Objectives: To report the Cesarean section rate in Al-
Batool Maternity Teaching Hospital and to identify
how many of them were done for maternal and fetal
condition.
Design: A statistical cross sectional study.
Setting: The study was conducted at Al-Batool
Maternity Teaching Hospital (13000 deliveries per
year).
Participants: The patients group consists of 4556
patients admitted for delivery (vaginal and abdominal)
during a period of four months commencing from
January 2003.
Main outcome measures: calculation of all live
births, calculation of cesarean section rate, percentage
of the primary cesarean sections and the repeat
cesarean sections and listing the indications of the
operation according to maternal and fetal condition
with their percentage.
Results: Total births during the period of this study
were 4556 births, 3732 vaginal deliveries and 824
cesarean sections. Cesarean section rate was found to
be 17.94% of total live births, the most frequent
indication for cesarean section was malpresentation
(24.3%). Primary cesarean sections contribute to 75%
of cases.
Conclusions: A primary cesarean section is one of the
most important causes of high cesarean section rate.
Decreasing the incidence of primary operations will
help in reducing cesarean section rate.
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