Obstetrics and Gynaecology
Background and objectives: Current research reports that Pakistan exceeds the recommended percent of deliveries via cesarean sections, including both emergent and non-emergent. In order to better understand the high rate of cesarean sections in Pakistan we examined the medical and non-medical indications of these surgeries at a private university hospital in Karachi.
Methods: A retrospective analysis of patient medical record data was conducted from January 1st, 2018 to March 31st, 2018. The data collected was analyzed using SPSS 25.
Results: The total number of deliveries during the period was n= 1,211, out of which n=602 (49.70%) were CS. The top five indications for CS were: repeat CS n=199 (44.20%), failure to progress n=58 (12.90%), abnormal lie n=42 (9.30%), fetal distress n=37 (8.20%), and fetal growth restriction n= 21 (4.70%).
Conclusion: This study contributes to a broader understanding of the indications of cesarean section rates in the developing world. This information can be used to improve infant and maternal health by reducing the complications associated with operative deliveries.
Kanji, Z, Simonovich, S D, Najmi, N, & Bishop-Royse, J. Examining clinical indications for cesarean section in a university hospital in Karachi, Pakistan. Journal of Asian Midwives. 2019;6(1):14–25.