Objectives: To analyze trends in the LSCS rate and to analyze the indications of LSCS in modern day practice.
Place and duration: The study was carried out over a period of seven months (from June 2013 to December 2013) at GMERS medical college, sola, Ahmedabad.
Methodology: Total no of patients delivered were counted and total no. of LSCS done was found. For the LSCS patients, parameters like elective or emergency, parity status, indications of LSCS, were noted and analyzed.
Result: Frequency of LSCS in the study period was 25.18%. The indications of LSCS in order of frequency were previous one LSCS in 173 (42.09%) patients, followed by fetal distress in 45 (10.94%); failure to progress in 45 (10.94%),previous 2 LSCS in 28(6.81%),CPD and Breech in 26 cases(6.32%)each, mal-presentation & PIH in 8(1.94%) cases each, antepartum haemorrhage in 10 (2.43%); twin in 7 (1.7%) and oligoamnios and/or IUGR in 16(3.89%).
Conclusion: LSCS rate is higher than advised by WHO and previous LSCS is the commonest indication followed by fetal distress. Obstetrical audit will help us a lot in reducing the rate.