Table 4.
The common indications of caesarean section among institutional deliveries at the Jigme Dorji Wangchuck National Referral Hospital, Thimphu and the Eastern Regional Referral Hospital, Bhutan, 2016–2018
| Indications for caesarean section | Jigme Dorji Wangchuck National Referral Hospitala [15, 27] | Eastern Regional Referral Hospitala [17] | Average (%) | |||
|---|---|---|---|---|---|---|
| 2016 (%) | 2018 (%) | 2016 (%) | 2017 (%) | 2018 (%) | ||
| Past caesarean section | 17.5 | 30.6 | 29.4 | 28.7 | 31.2 | 27.5 |
| Foetal distress & non-reactive cardiotocograph | 25.2 | 16.6 | 10.1 | 12.1 | 7.3 | 14.3 |
| Failed progress of labour | 17.0 | 9.3 | – | 13.2 | ||
| Cephalo-pelvic disproportion and shoulder dystocia | – | 4.4 | 17.2 | 14.3 | 12.1 | 12.0 |
| Oligohydramnios | – | – | 9.1 | 9.1 | ||
| Malpresentation including breech | 8.9 | 8.9 | 8.5 | 8.8 | ||
| Failed induction of labour | 7.5 | 6.8 | 4.2 | 12.1 | 13.1 | 8.7 |
| Foetal growth restriction | – | 5.7 | – | 5.7 | ||
| Pre-eclampsia, eclampsia and hypertension | – | 3.5 | 5.7 | 4.6 | ||
aThe hyphen represents data not present in these sources