Cesarean sections at prince ali ben al-hussein military hospital-jordan : rate and indications

الملخص EN

Objective: To determine the rates and indications of cesarean sections at Prince Ali Ben Al-Hussein Military Hospital, Karak - Jordan.

Methods: This retrospective study was carried out between 1st January 2003 and 30th December 2003.

The medical records of all patients who underwent abdominal delivery were reviewed and analyzed.

Results: During the study period, 251 cesarean sections were performed.

The rate of cesarean sections was 13.8%.

The commonest indications of all cesarean sections (primary and repeated) were failure of progress in labor (21.5%), fetal distress (16.3%) and history of two or more cesarean sections (12.3%).

There were 104 (41.4%) primary and 147 (58.6%) repeated cesarean sections.

Of the primary cesarean sections group, the commonest indication was failure of progress in labor (26.9%) and of the repeated cesarean sections group the commonest indication was two or more cesarean sections (21.1%).

Conclusion: This study showed a lower cesarean section rate in our hospital as compared with the international rates.

The ideal cesarean section rate remains uncertain, but it is clearly rising all over the world.

If we have to reduce cesarean delivery rate safely, we should concentrate on reducing the number of primary cesarean deliveries.