Frequency and Indications of Primary Cesarean Section

Faiza Hasan, Nazia Ahmed, Rabia Jamil, Lubna Ali, Fiza Ali Khan

  • Rabia Jamil Department of Obstetrics & Gynaecology Dow University of Health Sciences Karachi



To determine the frequency and indications of primary cesarean section among women presenting to a tertiary care hospital.

Study design 

Cross sectional study.

Place & Duration of study

Department of Obstetrics and Gynecology Unit II, Dow University of Health Sciences Karachi, from January 2018 to June 2018.


Data collection was started after taking an approval from the REU of College of Physicians & Surgeons Pakistan. Women, irrespective of age and parity were enrolled after taking an informed consent. Women with previous history of uterine surgeries like myomectomy and diagnosed case of placenta previa were excluded. Brief history was taken and examination was done. Demographic details of participants and indications of cesarean section were noted on self design questionnaire. Data were analyzed on SPSS version 20.


The mean age of the women was 25.84±4.42 year. Frequency of primary cesarean section was 34.38% (55/160). Breech presentation was the most frequent indication of primary cesarean section while prolonged labor, meconium staining, fetal distress and twin pregnancy were other reasons.


Frequency of primary caesarean section was 34.38% and breech presentation was found as a significant indication of primary cesarean section.

Key words

Primary cesarean section, Maternal death, Breech presentation.