Identify modifiable risk factors and their individual contribution to caesarean delivery

Abstract

OBJECTIVE: To identify modifiable risk factors and their individual contribution to caesarean delivery

 DESIGN: Prospective Descriptive Case Series

PLACE AND DURATION: Obstetrics and Gynecology Department, Unit II, Foundation University Medical College, Fauji Foundation Hospital Rawalpindi, (15-7-2019 to 30-7-2022)

 METHODOLOGY: An Informed written consent was taken from subjects and they were provided a number, and the data kept confidential. Subjects with previous one LSCS were selected by consecutive non-probability sampling technique. A thorough clinical assessment performed after fulfilling inclusion criteria. Subject with non-recurrent cause of their previous LSCS who underwent repeat caesarean section either elective or emergency were included in the study. Their demographics, risk factors and indications for repeat caesarean section recorded on a predesigned preform. Analysis of the data done using SPSS 21

MAIN OUTCOME MEASURES: Identify modifiable risk factors for LSCS

RESULTS: Total patients with previous one scar were 491, out of which 388(79.02) had repeat caesarean delivery. In El. LSCS group (n=243), (62.6%) deliveries were due to modifiable risk factors. Statistically significant contribution of modifiable risks were found for El LSCS group as compared to Em LSCS (p value<0.001).

CONCLUSION:

 Our results concluded significant contribution of modifiable risk factors in increased repeat LSCS rate. As unnecessary cesarean delivery is the major cause of maternal and neonatal morbidity and mortality, and unfortunately cesarean section rate is increasing in our society.

 So, timely and accurate screening for these risk factors as an indication for LSCS and arrangement of awareness and intervention program about risk and benefit of LSCS and VBAC respectively should be done to reduce the rate of unnecessary LSCS.