An analysis of indications of caesarean sections at Tezpur medical college and hospital, Tezpur (a government hospital)

Background: The main objective of this study is to analyze the indications of caesarean section so as to find out what measures should be taken to bring down the rate without hampering maternal and foetal outcome. Methods: It is an observational study which was carried out at the obstetrics & gynaecological department of TMCH from 01.01.2015 to 31.12.2015. All antenatal cases attending both OPD and the emergency services during the above period who finally delivered via caesarean section were taken up for this study. There were no exclusion criteria. Data were collected from hospital records for the study. Results: There were a total of 8255 deliveries during the study period out of which, 2278 had delivered via Caesarean Section. So, the rate of caesarean section in the study was found to be 27.60%. Conclusions: Caesarean Section is one of the most widely performed surgical procedures in obstetrics worldwide. It is undoubtedly a lifesaving surgical method both for the mother and the child. In present study also a high rate of Caesarean deliveries was observed in a tertiary care centre in rural Assam namely Tezpur Medical College and Hospital. The rate can be brought down by reducing the incidence of primary caesarean section and also by practising VBAC (Vaginal Birth after Caesarean).