Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Jul 2000)
The study on prevalence and causes of cesarean section in Babol, 1998
Abstract
Objective: Cesarean section is one of the most common ways of operation that is increasingly practiced in medical centers. The mortality of this surgical approach is seven times more than that of normal delivery and its morbidity greater than normal vaginal delivery there is no information in hand concerning the incidence of cesarean operation in Babol. Therefore, knowing about factors that make c.section widely practiced will help us decrease the number of operations and thus help the ministry of health with its goals. Methods: The research has been conducted in 1998 on cesarean sections in Yahyanejad and excellency Fatemeh Zahra public Babol clinic and Valliasr the research on the causes cesarean of was accomplished on 700 cases selected randomly in day, Bahman and Esfand 350 cases in public or private centers, questionnaires were completed considering the facts in their hospital records. Public centers were and patients claims. Findings: Incidence of cesarean in 40.5% and 50% for private centers, the most important causes of performing c-section was found to be previous cesarean 30.9% (Governmental 18.3, non-governmental 12.9), cephalo pelvic dispreparation and non-progressed delivery 28% (12.1 versus 15.9) fetal distress and discharge of meconium 13.3% (8.3 versus 4) tendency of the patient 11.9% (2 versus 9.9) mal presentations 5.1% (3.1 versus 4) high risk pregnancy 4.5% (3.7 versus 0.8), tubal ligation 2.1% (1 versus 1.1). Conclusion: Incidence of cesarean is more at public hospitals than at private and difference that are found between them it is remarkably increasing in Babol than other centers. The meaningful difference of causes of c-section in public and private centers shows that all the c-section in private centers have a medically approved indication. With attention that most common causes more cesarean is primary c/s in private centers at is recommended to decrease rate of cesarean with precision and more research in primary c/s also with patience to encourage mothers to have a normal vaginal.
