Aim: To evaluate the prevalence of cesarean section in a tertiary care hospital. Methods: A retrospective study on women who underwent LSCS over a period of 1 year. Department of Obstetrics and Gynecology, Katihar Medical College and Hospital,Katihar, Bihar, India . Out of the 489 deliveries, 200 were delivered by cesarean section. Variables including age, parity, gestational age, CS timing (elective or emergency), and indications for LSCS were collected from their case records and entered in the proforma. Results: A total of 489 deliveries were performed in the study duration of 1 year, of which 200 cases underwent cesarean section. The LSCS prevalence was 40.89% in our institution. We have assessed the common indications of LSCS performed in this study population. The majority of the LSCS were delivered between 37-40 weeks (69.5%) of gestation. Mode of conception was spontaneous for 96.5%, and 3.5% received infertility treatments the distribution of various indications for LSCS in the study population. LSCS was mostly done for ‘previous LSCS’ indication (87 cases, 43.5%), followed by failure of induction of labor (45 cases, 22.5%). Fetal distress was an indication in 18 cases (9%), Breech presentation in 13 cases (6.5%), PPROM in 11 (5.5%), CPD in 10(5%). Diabetes mellitus was found in 10% of the total LSCS population and pregnancy induced hypertension (PIH) in 4%. It was found that the lower segment was well formed in 90.5%, was thin in 5% and not formed in 4.5% of the study population. Adhesions were observed in 3% and scar dehiscence was present in 1% of cases. Conclusion: Although LSCS indications seen in our institute are the same in most institutions worldwide, efforts should be made to focus on reducing the primary LSCS rates thereby reducing the most common indication of previous LSCS in subsequent pregnancies.

Aim: To evaluate the prevalence of cesarean section in a tertiary care hospital. Methods: A retrospective study on women who underwent LSCS over a period of 1 year. Department of Obstetrics and Gynecology, Katihar Medical College and Hospital,Katihar, Bihar, India . Out of the 489 deliveries, 200 were delivered by cesarean section. Variables including age, parity, gestational age, CS timing (elective or emergency), and indications for LSCS were collected from their case records and entered in the proforma. Results: A total of 489 deliveries were performed in the study duration of 1 year, of which 200 cases underwent cesarean section. The LSCS prevalence was 40.89% in our institution. We have assessed the common indications of LSCS performed in this study population. The majority of the LSCS were delivered between 37-40 weeks (69.5%) of gestation. Mode of conception was spontaneous for 96.5%, and 3.5% received infertility treatments the distribution of various indications for LSCS in the study population. LSCS was mostly done for ‘previous LSCS’ indication (87 cases, 43.5%), followed by failure of induction of labor (45 cases, 22.5%). Fetal distress was an indication in 18 cases (9%), Breech presentation in 13 cases (6.5%), PPROM in 11 (5.5%), CPD in 10(5%). Diabetes mellitus was found in 10% of the total LSCS population and pregnancy induced hypertension (PIH) in 4%. It was found that the lower segment was well formed in 90.5%, was thin in 5% and not formed in 4.5% of the study population. Adhesions were observed in 3% and scar dehiscence was present in 1% of cases. Conclusion: Although LSCS indications seen in our institute are the same in most institutions worldwide, efforts should be made to focus on reducing the primary LSCS rates thereby reducing the most common indication of previous LSCS in subsequent pregnancies.