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INDICATIONS AND RATE OF OCCURRENCE OF CESAREAN SECTION IN KHALIFA GUL NAWAZ TEACHING HOSPITAL BANNU TOWNSHIP BANNU

Dr Zubaida, Rabia Sajjad, Dr Madiha Amjad

Objective: The aim of this research work is to find out the rate of occurrence of Cesarean Section and to examine the indications for the introduction of the measures to control the existing rate of Cesarean Section. Methodology: This elaborate research work carried out in department of gynecology of Khalifa Gul Nawaz Teaching Hospital Bannu. The duration of this research work was from June 2016 to May 2017. In this research work, we analyzed the medical records of all the patients who underwent Cesarean Section. It contained all the females having pregnancy booked in antenatal center & un-booked pregnant females who got admission in in early labor stage for whom the indication of Cesarean Section came later. This also included all the female with pregnancy coming in the emergency with indication of cesarean section. The patients medically diagnosed with the ruptured uterus as proven by the findings of laboratory were not the part of this research work. SPSS V.11 was in use for the analysis of the collected information. We also calculated the frequencies & percentages. Results: In the duration of one year of this research work, we performed 300 cesarean section. The rate of Cesarean Section was 62.68%. We performed the emergency Cesarean Section in 57.18% (n: 200) patients & elective Cesarean Section in 38.68% (n: 100) patients. Among total 300 patients, 41.88% (n: 130) females were booked whereas 54% (n: 170) were un-booked. The most common indication was the repeat Cesarean Section present in 17.18% (n: 70) females followed by dystocia seen in 11.38% (n: 49) females, distress of fetal in 10.58% (n: 46) & ante-partum hemorrhage in 9.78% (n: 43) pregnant females. Miscellaneous indications were present in 2.18% (n: 14) pregnant females. Conclusion: Most of the patients who underwent Cesarean Section were un-booked and had to get emergency Cesarean Section The most common indication was the repeat Cesarean Section. Keywords: Cesarean Section, Dystocia, Underwent, Pregnant, Gynecology, Frequencies, Hemorrhage.

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