Abstract:

Background: CS is the incision done to deliver a fetus through an abdominal and uterine, laparotomy followed by a hysterotomy, reasons of why a woman may need to have a CS instead of a vaginal delivery may be the doctor caring the mother, the health facility level, the history of previous deliveries and medical history of that particular mother might be the basic decision reasons of delivering the mother through CS or through SVD, One of the most dramatic features of modern obstetrics is the increase in the cesarean section rate (1). This study aimed to determine the rate and indications of cesarean section among pregnant women delivered at Bugando Medical Centre.

Aim: Was to determine the rate of CS at Bugando medical center and common indications of caesarean section and to examine possible strategies to prevent unnecessary CS.

Methods: To determine the rate and indications of cesarean section among pregnant women delivered at Bugando Medical Centre from august to October 2021, the data were collected in a retrospective manner from all the deliveries that occurred between August 1 and October 31 in 2021 using SPSS version 20, in the department of obstetrics and gynecology, Bugando Medical Center. A cohort of 1008 delivered women was studied. The rates and indications of cesarean sections were analyzed among the live births to estimate the relative contribution of each indication to the overall increase in rate. Ethical clearance was obtained from the Joint CUHAS/BMC Research and ethics committee

Results: The cesarean delivery rate increased from 415.58 to 461.22 per 1,000 live births. previous scar, NRFS, meuconium in early labour, abnormal lie, arrested cervical dilation, failure of induction and others contributed to this increase.

Conclusions: There is a significant increase in the total cesarean rate generally with Repeated cesarean or previous scar accounting for most of the increase.