Abstract

Evaluation and Comparison of Indications for Primary and Repeat Cesareans: A Retrospective Study at Tertiary Care Hospital in Jammu

Objectives: The uncontrolled wave of cesarean rates has increased globally which has resulted in a significant amount of maternal mortality and morbidity. The present retrospective study aims to evaluate the clinical indications, demographic characteristics for repeat cesarean sections and then compare them with primary cesarean sections to draw some valid inferences. Methods: The present retrospective study has been carried out at the Department of Obstetrics and Gynaecology, SMGS Hospital, Jammu, India. The data regarding the total number of primary and repeat cesarean sections during (March 2015-Feb 2020) were collected from the record section of the hospital. All patients who underwent cesarean sections during the study period were included in the study. Results: In the current study we observe that the most common indication for cesarean deliveries is elective which nearly accounts for (41%) and the other indications for repeat cesarean were fetal distress (15.5%), dystocia (11.4%), breech (7.8%). Conclusion: We suggest strategically focusing on elective category patients and making them favorable for normal vaginal delivery which is only possible by establishing proper counseling cells at the gross root level.

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