Abstract

The primary cesarean section rate is defined as the percentage of cesarean deliveries out of all births to women who have not had a previous cesarean delivery. Cesarean section rates steadily increased during the last two decades due to various indications. This is a retrospective study conducted at Dubai Hospital at DHA, Dubai UAE from January 2017 to December 2017, the data were collected using special data collection sheet and analyzed by Statistical package for social sciences (SPSS). The rate of primary cesarean section is 15.4% with fetal distress being the most common cause primary cesarean section. 66% of the performed cases were primigravida. 85% were done as emergency cases. Women aged 36 - 40 years were the common age group among the studied cases. Primary cesarean sections are the driving force behind the overall rate of cesarean sections and cause an increase in morbidity in future pregnancies.

Highlights

  • The primary cesarean rate is defined as the percentage of cesarean deliveries out of all births to women who have not had a previous cesarean delivery [1].Cesarean section rates steadily increased during the 16-year study period (1997-2012) and the distributions of contribution of each indication changed across the years, the principle contributor remained previous cesarean section

  • The indication of primary Cesarean section among the studied group varied from fetal distress 101 cases (32%), malpresentation 63 cases (20%) and failure to progress 26 cases (8.2%) were the three most common indications

  • This study proved the same common indications and almost with same order of occurrence and fetal distress is the dominant indication for primary cesarean section

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Summary

Introduction

The primary cesarean rate is defined as the percentage of cesarean deliveries out of all births to women who have not had a previous cesarean delivery [1]. Cesarean section rates steadily increased during the 16-year study period (1997-2012) and the distributions of contribution of each indication changed across the years, the principle contributor remained previous cesarean section. If one wishes to lower the total cesarean section rate, the ap-. The primary cesarean rate increased by 68% (95% confidence interval [CI]: 67%, 69%) between 1979 (11.0%) and 2010 (18.5%). The primary cesarean delivery rates were higher among older than younger women [3]

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