas in multigravida it lead to cesarean section in 12.73% cases (p value