PRIMARY CESAREAN SECTION IN TABUK COMMUNITY IN SAUDI ARABIA: RATE AND CLINICAL INDICATIONS
Al-balawi M.*, Al-shwameen M., Al-balawi Y., Al-Shaman A., Kamel R.
introduction : The study of the rate and characterizing the indications for Cesarean Section (CS) are useful and helpful for health care givers and researchers trying to lower the overall cesarean section rate and its complications. Objectives : To identify the rate and the indications for primary Cesarean Section and that help to establish strategies to decrease the overall Cesarean Section rate and its complications especially in our community where the big family size is the norm. Materials & Methods : A retrospective cohort study of 987 women who gave birth by CS at King Khalid Hospital, Tabuk, Saudi Arabia along one year (January 2013 to December 2013). Results : Of a total of 2,720 deliveries during the study period, 987 deliveries were CS deliveries (36%). More than half of (55.5%) CS deliveries were primary CSs. The most frequent indications for primary CS were non reassuring fetal status (23%), breech presentation (20%) and failure to progress (18%). The entire group of patients with intermediate category of fetal heart tracing (72%) did not have fetal scalp pH testing (not available in the labor ward). Conclusion : Primary Cesarean section is high in our hospital as compared to the national and international institutions which offer external cephalic version and fetal scalp PH. These are important strategies that should be implemented to reduce the primary cesarean delivery rate and hence the overall rate of CS in Tabuk community.
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