Prevalence and causes of cesarean section in primiparous women in Zahedan in one-year period

Abstract

Background: Cesarean section plays an important role in reducing mortality and complications from high-risk natural childbirth in mother and fetus. But the problem with modern midwifery is the high prevalence of cesarean section. The aim of this study was to investigate the prevalence and causes of cesarean section in primiparous women.Materials and Methods: In the present descriptive cross-sectional study, all clientele who had referred to Ali-Ibn-Abitaleb Hospital in Zahedan for cesarean section for a year from April 2018 to March 2019 were enrolled. The required information included demographic information and reasons for cesarean section extracted from the patients' files and recorded in a pre-designed form. Data were analyzed using SPSS ver.21 statistical software.Results: Out of 174 cases, 44.2% of them ended to cesarean section because of maternal causes, of which 27.5% delivery arrest, 2.5% had preeclampsia, 4.6% had chorioamnionitis, 3.5% had Placental abruption and HELLP syndrome and CPD was 4.3%. Also, fetal causes with a prevalence of 55.8% were: fetal distress 19%, placental abruption 12%, multiple births 11%, placental and umbilical prolapse 9.2% and macrosomia 4.6%, respectively.Conclusion: In the present study, lack of progression of labor and then fetal distress was one of the most important causes of cesarean delivery in primiparity women. Other maternal causes were also the third leading cause of cesarean section in these women.