Analysis of caesarean section at tertiary centre in North Karnataka

Background: There is increase in caesarean section (CS) rate worldwide. As per WHO CS are should be 10-15%. The present study is undertaken to know the incidence of CS at a tertiary centre and also to analyse the cases as per Robsons 10 group classification system. Methods: A prospective observational study was conducted in department of obstetrics and gynaecology at GIMS Kalaburagi from January 2023 to December 2023. All pregnant women of gestational age 28 weeks or more admitted to labour room and delivered are taken into this study. Detailed history and clinical examination are done, labour details are recorded. Maternal and perinatal outcome is studied. Results: Total deliveries in year 2023 were 8266, of which 4202 underwent CS incidence is 50.8%. Incidence of vaginal birth after CS (VBAC) is 1.1% group 5 followed by group 1 and group 10 were maximum contributors to overall CS 37.2%, 31% and 8.5% respectively. Perinatal mortality was 21.7/1000 birth. Conclusions: The incidence of CS is very high in our study, because ours is a tertiary centre, cases are referred late, leading to increase in CS rate. CS has got more maternal morbidity when compared to vaginal delivery, therefore primary CS should be reduced by proper labour monitoring and early referral and CS should be done appropriately when indicated.