The Dynamic Indication and Rate of Cesarean Delivery in Tertiary Care Hospital at Mysore, Karnataka

Background: Cesarean section is one among the fore most wide performed surgical procedure in midwifery Worldwide, it had been in the main evolved as a delivery procedure for mother and fetus throughout the delivery. To analyze the dynamic indication and rate of cesarean delivery. Objectives: To compare the normal and cesarean delivery.1 To find out the indication and rate of cesarean delivery. 2. To sort the indication of cesarean delivery. Methods: This prospective study was conducted over a time of one year from 1st April 2019 to March 2020, selected Hospital, Mysore, Karnataka. Data of patient who delivered by cesarean in our hospital throughout the study, rate was recorded and applied statistical analysis of varied parameters particularly, the rates, its indication of caesarean was done. Result: Majority of them mother belongs to the age group 23-27(46.9%) year. Greater part women were underwent first time cesarean section i.e. parity one 986(45.03%). The largest part of the women undergone emergency cesarean delivery 1571(86.08) and residual were gone for elective cesarean section 254(13.92) All have undergone c-section in spinal anesthesia 1825(100%) none of them taken general anesthesia. There were total 2625 deliveries during the study period, out of that 800 were normal delivery and 1825 by cesarean section, The primary, secondary and tertiary indication of cesarean section in the present study is are previous cesarean section 568(31.1%) Fetal distress 376(20.6) and Cephalo pelvic disproportion 245(13.4%) remaining, failure to progress in labour 149(8.2%), Oligohydramnios 69(3.8). Cephalo pelvic disproportion is the prime absolute indication 245(13.4%), followed by contracted pelvis 18(1%), central placenta previa 8(0.4%) and left behind are fibroid in pregnancy and uterine rupture 1(0.1%). Foremost relative indication is previous cesarean section 568(31.1%), followed by Fetal distress 376(20.6) and remaining, failure to progress in labour 149(8.2%), Oligohydramnios 69(3.8) ect. Conclusion: The dominant indication of abdominal delivery was previous caesarean section, the cesarean was done to save lots of life of the mother and baby.