Dr. Fauzia Anbreen, Dr. Noor-e-Sahar, Dr. Annus Rasool
Background: Cesarean section is a procedure which is done when spontaneous vaginal delivery is not possible. It is a life-saving procedure in complicated deliveries but its unnecessary use is a health concern. Objective: To study frequency of cesarean section and its indications among subjects presenting to DHQ hospital Dera Ismail khan. Design & duration: It is a cross sectional descriptive study completed in six months duration. Setting: Gynecology and obstetrics ward of DHQ Hospital Dera Ismail Khan. Patients and methods: All cesarean sections and normal vaginal deliveries conducted at study hospital were selected in study group using consecutive sampling technique. Inclusion and exclusion criteria were applied for selection of subjects. After taking proper history, examination was done obstetrical ultrasonography and necessary laboratory investigations were done. Indications for cesarean section were recorded. Data was analyzed using SPSS software version 24. Results: Total 758 subjects were studied. Out of them 54.1% underwent normal vaginal delivery and 45.9% cesarean section. Age range of subjects was 15-45 years with mean age of 27.4±6.8 years. Maximum subjects (66.7%) were 25-35 years old. Mostly births (75.7%) were full term. There were 78.7% multigravida pregnant ladies. Elective cesarean was done in 73.1% and emergency cesarean in 26.9%. Most common indication of cesarean section was previous history of cesarean in 65.6% subjects. Conclusion: Previous history of cesarean section is the most common indication. It is common among multigravida mothers. Prior assessment of indications is necessary to plan mode of delivery. Key words: Cesarean section, vaginal delivery, indications.