Pattern and mode of delivery among women attending Benha and October 6 University hospitals

Abstract

Background Cesarean section (CS) rates have been increasing worldwide, raising the question of the appropriateness of the selection of cases for the procedure. Aim The aim of this study was to assess the patterns of CSs and identify the incidence of CSs among Benha and October 6 University hospitals and to identify the determinants of mode of delivery and study factors attributed to the increased CS rate among the studied women. Participants and methods A cross-sectional study targeted physicians delivering women attending Benha and October 6 University hospitals; 300 deliveries performed by the studied physicians were investigated. Fetal distress was the alarming sign to perform CS in 100% and 98.5% of cases in October 6 and Benha University hospitals. Conclusion The sex of the physicians participating in this study, male physicians were 71% and female physicians were 29%, with 100% of the physicians performing CS having an urban residence. Only 5% of physicians performing CS were specialists and 60% were residents, male physicians performing CSs were 58% and female physicians were 42%. Fetal distress was one of the main indications for performing a CS in 99% of cesarean deliveries, and the frequency of antenatal care visits was less than four visits in 81% of cases delivered by CS; 97% of CSs had a favorable outcome; 99% of CSs did not need further interventions; and 63% of CSs had no complications on admission; and the incidence rate of CS was found to be 24.7% in both the studied hospitals.