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

Table 2 The proportion of caesarean deliveries among institutional deliveries at the seven obstetrics centres in Bhutan, 2015–2019

Obstetric centres	Year	Total deliveries	Normal delivery (%)^a		Caesarean delivery (%)^b			Chi-squared p value
Obstetric centres	Year	Total deliveries	n	(%)	n	(%)	Average (%)	Chi-squared p value
Jigme Dorji Wangchuck National Referral Hospital, Thimphu^c [15, 16, 26–28]	2015	4035	–	–	1033	(25.6)	28.1	< 0.001
	2016	4523	3405	(75.3)	1081	(23.9)
	2017	4553	3172	(69.7)	1283	(28.2)
	2018	5081	3380	(66.5)	1551	(30.5)
	2019	4522	2866	(63.4)	1463	(32.4)
Central Regional Referral Hospital, Gelegphu	2015	793	597	(75.3)	196	(24.7)	27.5	0.008
	2016	782	590	(75.4)	192	(24.6)
	2017	883	611	(69.2)	270	(30.6)
	2018	941	660	(70.1)	281	(29.9)
	2019	1021	736	(72.1)	285	(27.9)
Eastern Regional Referral Hospital, Monggar	2015	836	499	(59.7)	317	(37.9)	34.2	< 0.001
	2016	682	419	(61.4)	241	(35.3)
	2017	665	433	(65.1)	222	(33.4)
	2018	987	633	(64.1)	347	(35.2)
	2019	949	670	(70.6)	277	(29.2)
Samtse General Hospital, Samtse	2017	274	263	–	11	–	–	–
	2018	425	303	(71.3)	122	(28.7)	32.0	0.049
	2019	351	227	(64.7)	124	(35.3)	32.0	0.049
Phuentsholing General Hospital, Chhukha	2015	918	641	(69.8)	277	(30.2)	37.2	0.001
	2016	863	614	(71.1)	249	(28.9)
	2017	898	605	(67.4)	293	(32.6)
	2018	587	323	(55.0)	264	(45.0)
	2019	553	281	(50.8)	272	(49.2)
Trashigang Hospital, Trashigang	2015	208	166	(79.8)	40	(19.2)	20.4	0.963
	2016	318	249	(78.3)	67	(21.1)
	2017	306	241	(78.8)	64	(20.9)
	2018	299	238	(79.6)	61	(20.4)
	2019	130	125	–	5	–	–	–
Wangdue General Hospital, Wangdue Phodrang^a	2015	204	204	(100.0)	0	(0.0)	–	–
	2016	202	202	(100.0)	0	(0.0)
	2017	251	251	(100.0)	0	(0.0)
	2018	258	258	(100.0)	0	(0.0)
	2019	263	232	–	31	–

^aThe volume of non-institutional deliveries can be calculated by subtracting volume of facility deliveries from the total deliveries
^bThe data for caesarean deliveries in Samtse General Hospital in 2017, Trashigang General Hospital in 2019 and Wangdue General Hospital in 2019 were not included in the calculation of the rates for that particular year because obstetricians were not available for the entire duration of that year
^cThe volume of normal deliveries at Jigme Dorji Wangchuck National Referral Hospital, Thimphu in 2015 is not presented because the volume of instrumental deliveries were also a part of the data presented in the Annual Report 2015 [26]

ISSN: 1471-2393