Dr Sameera Abbasi, Dr. Hafsa Malik Aulakh, Dr Iqra Ain Ali
Introduction: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. Objectives of the study: The main objective of the study is to analyse the rising trends of caesarean section worldwide and in Pakistan. Material and methods: This cross sectional study was conducted at Rawalpindi Medical University, during March 2019 to November 2019. This study was based on the local female population of Pakistan. Total number of selected patients was 500. Thorough history was taken and complete examination done. The data was collected through a questionnaire. Results: There were total 500 deliveries during this. On comparing the indications of cesarean section in two groups (table 1), fetal distress accounted for 112 cases in primigravida while it was an indication for 64 cases in multigravida (p value <0.001). Other indications were comparable in both the groups except for APE and APH. In primigravida, APE was responsible for 4.42% cesarean sections as compared to 0.73% cases in multigravida (p value <0.01). Conclusion: It is concluding that the current rates of CS, except for the least developed countries, are consistently higher than what is considered medically justifiable. Rate of primary caesarean section in primigravida is increasing as elsewhere and is higher than multigravida.