IMR Press / CEOG / Volume 46 / Issue 6 / DOI: 10.12891/ceog4979.2019
Open Access Original Research
Cesarean section: Where are we are now? A comparative study between 1997-1998 and 2015-2016 at a tertiary teaching hospital in a developing country
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1 Department of Obstetrics and Gynecology, Jordan University Hospital, The University of Jordan, Amman, Jordan
2 Faculty of medicine, The Hashemite University of Jordan, Amman, Jordan
3 Modern Montessori School, Amman, Jordan
Clin. Exp. Obstet. Gynecol. 2019, 46(6), 943–947; https://doi.org/10.12891/ceog4979.2019
Published: 10 December 2019
Abstract

Purpose: The continued rise in caesarean section deliveries (CS) raises a major public health concern worldwide; our aim is to evaluate trends and determinants this increase, comparing indications between 1997 and 1998 (group A) and 2015 and 2016 (group B). Materials and Methods: A retrospective study was conducted at Jordan University Hospital analyzing all indications of CSs. Each delivery was assigned to the primary indication noted for that pregnancy. Results: The CS rate gradually rose from 22% in group A to 62%, and to 65% in group B. The leading indications for the increase rate of CS across the years were previous ≥ 2 CS, followed by decreasing rate of trial of previous uterine scar, non-reassuring fetal heart pattern, breech presentation, twin pregnancies, obstructed labor, and placenta previa. Conclusion: CS rates increased over the last 20 years. The appropriate way is to deal with this trend, is to reduce the primary section.

Keywords
Cesarean section
Developing country
Pregnancy
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