Indications for Cesarean Section

Session

Medical, Dental and Pharmaceutical Sciences

Description

Cesarean deliveries were initially performed to separate the mother and the fetus in an attempt to save the fetus of a moribund patient. They subsequently developed to resolve maternal or fetal complications not amenable to vaginal delivery, either for mechanical limitations or to temporize delivery for maternal or fetal benefit. Globally, caesarean rates have been rising in developing countries. The aim of this study was to investigate the Cesarean Section rate, indications, Cesarean Section in relation with maternal age, parity, birth weight and gestacional age. This is a prospective-retrospective case control study of Cesarean deliveries performed between January and December 2015 at the Obstetrics and Gynecologic Clinic of the University Clinical Center of Kosova. This study evaluated the Caesarean delivery rate by maternal age, parity, by neonatal weight at birth as well as by gestational age at birth. Indications for caesarean delivery including emergent, maternal, fetal and other indications for first and for repeated caesarean delivery are reviewed and presented also. Out of the total 9641 deliveries conducted during the study period, 33 % were Cesarean deliveries. According to the indications, maternal indications were found in 59.34% of cases, fetal indications in 18.73 % and other indications were present in 14.11 % of cases. Emergent cesarean section was performed 7.91 % of cases. Most common maternal age group (46.38 %) was between 30-40 years. In first parity, Cesarean Section was performed in 55.02%. Primary Cesarean delivery, independent of parity, was present in 56,15 % of cases, while the repeat caesarean delivery was found to be once repeat in 32.46% of cases , twice repeat in 8.8 % ,three times repeat in 2.01% and four times repeated caesarean delivery was present in 0.53 % of cases. Among 3258 newborns delivered by Cesarean Section, the most common gestational weight at birth (80 %) was between 2500-4200 gr and the gestational age between 37 to 41 weeks in 84 % of cases. Based on the results of the research, we found thet CS rate is decreaset for 0,34% for year 2015 in comparation with 2014 year. We consider that the rate of caesarean delivery, at least should not increase. We suggest the constitution of a group of experts who would review the indications for Cesarean Section, especially for the first births. With the aim to decrease the rate of cesarean delivery we should follow the recommendations for how to convey normal birth as given by Effective Perianatl Care Program, and ACOG/SMFM recommendations for prevention of primary cesarean section.

Keywords:

Birth, Cesarean Section, Indications, Effective Care

Session Chair

Salih Krasniqi

Session Co-Chair

Besnik Elshani

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-437-69-1

Location

Pristina, Kosovo

Start Date

27-10-2018 9:00 AM

End Date

27-10-2018 10:30 AM

DOI

10.33107/ubt-ic.2018.366

This document is currently not available here.

Share

COinS
 
Oct 27th, 9:00 AM Oct 27th, 10:30 AM

Indications for Cesarean Section

Pristina, Kosovo

Cesarean deliveries were initially performed to separate the mother and the fetus in an attempt to save the fetus of a moribund patient. They subsequently developed to resolve maternal or fetal complications not amenable to vaginal delivery, either for mechanical limitations or to temporize delivery for maternal or fetal benefit. Globally, caesarean rates have been rising in developing countries. The aim of this study was to investigate the Cesarean Section rate, indications, Cesarean Section in relation with maternal age, parity, birth weight and gestacional age. This is a prospective-retrospective case control study of Cesarean deliveries performed between January and December 2015 at the Obstetrics and Gynecologic Clinic of the University Clinical Center of Kosova. This study evaluated the Caesarean delivery rate by maternal age, parity, by neonatal weight at birth as well as by gestational age at birth. Indications for caesarean delivery including emergent, maternal, fetal and other indications for first and for repeated caesarean delivery are reviewed and presented also. Out of the total 9641 deliveries conducted during the study period, 33 % were Cesarean deliveries. According to the indications, maternal indications were found in 59.34% of cases, fetal indications in 18.73 % and other indications were present in 14.11 % of cases. Emergent cesarean section was performed 7.91 % of cases. Most common maternal age group (46.38 %) was between 30-40 years. In first parity, Cesarean Section was performed in 55.02%. Primary Cesarean delivery, independent of parity, was present in 56,15 % of cases, while the repeat caesarean delivery was found to be once repeat in 32.46% of cases , twice repeat in 8.8 % ,three times repeat in 2.01% and four times repeated caesarean delivery was present in 0.53 % of cases. Among 3258 newborns delivered by Cesarean Section, the most common gestational weight at birth (80 %) was between 2500-4200 gr and the gestational age between 37 to 41 weeks in 84 % of cases. Based on the results of the research, we found thet CS rate is decreaset for 0,34% for year 2015 in comparation with 2014 year. We consider that the rate of caesarean delivery, at least should not increase. We suggest the constitution of a group of experts who would review the indications for Cesarean Section, especially for the first births. With the aim to decrease the rate of cesarean delivery we should follow the recommendations for how to convey normal birth as given by Effective Perianatl Care Program, and ACOG/SMFM recommendations for prevention of primary cesarean section.