Authors: Awadalla A.(MD)
Abstract
This study estimates the global numbers and understands the indications of C-sections at Ain Shams University Maternity Hospital (ASUMH) in Cairo, Egypt. It is retrospective study on C-sections rates and indications of 62903 women admitted to both emergency and high-risk obstetric units over a 5-year period (from January 2010 till December 2014). Data were obtained from patient records available at “Patient Records Department” at ASUMH. Missing data were collected through phone calls or direct contact with the patients or their relatives. The global rate of C-sections was 30.5%. Rates at the emergency and the high-risk units were 29.88% and 32.11% respectively. The annual rate of C-sections increased in the emergency unit significantly (p<0.05) from 16.79 % in 2010 to 27.96 % in 2014; also the rate was increased in the high-risk unit significantly (p<0.05) from 6.68 % in 2010 to 15.9 % in 2014. The leading causes were repeat C-sections (42.84%), failure to progress in labor (13%), PROM (7%), preeclampsia/eclampsia (6.17%), multiple pregnancy (5.64), malpresentations (4.75%) and medical disorders complicating pregnancy (4.25%). Vaginal birth after caesarean (VBAC) was attempted in 3158 women and was successful in 36.57%.
Keywords
C- section rates; indications
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