1Lecturer of Gynecology and Obstetrics, College of Medicine, Misan University, Iraq
2Lecturer of Gynecology, Head of Department of Obstetrics and Gynecology, College of Medicine, Misan University, Iraq
3Kawakeb N Abdulla Lecturer of Gynecology, Iraqi National Cancer Research Center, Baghdad University
4Department of Gynecology and Obstetrics, Misan University, Iraq
5College of Pharmacy, Mustansiriyah University, Iraq
6Department of Clinical Pharmacy, Baghdad Medical city, Iraq
*Corresponding Author: Hayder Adnan Fawzi Department of Clinical Pharmacy, Baghdad Medical city, Iraq Email: hayder.adnan2010@gmail.com
Online published on 20 March, 2019.
Cesarean sections increases the health risks for mother and infant as well as the costs of health care when they are compared with vaginal birth.
Determine the prevalence of cesarean section (CS) in Misan province and its main indicating factors.
Clinical records of all patients who underwent cesarean section were analyzed. Indications and the type of cesarean section (elective, emergency) were recorded.
There were 5, 109 deliveries during the study period, 1169 delivery was by cesarean section. The rate of CS was 22.88% (95%CI: 22.77–23.0%), 52% had elective CS, and 49% had emergency CS. Women with age between (19–45) years, and multigravida (2–4 children) carried the highest rate of CS. The main indications for CS were a failure to progress in labor (29%), recurrent CS (24%), fetal distress (16%), malpresentation (14%). No maternal mortality recorded, but there was (5%) maternal morbidity in the form of postpartum hemorrhage.
The rate of CS in Misan province was higher than required by the WHO recommendation guidelines, but it is lower than that reported in the latest survey in Iraq (MICS6). The most common indications for cesarean section were a failure to progress in labor and previous cesarean section. The most common age for CS was between (19–45). Also, the history of multigravida represents half of the cases performing CS. A similar rate of elective and emergency CS. Low complication rate and low neonatal death.
Cesarean section, multigravida, postpartum hemorrhage, recurrent cesarean, low neonatal death
