Incidence of Primary Cesarean Sections among the Pregnant Women whom admitted to the Teaching Hospitals at Zagazig city.

Hasan, Karim; Elwan, Youssef Abo; Nossir, Wael Sabry; Mahdy, Mohamed Sabry

doi:10.21608/zumj.2021.53871.2052

Incidence of Primary Cesarean Sections among the Pregnant Women whom admitted to the Teaching Hospitals at Zagazig city.

Document Type : Review Articles

Authors

¹ Obstetrics and Gynecology, faculty of medicine, Zagazig University, Zagazig, Egypt

² Obstetrics and Gynecology Faculty of Medicine- Zagazig University, Zagazig city, Egypt

³ obstetric and gynecology. faculty of medicine. zagazig univeristy. mitghamer. egypt

10.21608/zumj.2021.53871.2052

Abstract

Abstract
Background: Cesarean section (CS) rates are increasing worldwide; however, it can cause a lot of complications to the mother and the foetus. This study aimed to determine the prevalence of primary cesarean sections over one year among pregnant women who admitted to Zagazig University hospitals and Al- Ahrar Teaching hospital. Methods: our retrospective hospital record-based study was done in Obstetrics and Gynecology Department at Zagazig University Hospitals and Al-Ahrar Teaching Hospital, in a period of one year from May 2017 to May 2018 and data of CS was collected. we obtained our data from theatre, labour ward, and neonatal ward records using a delivery data collection sheet. Results. This study showed that Primary cesarean section rate was 17.2% at Zagazig Teaching Hospitals (17% at Zagazig university hospitals and 18% at Al-Ahrar teaching hospital) more in primipara by (70%) as compared to multipara by (30%). The overall cesarean section rate was 61.55% at Zagazig teaching hospitals. Cephalopelvic disproportion and failure to progress are the major indications in primary cesarean section (35.5%). The most common indication in multiparous women was fetal malpresentation (27.5%, 30.68%) at both hospitals while the primirarous cases was cephalopelvic disproportion or failure to progress (43.7%, 41.1%) at both hospitals. Infections (8.4% , 7.53%) and atonic post sections. Conclusions: The rising prevalence of caesarean section was mainly due to previous caesarean section followed by failed progress

Keywords

Main Subjects