DISCUSSION: From 1970 to 2007 the caesarian delivery rate in the United States rose from 4.4% to 31.8% of all deliveries.
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.
Most of the caesarian sections were done in the age group of 20-30 years (78% and 90% in EMCS and ELCS respectively) comparable to the study of Asifa Ghazi et al.
The most common indication of EMCS was previous two caesarian sections in labour (15%) followed by one previous caesarian section (12%), PROM (12%), failure to progress (10%), foetal distress (8%) and obstructed labour r(3%).
This increased bleeding in EMCS group was due to the caesarian sections done after prolonged labour with stretched and edematous lower segment with impacted presented part causing extension of incision laterally into the uterine vessels.