• Pak J Med Sci · Sep 2022

    To evaluate rising caesarean section rate and factors contributing to it by using Modified Robson's Criteria at a tertiary care hospital.

    • Erum Majid, Shazia Kulsoom, Sara Fatima, and Bader Faiyaz Zuberi.
    • Erum Majid, FCPS. Department of Obstetrics and Gynaecology, Ward-8, Jinnah Postgraduate medical centre, Karachi, Pakistan.
    • Pak J Med Sci. 2022 Sep 1; 38 (7): 2021-2025.

    ObjectivesTo determine the frequency of caesarean section with its indication by grouping according to Modified Robson's Criteria at JPMC.MethodsThis is a retrospective study done from 1st January to 30th June 2018. Records of all Caesarean Section performed during the study period were retrieved from elective and emergency operation theatres. Data was extracted from the emergency and elective Theatres registers. and entered in study proforma. Patients with missing data were contacted via a given phone number on file and data collected. None of the Patients Data was totally missing ,as all entries made were done very carefully .Data was entered in SPSS version 26.0. Group-11 and 12 were added in order to identify the main reason for the increase in caesarean sections.ResultsTotal number of deliveries in six months were 3400. Our study showed a Caesarean Section rate of 36.5 per all live births. The major group contributing was Group-5 (56%). Foetal distress (Group-12) and Primigravida with Inductions or caesarean section before labour (Group-2) showed nearly the same percentages 13.5% and 14% respectively.ConclusionsPlanning of the caesarean section of primigravida should be carefully decided. The role of safe VBAC plays the key role in decreasing Cesarean Section rate. Moreover, foetal distress and caesareans in Primigravida should be evaluated with great accuracy to decrease the caesarean section rate.Copyright: © Pakistan Journal of Medical Sciences.

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