Frequency of Indications of Cesarean Section in Nulliparous Women Presenting in Labor

Abstract

Objective: To study the frequency of indications of cesarean section in nulliparous women presenting in labor.

Study Design: Descriptive case series

Place and Duration of Study: This study was conducted at the Obstetrics and Gynecology of Department, Ayub Teaching Hospital Abbottabad Jan 2019 to Dec 2020 for a period of two years.

Materials and Methods: 238 pregnant nulliparous females. Nonprobability purposive sampling technique. Only pregnant nulliparous females were included in the study. After taking written informed consent from every nulliparous pregnant female coming to labor room, history was taken, clinical examination and laboratory investigations were done. Data related to age, height, weight, BMI, parity and complications was obtained. All the data was subjected to SPSS version 20 for data analysis.

Results: The incidence of Cesarean section was maximum 175 (73.52%) at age group 16-20 years and was minimum 13 (5.46%) at age group 31-40. The incidence of Cesarean section was maximum 130 (54.62%) at height 5 feet and minimum 33 (13.86%) at height 5.5 feet. The incidence of Cesarean section was maximum 105 (44.11%) at weight group 45-60 Ibs and were minimum 33 (13.86%) at weight group 81-105 Pb. The incidence of Cesarean section was maximum 125 (52.52%) at body mass index 26-36 and was minimum 23 (9.66%) at body mass index 37-45. The incidence of Cesarean section was 123 (51.68%) in Lower segment cesarean section and 115 (48.32%) in vaginal delivery.

Conclusion: The rate of cesarean section in nulliparous was found to be 51.68% and this high rate could be explained on the basis of fact that the hospital receives high risk cases referred from other hospitals.