Heera Shenoy T
Caesarean Delivery is one of the most common surgical intervention in modern obstetrics. It is certainly one of the oldest operations in surgery, with its origin lost in antiquity and ancient mythology. Caesarean birth has been the most common hospital-based operative procedure in many parts of the world. An operation mainly intended to save a maternal life during difficult childbirth has now increasingly become the procedure of choice in high risk situations to prevent perinatal mortality and morbidity. The incidence of Caesarean section has doubled or tripled all over the world over the past 2 decades. Justification for this trend is the lowering of maternal mortality to the point of nil and increasing survival as compared to difficult vaginal deliveries. WHO1 endorsed that a caesarean delivery rate more than 10 to 15% is not justified in any region of the world. One of the ways that we could adopt to reduce the caesarean delivery rates would be to cut down the primary caesarean rates. So, in this study, we have analysed the determinants of primary caesarean delivery and their outcomes (maternofoetal) in a tertiary care teaching hospital in South Kerala. Objectives of the study are- 1) To find out the determinants of Primary Caesarean (Sociodemographic, Obstetric, Medical, Foetal and Physician factors). 2) To evaluate the maternal and foetal outcomes of Primary Caesarean Delivery.
