INDICATIONS OF PRIMARY CAESAREAN SECTIONS AMONG IRAQI WOMEN IN KARBALA CITY DURING 2018
Keywords:Caesarean section, Primary caesarean section, Indications
Objective: To study the different indications of primary caesarean sections for women attending Karbala Maternity Teaching Hospital and Al-kafeel Super Specialty hospital.
Methods: This was cross-sectional study, the sample was 330 women. Over the period from 1st January 2018 to th June 2018. Questionnaire was filled by direct interviews. A pilot study was done; the subjects of the pilot including 20 women with previous PCS, and some modifications were occurred done accordingly. The sample of study was convenient sample including all women for whom PCS was done in the first time, it was 330 women. Then data was entered and analyzed by SPSS program version 22.
Results: The commonest age group in this study was (25-29) year, which represent 32.1%. Majority of the study sample (49.7%) were primigravida. The percentage of indications of Caesarean section include fetal distress 22.1%, prolonged labor18.5%, malpresentation 17.3% and amniotic fluid leakage 16.4%. Emergency CS had 43.6%, and maternal request had 21.5%.
Conclusion: Largest number of participant were primigravidarum which read big and serious problem for women life in future. Most women had taken regular antenatal care. Fetal distress and prolonged labor were the most common indications for caesarean section. Fetal outcome was good that reflect good antenatal care and perinatal care.
2. Saha L, Chowdhury SB. Study on the primary cesarean section. Mymensingh Med J. 2011;20:292-7.
3. Okonkwo NS, Ojengbede OA, Morhason Bello IO, Adedokun BO. Maternal demand for cesarean section: perception and willingness to request by Nigerian antenatal clients. Int J Women's Health 2012;4:141.
4. Sri AS, Kekhashan A. Institutional study of primary caesarean section among multigravida. Emergency 2016;184:80.
5. Chaillet N, Dumont A. Evidence?based strategies for reducing cesarean section rates: a meta?analysis. Birth 2007;34:53-64.
6. Betran AP, Torloni MR, Zhang J, Ye J, Mikolajczyk R, Deneux Tharaux C, et al. What is the optimal rate of caesarean section at the population level? A systematic review of ecologic studies. Reproductive Health 2015;12:57.
7. Silver RM. Implications of the first cesarean: perinatal and future reproductive health and subsequent cesareans, placentation issues, uterine rupture risk, morbidity, and mortality. Seminars Perinatol 2012;36:315-23.
8. Ojiyi E, Dike E, Idrissa A. Primary caeserean section in grandmultiparae at mater misericordiae hospital afikpo: a 5 y retrospective study. Nigerian J Clin Practice 2008;11:368-71.
9. Branch DW, Silver RM. Managing the primary cesarean delivery rate. Clin Obstet Gynecol 2012;55:946-60.
10. Tita ATN. When is primary cesarean appropriate: maternal and obstetrical indications. Seminars Perinatol 2012;36:324-7.
11. Fantini MP, Stivanello E, Frammartino B, Barone AP, Fusco D, Dallolio L, et al. Risk adjustment for inter-hospital comparison of primary cesarean section rates: need, validity and parsimony. BMC Health Serv Res 2006;6:100.
12. Metz TD, Allshouse AA, Gilbert SAB, Doyle R, Tong A, Carey JC. Variation in primary cesarean delivery rates by an individual physician within a single-hospital laborist model. Am J Obstetrics Gynecol 2016;214:531. e1-. e6.
13. Ministry of health/Environment. Annual Statistical Repot; 2016.
14. Khashoggi T, Soltan MH, Al Nuaim L, Addar M, Chowdhury N, Adelusi B. Primary cesarean section in King Khalid University hospital: indications and obstetric outcome. Ann Saudi Med 1995;15:585-8.
15. Faisal I, Matinnia N, Hejar AR, Khodakarami Z. Why do primigravidae request caesarean section in a normal pregnancy? A Qualitative Study Iran Midwifery 2014;30:227-33.
16. Simpson LL. When is primary cesarean appropriate: fetal indications. Seminars Perinatol 2012;36:328-35.
17. Caughey AB, Cahill AG, Guise JM, Rouse DJ. Safe prevention of the primary cesarean delivery. Am J Obstetrics Gynecol 2014;210:179-93.