Obstetric and Non-Obstetric Risk Factors for Cesarean Section in Oman

Busaidi, Ibrahim Al; Farsi, Yahya Al; Ganguly, Shyam S.; Gowri, Vaidyanathan

doi:10.5001/omj.2012.114

Cited by 37 publications

(47 citation statements)

References 25 publications

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“…Majority (72.3%) of mothers gestational age at labor was less than 38 weeks, but in study done in Oman the majority of the mothers gestational age is above 38 weeks [14]. in this study, maternal age is significantly associated with cesarean section in line with other different studies [14,15]. Being undergone cesarean section more likely increase as age of mothers increase.…”

Section: Discussionsupporting

confidence: 85%

“…But it is lower as compared with the study done in Brazil which is 94.7% [6]. Majority (72.3%) of mothers gestational age at labor was less than 38 weeks, but in study done in Oman the majority of the mothers gestational age is above 38 weeks [14]. in this study, maternal age is significantly associated with cesarean section in line with other different studies [14,15].…”

Section: Discussionsupporting

confidence: 80%

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Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia

Gutema¹,

Shimye²

2014

JGO

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Abstract:Background: It is estimated that about 20 million cesarean section (CS) deliveries occur each year in the world.But, in least developed countries the rate of deliveries by CS is very few. Objectives: The objective of this study is to assess Factors associated with Caesarean section at Mizan Aman General Hospital Southwest Ethiopia. Method: A cross sectional study was conducted by reviewing medical record of mothers. The sample size was determined using single population proportion and total sample size was 354. The checklist was used for data collection by adopting from other articles. The data was entered into EPI info 7.1.0 and exported to SPSS version 17 then analyzed. Binary logistic regression was done. Odd ratio was used for interpretation of strength of prediction of the independent variable to the outcome cesarean section. For all statistical significance tests, the cut-off value set was p<0.05 with CI of 95%. Result: A total of 342 mother medical record was reviewed. Majority (39.2%) of them found between 20-24 with mean age of 23.1(+4.38). Majority (78.9%) of mother delivered through vagina while the remaining (21.1%) of them delivered by CS. Less number (32.3%) of them had ANC follow up for their current pregnancy, Maternal age, gestational age and the outcome of the new born have significant association with cesarean section. Conclusion and Recommendation: The rate of the cesarean section is high. Maternal age, gestational age and the outcome of the new born have significant association with cesarean section at the hospital. The rate of cesarean section at the hospital should be reduced.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 80%

Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia

Gutema¹,

Shimye²

2014

JGO

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“…Our caesarean section rate is above the established fork of the World Health Organization. 16 On another hand, ptresent rate is much lower than the rate of 40.1% found in study in Lagos-Nigeria and 43% rate from public hospitals in Brazil. 17,18 Present high caesarean section rate is due to high rate of emergency sections (85.0%), where referral cases are managed from 5 districts and their peripheries as it is the only tertiary care facility in South Kivu Health Division.…”

Section: Discussioncontrasting

confidence: 41%

“…Other studies on the same subject showed that advanced maternal age remain a leading factor associated with caesarean section. 16,1920 This can be explained by the fact that older women are more likely to experience pregnancy complications such as diabetes, hypertension and pre-eclampsia.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with caesarean section at Bukavu Provincial Hospital in Democratic Republic of Congo

Philémon¹,

Julie²,

Ntakwinja³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONIn 2008, the World Health Organisation (WHO) estimated that over 350,000 women died in complications of childbirth.1 Ninety-nine per cent of these deaths occurred in resource-poor countries where access to family planning, antenatal care, and emergency obstetric services are limited.2 It is worldwide known that caesarean can present several risks than a vaginal birth even if it is become nowadays one of obstetric intensive cares regarding its benefits for mother and baby. 3 The WHO suggests that the level of caesarean section should range between 5% and 15% and no region in the world is justified with having a caesarean rate greater than 10% to 15% and not be less than 5%.4-6 Thus, both the upper and the lower limits have been discussed critically by several researchers. [7][8][9] DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20175230 ABSTRACT Background: Caesarean section is the most common major surgery performed on women Worldwide. Even if caesarean can be useful for mother and foetus, it can provoke some medical and social complications like infection, expensive cost and maternal death. This study aimed at determining the factors associated with caesarean section in Bukavu, at the Provincial Hospital. Methods: Data were collected retrospectively by exploring the files of childbirth established systematically for each pregnant woman. 466 files were exploited including 233 caesarean s (case) and 233 vaginal delivery (control). The normal childbirth which followed a caesarean was served as control. This study was a case-control. Logistic regression was used to model factor associated with caesarean section. Results: During the study period, there were 2170 deliveries in which 491 of them by caesarean section (22.6%). The factors associated with the caesarean section at the Provincial Hospital in Bukavu town were foetal distress, bleeding in the third trimester of the pregnancy, previous caesarean section, referral status and the moment of delivery (day shift). Conclusion: This study recommends an adequate monitoring of the pregnancy and training of professionals in best practices; implementation and technical audit of caesarean with feedback can significantly reduce the rate of Caesarean section in this hospital. Also, allocation in equipment suitable for the treatment of pregnant women is necessary.

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“…9 In Oman, the CS rate gradually increased from 9.7% in 2000 to 15.7% in 2009. 10,11 At the Sultan Qaboos University Hospital (SQUH), a tertiary care university hospital in Muscat, Oman, the annual delivery rate was approximately 3,800 in 2013, with a CS rate of 18%.…”

mentioning

confidence: 99%

Decisions to Perform Emergency Caesarean Sections at a University Hospital: Do obstetricians agree?

Pillai¹,

Gowri²,

Al-Shukri³

et al. 2016

SQUMJ

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abstract:Objectives: This study was undertaken to assess the degree of agreement amongst obstetricians regarding decisions to perform emergency Caesarean section (CS) procedures at a university hospital. Methods: This retrospective clinical audit was carried out on 50 consecutive emergency CS procedures performed between November 2012 and March 2013 on women with singleton pregnancies at the Sultan Qaboos University Hospital in Muscat, Oman. Data on each procedure were collected from electronic patient records and independently reviewed by six senior obstetricians to determine agreement with the decision. Results: Of the 50 women who underwent CS procedures, the mean age was 28.9 ± 5.1 years and 48% were primigravidae. A total of 65% of the CS procedures were category I. The most common indications for a CS was a non-reassuring fetal heart trace (40%) and dystocia (32%). There was complete agreement on the decision to perform 62% of the CS procedures. Five and four obstetricians agreed on 80% and 95% of the procedures, respectively. The range of disagreement was 4-20%. Disagreement occurred primarily with category II and III procedures compared to category I. Additionally, disagreement occurred in cases where the fetal heart trace pattern was interpreted as an indication for a category II CS. Conclusion: The majority of obstetricians agreed on the decisions to perform 94% of the emergency CS procedures. Obstetric decision-making could be improved with the implementation of fetal scalp pH testing facilities, fetal heart trace interpretation training and cardiotocography review meetings.

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Obstetric and Non-Obstetric Risk Factors for Cesarean Section in Oman

Abstract: The study calls for increasing awareness about clinical and public health majors that would lead to prevention of risk factors associated with increased risk of cesarean section such as maintaining normal BMI and prevention of gestational and type 2 diabetes mellitus.

Cited by 37 publications

References 25 publications

Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia

Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia

Factors associated with caesarean section at Bukavu Provincial Hospital in Democratic Republic of Congo

Decisions to Perform Emergency Caesarean Sections at a University Hospital: Do obstetricians agree?

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