ABSTRACT

Background: Women’s health is compromised through many factors; one of those is the poor reproductive health practices.Many women die during the process of delivering baby. Birth is a more complex phenomenon encompassing multiple outcomes. Excessive rate of cesarean births affect maternal as well as neonatal health causing increased morbidity and mortality.

Aim: To explore the factors responsible for increased CS rate in Pakistan.

Methodology: A Prospective cross sectional study was conducted in obstetrics and gynecology unit of two health care sector of Pakistan. Data was collected from one government and one private sector. Sample size included 2330 women selected for investigating the factor of CS. Study was carried out in 6 months from June 2018 to December 2018. Data was analyzed on SPSS version 23.0.

Results: Results show a variety of factors responsible for CS delivery in women. Outcomes reveal that most of CS was related to female own choices may be due to fear related to labor pain. 66.7% CS done due to previous history related to delivery. Hypertensive disorders were also a cause of CS. Results depict that multiple factors contributed towards cesarean delivery. Some were more significant like female desire, previous CS, high BP, fetal distress amniotic fluid disorders etc.

Conclusion: Multiple factors play a role in increasing the trends of CS among Pakistani women. Some of these are modifiable factors like female preferences that could be eliminated through counseling and education. This study gives the implications for educational interventions as a strategy to overcome this devastating situation associated with increase CS rate.

Keywords: Trends, CS, Female, Pakistan