In our study we hypothesized that using low dose bupivacaine was beneficial in terms of reducing the incidences of hypotension in spinal anesthesia during caesarian sections
. This topic is under research abroad and in our country especially in low resource settings where hypotension can lead to hazardous complications.
The Indian council of medical research on 33tertiary care institutions noted that average caesarian section
rate increased from 21.8% in 1993-94 to 25.4% in 1998-99.
``It seems that a Caesarian section
is being seen as a perfectly normal process when, in actual fact it is abdominal surgery performed, in emergency cases, under general anaesthetic and it has all the complications of other abdominal operations.
A study by Gita Radhakrishnan et al2 had DDI of 122min for category 1 caesarian sections
which is in contrast to standard time and in only 1.8 % cases DDI of 30 minutes or less was achieved.
A total of 100 women; 50 cases of Normal Vaginal Delivery and 50 cases of Caesarian Sections
were included in the study through purposive, non-probability sampling technique.
The indications for primary caesarean section should be well justified so as to avoid unnecessary caesarian sections
and thus rupture at previous caesarean section scar site in next pregnancy.
With a rate of 25% caesarian sections
(C-section) in our unit, a total of 2127 women underwent the procedure.
Is it true that having a C-section will reduce my future fertility?" ACONSULTANT A CONSULTANT obstetrician and gynaecologist Dr Tahir Mahmood, of the Royal College of Obstetricians and Gynaecologists (RCOG), which recently studied the future fertility of mothers who'd had caesarian sections
, says: "The reasons why women have caesarean sections vary greatly and depend on the individual's circumstances, maternal characteristics and clinical risk factors.