Assessment of indications of lower section caesarean section at tertiary care centre: a cross sectional study


  • Vijay L. Badge Dept of Community Medicine, Govt Medical College, Akola, Maharashtra, India
  • Sumit Suresh Aggarwal Dept of Community Medicine, Govt Medical College, Akola, Maharashtra, India
  • Deepti D. Ambalkar Dept of Pathology, Govt Medical College, Akola, Maharashtra, India
  • Arun Humne Dept of Community Medicine, Govt Medical College, Akola, Maharashtra, India
  • Neethika Raghuwanshi Dept of Obstetrics and Gynecology, Govt Medical College, Akola, Maharashtra, India



LSCS, Delivery, Caesarean section


Background: Caesarean section is one of the commonly performed surgical procedures in obstetrics and is certainly one of the oldest operations in surgery. One of the most dramatic features of modern obstetrics is the increase in the caesarean section rate. The present study was conducted to estimate proportion of various indications of LSCS and also to assess socio demographic profile of mothers undergoing caesarean section in a tertiary care centre.

Methods: The present cross sectional observational study was conducted at Government Medical College & Hospital, Akola in the post natal ward (PNC). Non probability convenient sampling method was used. All patients admitted to PNC ward after LSCS were included in study. For data collection paper based pre tested, semi –structured questionnaire was used.

Results: Previous LSCS was indication for LSCS in 32% cases. Eclampsia, preeclampsia and Anaemia were the indications for LSCS in 19.3%, 8.6% and 5.3% cases respectively. Other common indications includes CPD, meconium stained liquor, fetal distress, breech presentations, twin pregnancy and preterm labour.

Conclusions: The proportion of LSCS is more than WHO recommended proportion of LSCS. It may be due to present institute acts as tertiary care center. Still this proportion is high, so encouragement should be given to trial of labour in selected low risk cases and in Primi patients whenever possible. 

Author Biography

Sumit Suresh Aggarwal, Dept of Community Medicine, Govt Medical College, Akola, Maharashtra, India

Assistant Professor, '
Dept of Community Medicine,
Govt Medical College, Akola,


Barber EL, Lundsberg LS, Belanger K, Pettker CM, Funai EF, Illuzzi JL. Contributing indications to the Rising Caesarean Delivery Rate. Obstet. Gynecol. 2011;118(1):29-38.

Tampakoudis P, Assimakopoulos E, Grimbizis G, Zafrakas M, Tampakoudis G, Mantalenakis S, et al. Cesarean section rates and indications in Greece: data from a 24 year period in a teaching hospital. Clin Exp Obstet Gynecol. 2004;31(4):289-92.

Lee SL, Khang YH, Lee MS. Womens attitudes toward mode of delivery in South Korea: a society with high cesarean section rates. Birth. 2004;31:108-16.

Schindl M, Birner P, Reingrabner M, Joura E, Husslein P, Langer M. Elective cesarean section vs. spontaneous delivery: a comparative study of birth experience. Acta Obstet Gynecol Scand. 2003;82:834-40.

Husslein P. Elective cesarean section versus vaginal delivery. Whether the end of traditional obstetrics? Arch Gynecol Obstet. 2001;265(4):169-74.

Treffers PE, Pel M. The rising trend for cesarean section. BMJ. 1994;307:1017-8.

Hannah ME, Whyte H, Hannah WJ, Hewson S, Amankwah K, Cheng M, et al. Maternal outcomes at 2 years after planned caesarean section versus planned vaginal birth for breech presentation at term: the international randomized Term Breech Trial. Am J Obstet Gynecol. 2004;191:917–27.

Moni M, Thangam A, Thanganadar, Yesubaktan SJ. A study on obstetric profile of mothers undergoing primary caesarean section and their neonatal outcome in a tertiary care centre, South Kerala. International Journal of Biomedical and Advance Research. 2015;6(12):835-8.

Sakael TM, FreitasI PF, d'OrsiII E. Factors associated with cesarean section rates in a university hospital. Rev. Saúde Pública. 2009;43(3):01-11.

Haider G, Zehra N, Munir AA, Haider A. Frequency and indications of cesarean section in a tertiary care hospital. Pak J Med Sci. 2009;25(5):791-6.

Katke RD, Zarariya AN, Desai PV. LSCS audit in a tertiary care center in Mumbai: to study indications and risk factors in LSCS and its effect on early peri-natal morbidity and mortality rate. Int J Reprod Contracept Obstet Gynecol. 2014;3:963-8.

Nikhil A, Desai A, Kansara V, Patel S, Kagathra B, Patel R. Analysis of Trends in LSCS Rate and Indications of LSCS: a Study in a Medical College Hospital GMERS, Sola, Ahmedabad. International Journal of Pharmacy & Bio-Sciences. 2015;2(1):1-5.

Bade P, Kendre V, Jadhav Y, Wadagale A. An Analysis of Indications for Caesarean Section at Government Medical College, Latur. International Journal of Recent Trends in Science And Technology. 2014;11(1):6-8.

Hafeez M, Yasin A, Badar N, Pasha MI, Akram N, Gulzar B. Prevalence and Indications of Caesarean Section in a Teaching Hospital. JIMSA. 2014;27(1):15-6.




How to Cite

Badge, V. L., Aggarwal, S. S., Ambalkar, D. D., Humne, A., & Raghuwanshi, N. (2017). Assessment of indications of lower section caesarean section at tertiary care centre: a cross sectional study. International Journal Of Community Medicine And Public Health, 4(4), 1253–1256.



Original Research Articles