Research Article
Volume 9 Issue 9 - 2020
Rate and Indications of Cesarean Section Over a Seven-Year Period at Sina Public Hospital in Ahvaz, Sothern Iran
Goli Kazemi Nia1, Yousef Khalifpour2, Neda Khajavi3, Farangis Kazemi Nia1 and Somayeh Makvandi4*
1BS of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2Head of Sina Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahwaz, Iran
3MS of Hospital Management, Ahvaz Jundishapur University of Medical Sciences, Ahwaz, Iran
4PhD in Reproductive Health, Department of Midwifery, Faculty of Nursing and Midwifery, Islamic Azad University, Ahvaz Branch, Ahvaz, Iran
*Corresponding Author: Somayeh Makvandi, PhD in Reproductive Health, Department of Midwifery, Faculty of Nursing and Midwifery, Islamic Azad University, Ahvaz Branch, Ahvaz, Iran.
Received:March 03, 2020; Published: August 05, 2020




Abstract

Introduction: The World Health Organization has recommended that the optimal cesarean delivery rate should be 10 - 15% of total deliveries. But statistics published in many parts of the world are very different and much higher. The aim of this study was to determine the rate and indications of cesarean section over a seven year period in Sina Hospital in Ahvaz, Iran.

Method: The present study was a cross-sectional descriptive-analytical study that was performed on all delivery records from 2013 to the first six months of the 2019. The variables of delivery type, cesarean section rate, number of cesarean in nulliparas and number of primary cesarean in multiparas were evaluated. The data were entered into SPSS ver. 16 and analyzed using descriptive statistics.

Results: A total of 32900 medical records were reviewed. The mean cesarean section rate was 32.41%. The lowest rate of cesarean section was in 2014 with 28.04% and the highest one was in 2017 with 35.34%. The most frequent indications for cesarean section were related to repetitive cesarean and fetal distress, respectively. Other indications included non-cephalic presentation, lack of progression of labor, multiple pregnancy, preeclampsia, placental problems, cesarean section without scientific indications, and other causes.

Conclusion: The rate of cesarean section in our study is higher than that recommended by the World Health Organization but lower than the average cesarean section in Iran. Repetitive cesarean section was the most common indication for cesarean section, suggesting the need for training, counseling, and trial of vaginal delivery after cesarean section.

Keywords: Cesarean Section; Cesarean Section, Repeat; Prevalence; Indication

References

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Citation: Somayeh Makvandi., et al. “Rate and Indications of Cesarean Section Over a Seven-Year Period at Sina Public Hospital in Ahvaz, Sothern Iran”. EC Gynaecology 9.9 (2020): 39-44.

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