Cesarean section, which was introduced into clinical practice as a lifesaving procedure for both the mother and the baby, is one of the most common surgeries performed in modern obstetrics. Formerly it was performed in interest of the mother; currently it is frequently done for fetal indication. As other procedures of some complexity, its use follows the health care inequity pattern of the world; underuse in low income setting, and adequate or even unnecessary use in middle and high income setting (1).
The first modern cesarean section was performed by German gynecologist Ferdinand Adolf Kehrer in 1881. Cesarean section is often performed when a vaginal delivery would put the baby's or mother's life or health at risk. Many are also performed upon request (2).
Pregnancy and delivery are considered a normal physiological state in women; however, of all deliveries approximately 10% are considered high risk, some of which may require Cesarean section (3).
The cesarean delivery rate has increased throughout the world. Cesarean rates have increased over the past 40 years from approximately 5% to more than 30% in many industrialized countries (4). The cesarean rate is approximately 21.1% for the most developed regions of the globe, 14.3% for the less developed regions, and 2% for the least developed regions (5).
Recent studies reaffirm earlier recommendations of the world health organization (WHO), about optimal C-section rates, addressing that the best outcomes of mothers and babies appear to occur with C-section rates of 5% to 10%, while rates above 15% seem to do more harm than good (6).
In US the cesarean rate increased dramatically during the 1970s and early 1980s this may be accredited to the improved technology in detecting pre-birth distress, and began to decline in the late 1980s (based on data from the National Hospital Discharge Survey). Between 1989 and 1996 the total cesarean rate decreased as a result of a decrease in the primary rate and an increase in the rate of vaginal birth after Cesarean (VBAC). Since 1996, these trends have reversed, and increases have been rapid and sustained for primary and repeat Cesareans over the past decade (7).
According to the Iraq Multiple Indicator Cluster Survey 2006 (Iraq MICS 2006) (8), about 20% of births were delivered by C-section (Table 1). Moreover, a brief and rapid survey of C-sections in Baghdad Teaching Hospital, a tertiary referral hospital, indicated that the emergency C-sections account only for 62.2% of the total number of C-sections performed outside the working hours during April 2010 (9).
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Research in the field of English language as a foreign language (EFL) has been consistently highlighted the need for communicative competence skills among students. Accompanied by the validated positive impact of technologies on students’ skills’, this study aims to explore the strategies used by EFL students in enhancing their communicative competence using digital platforms and identify the factors of developing communicative competence using digital platforms (linguistic factors, environmental factors, psychological factors, and university-related factors). The mixed-method research design was utilized to obtain data from Iraqi undergraduate EFL students. The study was conducted in the Iraqi University in Baghdad Iraq. EFL undergradu
... Show MoreFaced economic units face the option of restoring the capital budget annually, and the information provided for the preparation of these budgets, including financial and non-financial aspects have an important impact in the numbers of these budgets, and these units differ in the ability of their own accounting systems to maintain this information. The aim of this research is to investigate the volume of accounting information that is relied on and the reasons for the differences between one unit and another in the various economic sectors in the Iraqi environment.
The most important results of the research is the weakness of the adoption of decision makers in the Iraqi environment and lack of sufficient attention in the decision-
... Show MoreOver the last two decades, several sustainability assessment methods have developed as key accelerators for the development and improvement of sustainable industrial buildings. Some of these systems, like as LEED or BREEAM, are considered international, whereas others, such as Pearl Rating Systems (PRS), are local. Although they all share similar goals, they can lead to the construction of green buildings or the improvement of the efficiency of existing conventional buildings. Each technique has its structure, certification process, and weighting norms. The inequalities have prompted various questions about whether global assessment systems appropriately consider the country’s national settings. This study aims to compare the Pear
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The Intelligence of the Child in Relation to some Variables
One of the most important problems in concrete production in Iraq and other country is the high sulfate content in sand that led to damage of concrete and hence reduces its compressive strength and may leads to cracking due to internal sulfate attack and delay ettringite formation. The magnetic water treatment process is adopted in this study. Many samples with different SO3 content are treated with magnetic water (12, 8, 4 and 2)L that needed for each 1kg of sand with the magnetic intensity (9000 and 5000) Gaus. The magnetic water needed is reduced with less SO3 content in sand. The ACI 211.1-91 concrete mix design was used in this research with slump range (75- 100) mm and the specified compressive strength (35MPa). The compressive streng
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