Factors associated with cesarean deliveries at Women Specialized Hospital Riyadh, King Fahd Medical City, Kingdom of Saudi Arabia

Kamil, Aneela; Perveen, Kauser; Al-Tannir, Mohamad

doi:10.1097/01.epx.0000399178.79516.a3

Cited by 8 publications

(10 citation statements)

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“…Previous reports showed that fetal distress, previous cesareans and breech presentation were the most common indications for cesarean delivery in a tertiary level hospital in Jeddah, KSA [ 14 ]. Kamil et al observed that fetal distress was the commonest indication for cesareans at Women Specialized Hospital Riyadh, King Fahd Medical City, KSA [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…Maternal age and parity were the most associated factors for cesareans, and fetal distress was the commonest indication for cesareans at Women Specialized Hospital Riyadh, King Fahd Medical City, Kingdom of Saudi Arabia [ 23 ]. In the current study; repeated cesarean delivery, failure to progress, fetal distress; breech, antepartum haemorrhage, hypertension and diabetes mellitus were the main indications of cesarean delivery.…”

Section: Discussionmentioning

confidence: 99%

“…Previous recent reports showed that obese women were at four times at higher risk to deliver by cesarean delivery [ 17 ]. The previous study showed that maternal age and parity were the most associated factors for cesareans and fetal distress was the commonest indication for Cesareans at Women Specialized Hospital Riyadh, King Fahd Medical City, Kingdom of Saudi Arabia [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology of Cesarean Delivery in Qassim, Saudi Arabia

Al-Sheeha¹

2018

Open Access Maced J Med Sci

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BACKGROUND:There is a global increase in the rate of cesarean deliveries, with the higher morbidity and mortality. Few published data on cesarean delivery exist in Qassim, Kingdom Saudi Arabia (KSA).OBJECTIVES:To investigate the incidence, type, indications, maternal and perinatal outcomes of cesarean delivery.METHODS:A retrospective study was conducted during three months (August-October 2016) at Maternity and Children’s Hospital (MCH), Buraidah, Qassim, KSA. The medical files of parturient women during the period were revised and the data extracted through questionnaires.RESULTS:There were 936 deliveries during the study period. The mean (SD) of their age, parity and gestational age were 28.6 (6.3) years, 3.0 (2.1) and 38.8 (1.6) weeks, respectively. Out of these 936 deliveries, 396 (42.3%), 21 (2.2%), 114 (12.2%), 405 (43.3%) were vaginal, instrumental, elective and emergency cesarean deliveries, respectively. The indications of the cesarean delivery were; repeated cesarean deliveries (201, 21.5%), failure to progress (87, 9.3%), fetal distress (72, 7.7%); breach (60, 6.4%), antepartum hemorrhage (54, 5.8%), hypertension (36, 3.8%) and diabetes mellitus (9, 1.0%) and more than one indication (6; 0.6%). In binary regression, while age, parity, birth weight and newborn gender were not associated with cesarean delivery, education ≤ secondary level (OR = 2.40, 95% CI = 1.59-3.61, P < 0.001), obesity (OR = 2.30, 95% CI = 1.51-3.48, P < 0.001 and morbid obesity (OR = 3.48, 95% CI = 2.16-5.60, P < 0.001) were associated with cesarean delivery. Nine (2.2%) vs three (0.6%), P = 0.03 women in the group of the cesarean and vaginal delivery respectively developed endometritis. Apgar score at one minute was significantly lower in newborn delivered by cesarean. There were three stillbirths (all of them were delivered by emergency cesarean), P = 0.120. Fifty-four of the newborn was admitted to the nursery; 39 (7.5%) vs.15 (3.6%) were delivery by cesareans vs vaginal delivery; P = 0.010.CONCLUSION:There is a high incidence of cesarean delivery in this hospital; most of them were due to repeated cesarean delivery. Obese women were at higher risk of cesarean delivery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Epidemiology of Cesarean Delivery in Qassim, Saudi Arabia

Al-Sheeha¹

2018

Open Access Maced J Med Sci

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“…13 Kamil A et al found that pre-maturity of the fetus, parity and advanced age of the mother were prominent risk factors for increased rates of cesarean section. 14 The authors recommended that certain secondary tests should be done during pregnancy to ensure that fetus is all right and this may help reduce the cesarean section delivery rates. 14 Ahmed I et al noted the effect of counselling on the rates of cesarean section.…”

Section: Discussionmentioning

confidence: 99%

“…14 The authors recommended that certain secondary tests should be done during pregnancy to ensure that fetus is all right and this may help reduce the cesarean section delivery rates. 14 Ahmed I et al noted the effect of counselling on the rates of cesarean section. 15 They observed that the rates of the cesarean section were more among women who were not given counselling during pregnancy and who were not attended by full time faculty.…”

Section: Discussionmentioning

confidence: 99%

Incidence of cesarean section among primi at a tertiary care hospital in Mahabubnagar, Telangana, India

Vellanki¹

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Not only in India but globally the incidence of cesarean section deliveries is increasing and it is becoming an important cause of concern. The objective of the present study was to observe the incidence of cesarean section deliveries at a tertiary care hospital.Methods: A hospital record-based study was carried out from January 2017 to August 2018. All deliveries with live birth taking place among the primipara were included in the present study. Other than this was excluded. Data was analyzed using proportions.Results: A total of 12254 deliveries took place from January 2017 to August 2018. Maximum deliveries were seen during July 2017 to October 2017 where it ranged above 6%. Normal delivery rate ranged from 51.2% in March 2018 to 64.4% in February 2017. Overall it was 62.1%. The overall cesarean section rate was 37.9% in the present study. This rate is very low compared to the rates from private sector. The cesarean section rate ranged from 35.6% in February 2017 which was lowest in the study period to 48.8% in the month of March 2018 which was the highest in the study period. But the cesarean section rate never crossed the 50% mark and most of the time it remained near 40% mark.Conclusions: It has been found that the cesarean section rate always remained on a lower side as compared to the normal deliveries rate. This can be attributed to the appropriate clinical practices in our settings.

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