Determinants of caesarean section in Egypt: evidence from the demographic and health survey

Khawaja, Marwan; Kabakian‐Khasholian, Tamar; Jurdi, Rozzet

doi:10.1016/j.healthpol.2004.05.006

Cited by 50 publications

(55 citation statements)

References 21 publications

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“…The rate of CS at the high risk unit in Mansoura University hospital remained fairly constant at a rate close to 80% throughout the study period. The rates presented in this study were higher than those available from other parts in Egypt and from many other Arab countries [9,12,13]. The high rate of CS in this study could be attributed to 4 main reasons; firstly is the lack of a dedicated obstetric anesthetic staff member to offer epidural analgesia within the labour wards, secondly the more liberal view of CS as an accepted mode of delivery by junior obstetricians, especially at the emergency unit; thirdly the observed low rate of successful VBAC (22.23%) and fourthly the absence of any evidence of attempted instrumental (forceps and ventouse) deliveries in many instances where it may have been successful.…”

Section: Discussioncontrasting

confidence: 83%

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Rising Rates of Caesarean Delivery at Mansoura University Hospital: A Reason for Concern

Helal¹

2013

Gynecol Obstet

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Objectives: To study the rates and indications of Caesarean delivery at Mansoura University Hospital in Egypt. Patients and methods:This retrospective study collected data on caesarean delivery rates and indications from the medical records of 34598 women admitted to both emergency and high risk obstetric units over a 5-year period (January 2006-December 2010). Results:The overall rate of caesarean delivery was 47.25%. Rates at the high risk and the emergency units were 79.33% and 29.15% respectively. The annual rate of caesarean delivery increased significantly (p<0.01) from 42.65% in 2006 to 55.33 % in 2010, mainly due to an increase in the rate of caesarean at the emergency unit. The most common causes were repeat caesarean (35.78%), medical disorders complicating pregnancy (14.25%), failure to progress in labor (10.37%) and malpresentations (9.9%). Vaginal birth after caesarean (VBAC) was attempted in 2078 women and was successful in 22.23%. Conclusion:The overall rate of caesarean delivery at Mansoura University hospital was 47.25%. This high rate was mainly attributed to previous caesarean delivery, low rate of successful VBAC and the very low rate of attempted instrumental delivery.

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Section: Discussioncontrasting

confidence: 83%

“…In Egypt [7][8][9], data on rates and indications of CS are variable based on the level of experience and on the whether the delivery was carried out at a private or a public setting. In USA [10], the caesarean delivery rate has increased by more than 10 % (from 26% to 36.5%) in a short time.…”

Section: Introductionmentioning

confidence: 99%

Rising Rates of Caesarean Delivery at Mansoura University Hospital: A Reason for Concern

Helal¹

2013

Gynecol Obstet

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“…The reported rates vary from 10% to 50%. [2][3][4][5][6][7][8][9] There has not been any regulation by any authorities in developing countries including India. In view of the possible complications, related to previous caesarean section scar, in the subsequent deliveries, there is an urgent need for caesarean section audits by the regulatory authorities in the country.…”

Section: Discussion-mentioning

confidence: 99%

“…1 The rate of caesarean section has shown progressive rise in last three decades in most part of the world. [2][3][4][5][6][7][8] Proponents of increase caesarean section rate, consider it in favor of improved perinatal outcome. Developed countries like Sweden, Denmark and Netherland with lowest perinatal mortality rates still have caesarean section rate of 10 percent.…”

Section: Introduction-mentioning

confidence: 99%

Caesarean Sections -Are we doing right ?

Bangal¹,

Thorat²,

Patel³

et al. 2012

Int Jour of Biomed Res

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Introduction-Caesarean section is the most commonly performed major emergency surgical procedure in Obstetrics. With the improved caesarean skill of the obstetrician and techniques of anaesthesia, the caesarean section has become a safe surgical procedure .The rate of caesarean section has shown progressive rise in last three decades in most part of the world .The immediate operative morbidity and the likelihood of complications in subsequent pregnancies, raise question marks regarding rising caesarean section rates. Material and methods-Retrospective analysis of 3980 caesarean sections performed at tertiary care teaching hospital over six years period, was undertaken to find out the rate of caesarean sections, indications and associated maternal morbidity and mortality . Results-The rate of caesarean section was in between 20 and 22 percent, during the study period .The rate has been fairly constant throughout the study period. The common indications were previous caesarean section, fetal distress, cephalopelvic disproportion, pre-eclampsia or antepartum haemorrhage. Anaemia and urinary infections resulted in postoperative febrile morbidity. Incidence of wound related complications were not significant .There were twelve maternal deaths, of which six were due to severe uncontrolled hemorrhage from placental bed during caesarean section. Conclusion-Caesarean section rate can be maintained at acceptable limits by judicious selection of cases, allowing vaginal births after caesarean sections, external cephalic versions, assisted vaginal breech deliveries in selected cases and proper interpretation of results of electronic fetal monitors. Pain relief by epidural analgesia can reduce the fear of labour and rate of elective caesarean sections.

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“…Thus, in sub-Saharan Africa where coverage in healthcare service is low, initiatives to increase cesarean rates are ongoing in order to meet the millennium development goals . At the same time, there are calls for caution [Mbaye et al, 2011;Fesseha et al 2011] to prevent high unnecessary cesarean rates like those observed in many developed countries as well as some developing countries [Khawaja et al, 2004]. Stein, 20081986: 9.4% 1995: 20.3% Kenya Wanyonyi et al, 20071996: 20.4% 2001: 25.9% 2004: 38.1% Buekens et al, 2003: 4.1% 1998: 5.7% Wenjuan et al, 2011: 6.0% 2003: 4.9% 2008: 7.2% Namibia van Dillen J, 2007: 7.9% Wenjuan et al, 2011: 7.2% 2006.6% …”

Section: Cesarean Delivery Rates In Developing Countriesmentioning

confidence: 99%

Determining Factors of Cesarean Delivery Trends in Developing Countries: Lessons from Point G National Hospital (Bamako - Mali)

Teguété¹,

Traoré²,

Sissoko³

et al. 2012

Cesarean Delivery

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Determinants of caesarean section in Egypt: evidence from the demographic and health survey

Cited by 50 publications

References 21 publications

Rising Rates of Caesarean Delivery at Mansoura University Hospital: A Reason for Concern

Rising Rates of Caesarean Delivery at Mansoura University Hospital: A Reason for Concern

Caesarean Sections -Are we doing right ?

Determining Factors of Cesarean Delivery Trends in Developing Countries: Lessons from Point G National Hospital (Bamako - Mali)

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