Retrospective Analysis of Indications of Caesarean Section

INTRODUCTION:The increasing caesarean rate has become a major public health issue, because more women being delivered abdominally. There are various factors involved in the rise of caesarean Section. There has been increase in primary caesarean section rate, decrease in VBAC trial, decrease in operative vaginal delivery, increase in litigation, decreased threshold of patients for bearing labour pains METHODS AND MATERIALS: STUDY PERIOD :- January 2013- December 2013 STUDY DESIGN :- Retrospective analytical study We conducted retrospective analysis of various indications of all caesarean Section done from January 2013 to December 2013 in our hospital  ISO/ GOVT kasturiba Gandhi hospital .Chennai. RESULTS  In our study 5 major indications  for caesarean sections are previous caesarean section(31.3%),fetaldistress(16.1%), medical disorder complicating pregnancy(15.9%),oligohydamnios(10.8%) and failed induction(8.4%). CONCLUSION  Efforts must be taken to reduce the number of primary caesarean section to reduce the caesarean section rate to the minimum.