A survey on causes of cesarean sections performed at the university hospitals of Niknafs and Ali-Ibn Abi Talib of Rafsanjan, Iran, in the second trimester of 2014

Abstract

Received: May 2015, Accepted: September 2015 Background: The increase in the prevalence of cesarean section (C-section) in recent decades has become a public health problem worldwide. Studies of cesarean section in order to identify the causes and form policies and interventions to reduce the incidence of this health problem are necessary. This study was conducted with the aim to investigate the causes of C-sections performed at Niknafs and Ali-Ibn Abi Talib Hospitals in Rafsanjan, Iran, in the second trimester of 2014. Materials and Methods:In this cross-sectional study, 560 pregnant women were selected from among those referred to Niknafs and Ali-Ibn Abi Talib Hospitals in the second trimester of 2014 for cesarean delivery. Information was collected using a researcher-made checklist through interviews with patients and reviewing medical records. Data were analyzed using chi-square or Fisher's exact tests, as required. Results: The mean and standard deviation of age of women was 29.46 ± 5.08 years and most of them (65.0%) were in the age range of 26-36 years and had a diploma (40.7%). Considering delivery history, the highest percentage of women had had a single delivery (38.9%) and over half of the subjects (52.9%) had experienced a previous C-section. The most common causes were repeated Csection (52.9%), elective C-section (on maternal request) (7.5%), meconial stained (6.1%), fetal distress (5.0%), and breech presentation (4.5%). Statistically significant associations were observed between C-section reasons, and age (P < 0.001), number of previous pregnancies (P < 0.001), and previous delivery method (P = 0.010). Conclusions: Repeated C-section, as the most common cause of cesarean, has had a major role in increasing cesarean. Vaginal delivery after cesarean, taking into account the clinical and legal circumstances and providing training programs to acquaint women to the negative consequences of Csection and vaginal delivery benefits would be effective in the choice of delivery and might help in reducing cesarean.

Prevalence of Ceserean Section and Associated Factors in University of Gondar Comprehensive Referal Hospital, North West Ethiopia, 2019

“…The major indication for cesarean section in the study was NRFHR 17.8% and previous cesarean section 15.9%. This study was similar to the study conduct in Iran, chiro zona hospital, west Harergae, Addis Ababa nongovernmental MCH hospital (18,23,27). However, this nding was different from the study conducted in Tigray that the most frequent indication was CPD (23.5%)and ant partum hemorrhage (15.6%) and also from study conduct in Nigeria the lading indication for cesarean were CPD(40% followed by preeclampsia(18%).…”

“…A study conducted in Pakistan showed that the most common indication of cesarean section was the previous cesarean section scar (22.76%) followed by failed progress of labor (18.29%) (12). Another study conducted in Iran showed that repeated cesarean section (52.9%), elective CS (on maternal request) (7.5%) was the most common indication (27).…”

Indications, Outcome and Risk Factors of Cesarean Delivery Among Pregnant Women Utilizing Delivery Services at Selected Public Health Institutions, Oromia Region, South West Ethiopia

“…Cesarean section is a surgical intervention which is carried out to ensure safety of mother and child when vaginal delivery is not possible (emergency CS) or when the responsible doctors consider that the danger to the mother and baby of vaginal delivery outweighs the risks of CS (planned CS). [1][2][3] In recent years, the CS rate has risen to a record level of 46% in China and 25% or above in many Asian and European countries, Latin America and USA. 4 Nowadays, it is estimated about 20 million CS deliveries occur each year in the world.…”

Frequency of Fetal and Maternal Complications after C-Section in Vaginal Deliver

“…When vaginal delivery is medically impossible (emergency CS) or when the hazards of vaginal delivery are deemed to exceed the risks of CS (planned CS), a caesarean section (CS) may be performed to ensure the safety of the mother and child. [1][2][3] The CS rate has increased to a historic high of 46% in China and 25% or more in several nations across Asia, Europe, Latin America, and the United States in recent years. [4] It is believed that around 20 million CS are delivered annually around the world now.…”