Patterns and Factors Influencing Caesarean Delivery in First-Time Mothers at a Tertiary Care Hospital: A Comprehensive Study.

• Shruti Ganti,*  
• JAYASHREE SRINIVASAN,  
• NIMRAH AMTHUL,  
• SOUNTHARIYAA RAMESHANAND

Abstract

A Caesarean section is one of the most common surgeries done in day-to-day obstetrical practice. With advances in surgical techniques, anesthesia, there have been many developments in the technique and precision. In the present times, due to advanced maternal age at first pregnancy and many other associated maternal and fetal complications, the mode of delivery through a caesarean section has increased drastically . This study explores the patterns, outcomes, and factors influencing caesarean deliveries in first-time mothers at Saveetha Medical College's Obstetrics and Gynecology Department. Methodology included a retrospective observational study conducted over a period of 1 year, subjects all primigravida women undergoing delivery at the hospital. Data collection done for history risk factors indications for caesarean section and complications and results formulated. Incidence of caesarean sections was 60%, with 32% of these being primiparous mothers. Common indications included fetal distress (40%), prolonged labour and failed induction (25%) and cephalopelvic disproportion (15%). Postoperative complications were observed in 10% of cases, with notable differences in recovery times and patient satisfaction, highlighting the need for improved postoperative care protocols. Conclusion: Study aims to enhance the understanding of caesarean section trends at a tertiary care centre, insights into the complex decision-making process for caesarean deliveries among first-time mothers. Studying the trends in first-time caesarean sections is crucial because it can impact the mode of delivery in subsequent pregnancies, attempt a trial of labour after caesarean (TOLAC) and a successful vaginal birth after caesarean (VBAC) are influenced by many factors The findings advocate for integrated strategies that address medical and non-medical factors to optimise caesarean outcomes and enhance maternal and neonatal health globally. Future research should investigate the long-term effects of caesarean sections and conduct comparative analyses across different healthcare settings

Keywords

caesarean section, primiparous, indications of caesarean section, post partum haemmoraghe, vbac,tolac,lower segment caesarean section fetal distress, fetal distress, cephalopelvic disproportion