Abstract

The rate of caesarean section is constantly increasing beyond the recommended level of 5-15 by world Health Organization Caesarean section is usually performed to ensure safety of the mother and child under conditions of obstetric risks This medical intervention is more or less justified under certain circumstances such as breech presentation dystocia previous caesarean section and suspected fetal compromise Caesarean section rate varies in different places depending on type of care giver and type of facility In the last decade the rate has increased almost double In developing countries like India too many women are undergoing caesarean section This trend is rising in urban as well as in rural population of India In 2010 the incidence was around 8 5 but a phenomenal increase of 40 was seen in Kerala and Tamil Nadu It is found that the low threshold for caesarean is becoming common in rural India as well