Caesarean delivery at Nepal Medical College Teaching Hospital, Kathmandu, Nepal.

This is a retrospective study conducted in Department of Obstetrics and Gynaecology. The study includes all delivery in Nepal Medical College Teaching Hospital (NMCTH) from March 09, 1997 to April 13, 2002. The objective of this study is to find out the incidence, indications, complications and fetal outcome in all caesarean deliveries. All files of caesarean deliveries were obtained from hospital records and studied. Data were collected and analysed. In 5 years period total deliveries in NMCTH were 1727. There were 163 cases of caesarean delivery with caesarean delivery rate 9.4%. Slow progression of labour, previous CS, fetal distress and breech presentation were the first four common indications of caesarean delivery in NMCTH. Regarding complication and caesarean delivery the incidence of complications was 23.9% of all deliveries. We found postpartum haemorrhage (n=27) 69.2% of all cases with complications. Few cases of wound infection and UTI also noticed in this study. Total babies born were 165 with 2 sets of twins. Three babies had APGAR score less than 3 and there were 2 neonatal death after caesarean delivery.