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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

From: Rates and indications of caesarean section deliveries in Bhutan 2015–2019: a national review

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

  1. aThe hyphen represents data not present in these sources