title: Indications of caesarean section in a district head quarter hospital for women.
abstract: BACKGROUND
  Rates and indications of Caesarean Section (CS) are the subject of controversies. The safety of elective Caesarean Section in the developed world has given rise to another controversy. Now the women in the developed world are requesting elective caesarean section by choice as a mode of delivery in the absence of any specific indication. The indications of CS performed in a district hospital were studied.
  
  
  METHODS
  The study is descriptive in type. It was carried out in District Headquarter Hospital for Women, D.I. Khan in 2002. The data was collected from the history sheets and labour room registers.
  
  
  RESULTS
  During one-year period, 209 CS were performed. The rate of CS was 11.86%. Emergency CS were 82.38%, elective CS were 17.14%, 18.1% were booked and 81.9% were un-booked. Antepartum haemorrhage contributed to 23.92%, obstructed labour to 18.09%, failure of progress to 13.3%, previous CS to 11.9% and cephalopelvic disproportion to 11.9% of the indications. Miscellaneous conditions contributed to 7.14% of the cases. In the majority of cases more then one factors had operated.
  
  
  CONCLUSIONS
  The study showed that all CS performed had specific indications. Caesarean Section was accepted as the last resort for delivery.
authors.affiliation: Department of Gynaecology, Gomal Medical College, D. I. Khan and Ayub Medical College, Abbottabad.
authors.forename: Anwar
authors.initials: A
authors.lastname: Sultana
authors.forename: Aziz
authors.initials: A
authors.lastname: un Nisa
mesh_terms: D002585:Cesarean Section / Q000706:statistics & numerical data; D004630:Emergencies; D005260:Female; D006470:Hemorrhage; D006801:Humans; D007744:Obstetric Labor Complications; D010154:Pakistan; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular