Abstract
This Retrospective observational study was done to determine the actual Caesarean Section rate at Tanta University Hospitals (a tertiary care hospital). Review of all deliveries that have been conducted at Tanta University Hospitals whether Vaginal or Caesarean Section in the period from January 1, 2013 to December 31, 2015 and detection of the most common causes of the Caesarean Section. The total number of deliveries was 3592, 3342, and 3320 in the years 2013, 2014 and 2015 respectively. The Rate of cesarean section was (1049/3592) 41% in 2013, (1004/23342) 45% in 2014, and (1057/3320) 46% in 2015. The CS rate was high at Tanta University Hospital, and there was slight increase in the rate through the period of study. The most common indication for cesarean section was previous cesarean section. The conclusion is that the rate of cesarean section was so high at Tanta University Hospital and much higher than WHO recommendation for developing countries. The rate of cesarean section showed minimal but continuous rise in the past three years.
Highlights
The incidence of Caesarean deliveries is increasing every day passing faraway beyond WHO recommended rate of 15% for all deliveries [1]
It was reported that Caesarean section (CS) rates are higher in private hospitals than public hospitals where the CS rate was 31.8% in 2007 but, women delivered in private health insurance hospital the rate was 41.5% compared with women who delivered in public hospitals. [7]
[8] According Ministry of Health and Populations reported data; more than 50% (50.8%) of all deliveries were by CS without much difference between urban and rural areas. [9, 10] The possible factors employed in the rising CS rates were fear of labour pains; misconception about genital damage after vaginal delivery; misconception about safety of CS delivery for the baby; Ayman Shehata Dawood et al.: A Three Year Retrospective Study of Caesarean Section Rate at
Summary
The incidence of Caesarean deliveries is increasing every day passing faraway beyond WHO recommended rate of 15% for all deliveries [1]. Many factors contribute for the rising rates of Caesarean delivery including maternal characteristics, malpractice, economic, social and medicolegal factors have all been reported. Other important but underestimated factors include women request, hospital system factors, obstetrician's qualification and type of care provided by insurance. All of these factors are complex, and non-separable. Cesarean birth rates are increasing in Turkey in parallel to the developments in the world. [9, 10] The possible factors employed in the rising CS rates were fear of labour pains; misconception about genital damage after vaginal delivery; misconception about safety of CS delivery for the baby; Ayman Shehata Dawood et al.: A Three Year Retrospective Study of Caesarean Section Rate at. In Egypt, WHO stated that the Caesarean section (CS) rate in Egypt was 27.6% in the year 2010. [8] According Ministry of Health and Populations reported data; more than 50% (50.8%) of all deliveries were by CS without much difference between urban and rural areas. [9, 10] The possible factors employed in the rising CS rates were fear of labour pains; misconception about genital damage after vaginal delivery; misconception about safety of CS delivery for the baby; Ayman Shehata Dawood et al.: A Three Year Retrospective Study of Caesarean Section Rate at
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