Community perception regarding caesarean section in Surat city

Abstract

Caesarean section (CS) is a surgical procedure which is always helpful to both mother as well as child. Further when if performed in private sector (even in government sector), we can not ignore its economic implications in terms of operative charges, cost of drugs, prolonged hospital stay and loss of wages of the patient as well as the attending family members. It is a cross sectional study including all deliveries occurred in last 3 years in urban area of Surat, Gujarat. The study showed the following:Total 370 deliveries found in study area, out of which were CS. In study area 99 percent of the deliveries were Institutional, Out of all institutional deliveries majority (92.2%) occurred in private sectors. Majority of mothers (98.4%) were not given a choice to decide mode of delivery. Majority of women (97.3 %) preferred vaginal delivery over CS for successive pregnancy. Majority of CS were done on emergency base (86.3%). trial of labour tried only in 63.3 percent cases. It was concluded that CS rates observed in present study was very high. Further majority of CS in present study were conducted in private sector, which suggest some commercial interest may be at work.