Causes of cesarean section performed in an educational health care center
Introduction: Cesarean section is the most common surgery among women. According to ‎World Health Organization, the rate of cesarean section in each area should not exceed ‎‏10‏‎ –‎‏15‏‎ ‎percent. In our countr...
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Guilan University of Medical Sciences
2012-04-01
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| Series: | Journal of Holistic Nursing and Midwifery |
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| Online Access: | http://hnmj.gums.ac.ir/browse.php?a_code=A-10-243-20&slc_lang=en&sid=1 |
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| author | Parvaneh Reza Soltani Adele Hosseinjani Sahabeh Etebari |
| author_facet | Parvaneh Reza Soltani Adele Hosseinjani Sahabeh Etebari |
| author_sort | Parvaneh Reza Soltani |
| collection | DOAJ |
| description | Introduction: Cesarean section is the most common surgery among women. According to ‎World Health Organization, the rate of cesarean section in each area should not exceed ‎‏10‏‎ –‎‏15‏‎ ‎percent. In our country, one of the targets in maternal health program is reducing the rate of ‎unnecessary cesarean delivery to ‎‏25‏‎ percent by ‎‏2015‏‎.‎
Objective: This study was designed to determine the causes recorded by the physician to ‎perform a cesarean section in an educational - care center in Rasht/Iran.‎
Methods: In this descriptive study, we used a questionnaire based on the particular research ‎setting to collect the necessary data according to physicians written statements from ‎‏600‏‎ cases ‎via a simple random sampling in a referral educational health care center specialist in obstetrics ‎and gynecology in Rasht. Data were analyzed by using statistical software and descriptive ‎statistics.
‎ Results:‎‏ ‏The highest frequency of cesarean section was in the age group ‎‏20-29‏‎ years. ‎‏83‏‎ ‎percent of mothers had their first or second pregnancy. In this educational center ‎‏63.38‏‎ ‎percent of deliveries were performed by Caesarean during ‎‏2004‏‎ and ‎‏2005‏‎. The most common ‎causes recorded by the physician to perform a cesarean section were respectively fetal distress ‎‎(‎‏42.7%‏‎),‎‏ ‏repeated cesarean section(‎‏20.3%‏‎),‎‏ ‏cephalopelvic disproportion(‎‏10.7%‏‎), meconium ‎stained (‎‏8.2‏‎%),‎‏ ‏breech presentation(‎‏7.5%‏‎),‎‏ ‏placenta previa(‎‏1.8%‏‎)‎‏ ‏and lack of progress in ‎labor(‎‏1.8%‏‎).‎
Conclusion: The findings of this study‏ ‏showed that the frequency of cesarean section in this ‎center in ‎‏2004‏‎ and ‎‏2005‏‎ was high compared with the standards. It seems that the study of ‎causes of cesarean and its results may help the authorities to plan some strategies on behalf of ‎reducing the number of unnecessary cesarean birth.‎ |
| format | Article |
| id | doaj-art-b5ac2aaa389448f18ce62dacb70380ac |
| institution | Kabale University |
| issn | 2588-3712 2588-3720 |
| language | English |
| publishDate | 2012-04-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Journal of Holistic Nursing and Midwifery |
| spelling | doaj-art-b5ac2aaa389448f18ce62dacb70380ac2024-12-02T04:40:37ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122588-37202012-04-012211622Causes of cesarean section performed in an educational health care centerParvaneh Reza Soltani0Adele Hosseinjani1Sahabeh Etebari2 Introduction: Cesarean section is the most common surgery among women. According to ‎World Health Organization, the rate of cesarean section in each area should not exceed ‎‏10‏‎ –‎‏15‏‎ ‎percent. In our country, one of the targets in maternal health program is reducing the rate of ‎unnecessary cesarean delivery to ‎‏25‏‎ percent by ‎‏2015‏‎.‎ Objective: This study was designed to determine the causes recorded by the physician to ‎perform a cesarean section in an educational - care center in Rasht/Iran.‎ Methods: In this descriptive study, we used a questionnaire based on the particular research ‎setting to collect the necessary data according to physicians written statements from ‎‏600‏‎ cases ‎via a simple random sampling in a referral educational health care center specialist in obstetrics ‎and gynecology in Rasht. Data were analyzed by using statistical software and descriptive ‎statistics. ‎ Results:‎‏ ‏The highest frequency of cesarean section was in the age group ‎‏20-29‏‎ years. ‎‏83‏‎ ‎percent of mothers had their first or second pregnancy. In this educational center ‎‏63.38‏‎ ‎percent of deliveries were performed by Caesarean during ‎‏2004‏‎ and ‎‏2005‏‎. The most common ‎causes recorded by the physician to perform a cesarean section were respectively fetal distress ‎‎(‎‏42.7%‏‎),‎‏ ‏repeated cesarean section(‎‏20.3%‏‎),‎‏ ‏cephalopelvic disproportion(‎‏10.7%‏‎), meconium ‎stained (‎‏8.2‏‎%),‎‏ ‏breech presentation(‎‏7.5%‏‎),‎‏ ‏placenta previa(‎‏1.8%‏‎)‎‏ ‏and lack of progress in ‎labor(‎‏1.8%‏‎).‎ Conclusion: The findings of this study‏ ‏showed that the frequency of cesarean section in this ‎center in ‎‏2004‏‎ and ‎‏2005‏‎ was high compared with the standards. It seems that the study of ‎causes of cesarean and its results may help the authorities to plan some strategies on behalf of ‎reducing the number of unnecessary cesarean birth.‎http://hnmj.gums.ac.ir/browse.php?a_code=A-10-243-20&slc_lang=en&sid=1cesarean section/ Pregnant Women/ Gynecology |
| spellingShingle | Parvaneh Reza Soltani Adele Hosseinjani Sahabeh Etebari Causes of cesarean section performed in an educational health care center Journal of Holistic Nursing and Midwifery cesarean section/ Pregnant Women/ Gynecology |
| title | Causes of cesarean section performed in an educational health care center |
| title_full | Causes of cesarean section performed in an educational health care center |
| title_fullStr | Causes of cesarean section performed in an educational health care center |
| title_full_unstemmed | Causes of cesarean section performed in an educational health care center |
| title_short | Causes of cesarean section performed in an educational health care center |
| title_sort | causes of cesarean section performed in an educational health care center |
| topic | cesarean section/ Pregnant Women/ Gynecology |
| url | http://hnmj.gums.ac.ir/browse.php?a_code=A-10-243-20&slc_lang=en&sid=1 |
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