Seven Years Consecutive Cesarean Section in Primigravidae: Analysis and Evaluation
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 6
Abstract
Background: primigravidae are high-risk patients and are important regarding subsequent obstetrical performance. The world-wide incidence of Cesarean section continues to rise;nulliparity is a contributing factor for the rising as dystocia is a common reason for intervention in nulliparous parturient. Objective: to review, assess the Cesarean section rates, analyze the types and evaluate clinical indications, perinatal outcome of Cesarean section rates performed in primigravidae. Materials & Methods: a retrospective review of all primigravidae who underwent Cesarean section (2221) between 1st Jan. 2002 and 31st Dec. 2008; was done. The data were collected from the records of the labour room and the medical records. The most important indication was assigned to that patient. Results: Cesarean section rate was significantly increased and along the period of study changed by 109.5%. It is increased with increasing maternal age reaching 64.4% among mothers aged 35 years or more, and emergency Cesarean section during labour were significantly less frequent (42.6%) carried out in the oldest age group. Most sections are carried out as emergencies either during labour (53 %) or before labour (18.2%). Dystocia was the main indication in 26.7% of all Caesarean sections in present study. Malpresentations; mainly breech presentations; is the second dominant indication in primiparae. Fetal distress represented 21.4% of the indicated Cesarean sections. The perinatal mortality rate was reported to be 36.5/1000 live births and preterm Caesarean deliveries represented 13.2%. While low birth weight represented 15.4% of the total live births; macrosomia accounted for 8.7% of them. Conclusions: a dramatic increase in Caesarean sections rates among primigravidae explaining the annually increased primary Caesarean section rates. Increasing maternal age is strongly associated with increased Caesarean section rates and commonest indications were dystocia and breech presentaion
Authors and Affiliations
Fatheia Elrishi
Keywords
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