Cesarean Delivery in Majmaah, Saudi Arabia: prevalence, indications and complications

Abstract

Background and Aim: The aim of this study was to study the prevalence, indications and the different complications of cesarean section in King Khalid Hospital (KKH). Methods: This was a cross-sectional study done in one-year duration (January 2016- December 2016) at KKH Hospital (Majmaah Saudi Arabia) in the Gynecology & Obstetrics Department. The study population consisted of 394 women who delivered at the hospital during the period of the study. Results: Most of patients who underwent cesarean section were in the age group of 26-30 years (33.8%) and the lowest number was in the age group 15-20 (1%), the majority of patients were housewife (80.7%), regarding the parity most of them fall in the range para 2-4 (62.7%). C.S prevalence was 30.1% (394) and vaginal delivery was 69.9.1% (918), performed as an emergency (59.1%) and the rest were done electively (40.9%). almost one third of C-sections had complications 31.9% ,the other two third were free of complications (68.1%), the highest rate of complications was abdomen and pelvic adhesion 88 (69%) followed by intra- and post-partum hemorrhage10 (7.9%), bladder injury 4 ( 3.1% ) and poor wound healing was 4 ( 3.1%). Conclusions: This study concluded that KKH Majmaah hospital has high prevalence of C.S in comparison to the international figures which need effective strategies to bring this number to normal figures, pelvic adhesion is the most frequent complication which can led to further future complications.