Frequency and outcome of high risk caesarean deliveries in a tertiary care hospital of a developing country

Document Type



Anaesthesia; Obstetrics and Gynaecology


Background: Caesarean section is a commonly performed operation with globally increasing prevalence each year. Global rate of Caesarean section has been estimated as 15%.The management of high risk pregnancies with medical comorbidities is becoming an increasing prominent responsibility for anaesthesiologists. This study of local experience is an initial overview of the spectrum of diseases in parturients in a tertiary care hospital.
Objectives: The purpose of this study was to observe the frequency of associated co-morbidities in patients coming for high risk Caesarean deliveries with ASA status III and IV. The secondary objectives included outcomes regarding morbidity and mortality, intensive care admissions and neonatal outcomes.
Methodology: It was retrospective chart review study, conducted at Aga Khan University Hospital. All patients who were given ASA status III or IV scheduled for elective or emergency Caesarean deliveries were included. in the study period (1st January 2010 till 31st December 2015).
Results and Conclusion: 11,500 Caesarean deliveries were performed during the period 2010- 2015.659 cases fulfilled our criteria for which data was collected and analyzed. The percentage of high risk deliveries was found to be 5.7%.Maternal mortality rate of found to be 0.6% with no direct anaesthesia related study.

Publication (Name of Journal)

Anesthesia & Analgesia