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The Journal of Community Health Management

Rate of caesarean section in a rural community of North Kerala: A cross-sectional study

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Author Details: Meera Karunakaran Money, Eves Katherine T, Sreevishnu S, Sujith EU

Volume : 4

Issue : 2

Online ISSN : 2394-2738

Print ISSN : 2394-272X

Article First Page : 63

Article End Page : 69


Introduction: Increasing rate of Caesarean births in developing countries is an issue of public health concern. There are very few Kerala-based studies relating to Caesarean section (CS). This study was conducted to determine the CS rate in a rural community and to identify factors associated with it.
Materials and Method: A community-based, cross-sectional study was done in rural north Kerala, among women who had a child-birth in the past 5 years. Cluster sampling was adopted to select 209 mothers. Data was collected using pre-tested questionnaire.
Result: The CS rate in our study was 36.8% (77/209), which is almost double the national rate. 76% of deliveries were in private institutions, though there was no significant difference in CS rates between private and government hospitals. The most common indication for CS, 49.3% (38/77), was previous caesarean; with all 38 cases culminating in repeat CS. Failed induction was the most frequent cause for a primary CS, 46.7% (36/77), which included the indication for the primary surgical intervention in repeat CS cases (21/38). Contraceptive use in the study population was very low, 6.7% (14/209), which resulted in lack of spacing between pregnancies. Thus 52.7% (20/38) previous CS cases were ineligible for a VBAC trial. Out of the 18 eligible cases only 4 were offered a VBAC trial (p < 0.05).
Conclusion: Adequate spacing between pregnancies and offering VBAC trials to eligible cases is necessary to curb increasing CS rates.

Caesarean section (CS), Previous caesarean, Vaginal Birth After Caesarean (VBAC), Spacing

Doi No:-10.18231