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Caesarean sections in developing and developed countries.

S Chhabra¹, A Shende, M Zope

¹Department of Family Welfare, Mahatma Gandhi Institute of Medical Sciences, Maharashtra, India.

The Journal of Tropical Medicine and Hygiene

|October 1, 1992

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This study analyzed 1086 caesarean births in a rural Indian hospital from 1987-1991. High rates of caesarean delivery were observed, particularly for obstructed labor and in primigravidas, highlighting global challenges.

Area of Science:

Obstetrics and Gynecology
Public Health

Background:

Caesarean delivery rates are a significant concern globally.
Developing countries face unique challenges in managing caesarean births.

Purpose of the Study:

To analyze caesarean delivery trends in a rural Indian setting.
To compare findings with national and international data.

Main Methods:

Retrospective clinical study of 1086 caesarean cases.
Data collected from 1987-1991 at a rural institute.
Review of contemporary Indian and global caesarean birth data.

Main Results:

The majority of women (86.19%) were aged 20-30 years.
Primigravidas accounted for 43.83% of cases.

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Obstructed labor and malpresentations were the most frequent indications for caesarean delivery.

Caesarean delivery rates were 17.76% for emergency and 14.64% for registered obstetric admissions.

Conclusions:

Caesarean birth incidence is high in both developed and developing nations.
Rural settings present specific challenges for caesarean delivery management.
Further research is needed to address the high incidence of caesarean births globally.