Profile of Caesarean Section at Kathmandu Medical College.
BACKGROUND
There is a world-wide rise in caesarean section rateduring the last three decades and has been a cause of alarm and needs an in-depth study. The objective of this study was to determine the rate and clinical indications of Caesarean Section.


METHODS
A hospital based study was carried out from 15th June 2015 to 15th January 2016 in Department of Obstetrics and Gynecology at Kathmandu Medical College, Sinamangal, Nepal. Patients who delivered by caesarean section were included in the study. Basic demographic data and clinical indications were noted.   Results: A total of 1172 deliveries were carried out during the study period. Total number of caesarean section was 537 accounting to 45.81%. Most of the patients were of the age group of 25-29 years (42.8%). Most of the patients were primigravida (n=274; 51%). Emergency caesarean section was 411 (76.5%) and elective caesarean section was 126 (23.4%). Multigravida (71%) underwent more elective procedure than primigravida (25. 39%).The most frequent indication was fetal distress19.55% (n=105), failed induction 19.73%(n=106), and previous caesarean section 21.3% (n=115).


CONCLUSIONS
The rate of cesarean section is quite high than that recommended by WHO which is (10-15%). Most of the caesarean sections were emergency caesarean section with previous caesarean being the leading cause.
['Prasad|Apurwa|A|', 'Bhandari|Garima|G|', 'Saha|Rachana|R|']
D000328:Adult D002585:Cesarean Section D017558:Elective Surgical Procedures D004630:Emergencies D005260:Female D020073:Gravidity D006785:Hospitals, University D006801:Humans D009390:Nepal D007744:Obstetric Labor Complications D011247:Pregnancy D012189:Retrospective Studies D012959:Socioeconomic Factors D055815:Young Adult
Caesarean section indication rate of caesarean section.