Frequency rate and indications of cesarean sections at Prince Zaid Bin al Hussein Hospital-Jordan

Abstract EN

Objective : To determine the frequency rate and indications of cesarean sections at Prince Zaid Bin Al Hussein Hospital, Tafileh-Jordan.

Methods : A clinical records review was conducted from 1st June 2009 to 30th May 2010.

The review included those patients who underwent urgent and elective Cesarean Sections were analyzed.

It includes all the pregnant women booked in the antenatal clinic, and the unbooked patients admitted in early labor for which Cesarean Sections were indicated later.

Simple descriptive statistical methods (frequency, mean and percentage) were used to describe the study variables.

Results : Out of 2400 deliveries during the study period, 450 cesarean sections were performed with a frequency of 18.75 %.

Of these 450 patients 128 (28.4%) were primigravida.

There were 216 (48 %) primary and 234 (52 %) repeated cesarean sections.

One hundred sixty-seven cesarean deliveries (37.1 %) were performed on women in the above 30 years age group and those who were parity 1-3 (47.3 %).

Of the primary cesarean section group; the commonest indication was failure to progress (30.1%) and of the repeated cesarean section group; the commonest indication was two or more cesarean section (26%).

The review showed that all cesarean sections performed had specific indications.

The three most common indications for cesarean sections are fetal distress, failure to progress in labor and repeated cesarean sections Conclusion: Preventive efforts should be directed towards decreasing the frequency of primary cesarean deliveries by appropriate management of labor.

Efforts to lower cesarean section rate should focus on the areas of fetal distress, failure to progress in labor and by attempting vaginal birth after cesarean delivery.