Cesarean Section Among all Deliveries in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

Tamrakar, Renuka; Sapkota, Sachin; Sitaula, Deekshanta; Thapa, Rohit; Pokharel, Bandana; Acharya, Suchita; Parajuli, Aakriti

Publication:
Cesarean Section Among all Deliveries in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

creativeworkseries.issn	JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.author	Tamrakar, Renuka
dc.contributor.author	Sapkota, Sachin
dc.contributor.author	Sitaula, Deekshanta
dc.contributor.author	Thapa, Rohit
dc.contributor.author	Pokharel, Bandana
dc.contributor.author	Acharya, Suchita
dc.contributor.author	Parajuli, Aakriti
dc.date.accessioned	2026-02-16T06:58:45Z
dc.date.available	2026-02-16T06:58:45Z
dc.date.issued	2021
dc.description	Renuka Tamrakar Department of Obstetrics and Gynaecology, Chitwan Medical College, Bharatpur, Nepal https://orcid.org/0000-0001-9215-1225 Sachin Sapkota Department of Obstetrics and Gynaecology, Chitwan Medical College, Bharatpur, Nepal https://orcid.org/0000-0002-1394-7135 Deekshanta Sitaula Department of Obstetrics and Gynaecology, Chitwan Medical College, Bharatpur, Nepal https://orcid.org/0000-0002-8716-6059 Rohit Thapa Department of Obstetrics and Gynaecology, Chitwan Medical College, Bharatpur, Nepal https://orcid.org/0000-0003-2648-8908 Bandana Pokharel Department of Obstetrics and Gynaecology, Chitwan Medical College, Bharatpur, Nepal https://orcid.org/0000-0002-6595-787X Suchita Acharya Department of Obstetrics and Gynaecology, Chitwan Medical College, Bharatpur, Nepal Aakriti Parajuli Department of Obstetrics and Gynaecology, Chitwan Medical College, Bharatpur, Nepal https://orcid.org/0000-0001-9097-2791
dc.description.abstract	Abstract: Introduction: Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue. This study aimed to find out the prevalence of cesarean delivery in a tertiary care center of Nepal. Methods: A descriptive cross-sectional study was conducted among pregnant women at tertiary care centre from 15th September 2019 to 15th October 2020. Ethical clearance was taken from the Institutional Review Committee (Ref: CMC-IRC/077/078-200). Convenience sampling was done to reach the sample size. Basic demographic data, clinical indications and neonatal outcomes were noted. Data entry was done using Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 3193 total deliveries, cesarean deliveries were 1412 (44.22%) at 95% Confidence Interval (42.49-45.94). Among caesarean deliveries 1086 (76.9%) were emergency cesarean sections. Most common indication for cesarean section was fetal distress (24.9%). Among 1437 newborns, 1428 (99.4%) were live births, 1387 (98.2%) were singleton and 801 (55.7%) were male. Nearly one third 418 (29.1%) neonates required neonatal intensive care unit admission and transient tachypnoea of newborns (44.28% in emergency and 60.46% in elective cesarean delivery) was the most common indication for admission. Conclusions: The prevalence of cesarean delivery was found to be higher than that recommended by the World Health Organisation. Fetal distress was the leading indication for cesarean deliveries.
dc.identifier	https://doi.org/10.31729/jnma.6667
dc.identifier.uri	https://hdl.handle.net/20.500.14572/4776
dc.language.iso	en_US
dc.publisher	Nepal Medical Association
dc.subject	cesarean section
dc.subject	emergency
dc.subject	indications
dc.subject	Nepal
dc.title	Cesarean Section Among all Deliveries in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study
dc.type	Article
dspace.entity.type	Publication
local.article.type	Original Article
oaire.citation.endPage	843
oaire.citation.startPage	839
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