Abstract
Background: Caesarean section is traditionally done when a vaginal delivery would put the mother or fetus's life at risk. Knowing the indications of the caesarean section will help to have an impression of this common type of the obstetric procedures. The aim of the current study was to examine the indications of caesarean sections which are undertaken in Mosul city hospitals. Methods: A cross-sectional study was done at eight hospitals in Mosul city and a sample of 671 women who were delivered by caesarean section was included in this study. The necessary agreement was obtained from all the participants in the sample. Study period: the study was done during the period from 15th November 2019 to 15th April 2020. The information was taken by direct interview with the women who were delivered by caesarean section and from their hospital case sheets. Results: Primary caesarean section was reported in 45.2% of cases followed by previous two or more CS in 32.3% and those with previous one caesarean section with other causes 22.5% with a very highly statistically significant difference (P=0.001). Fetal distress was the indication for primary caesarean section in one-quarter of cases 25.4% with a very highly statistically significant difference (P=0.000) from other causes. Maternal request constituted 11.5% of indications among the participant women and it constituted one-quarter of causes among women with previous one caesarean section (P=0.000). Conclusions and recommendations: Primary caesarean section constituted the highest number among caesarean section indications in the current study, followed by previous two or more caesarean section and then previous caesarean section with other causes. Fetal distress was the highest indication in primary caesarean section cases. The study recommends to improve health education to the mother about the risk of caesarean section and possibility of normal delivery after primary caesarean section.
Highlights
Caesarean section (CS) is the delivery of a fetus through surgical incision which done through the abdominal wall and the uterine wall and it is known as caesarean delivery or C-section 1
People are afraid from any surgery except CS and many of them insist on CS from the beginning of their pregnancy as well as they came to hospital very happy like when go to a wedding and they really put pressure on her obstetrician to deliver by CS 14
Six hundred seventy-one women who underwent CS in Mosul city hospital were included in the study
Summary
Caesarean section (CS) is the delivery of a fetus through surgical incision which done through the abdominal wall (laparotomy) and the uterine wall (hysterotomy) and it is known as caesarean delivery or C-section 1. Absolute indications when the vaginal delivery was not possible and there was a life threatening condition to the pregnant women and it was about 1-2% of all deliveries These absolute indications are severe and uncontrolled antepartum hemorrhage, persistent of abnormal presentation, rupture of the uterus 6, previous two or more CS 7, absolute cephalo-pelvic disproportion 8 and atypical cases of CS after the mother death (post mortem birth) 9. Fetal distress was the indication for primary caesarean section in one-quarter of cases 25.4% with a very highly statistically significant difference (P=0.000) from other causes. The study recommends to improve health education to the mother about the risk of caesarean section and possibility of normal delivery after primary caesarean section
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