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Investigation of cesarean sections at Konya Training and Research Hospital Obstetrics and Gynecology Department between 2010 and 2015
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Abstract
Objective: Analysis of the annual distribution of cesarean sections and indications between 2010 and 2015 in our clinic.
Material and methods: Medical records of 10,437 cesarean section patients from a total number of 24,283 deliveries performed at Department of Obstetrics and Gynecology between 2010–2015 were evaluated retrospectively. The indications for Cesarean section were analyzed and compared based on years.
Results: The lowest cesarean section rate was 18.67% in 2011 and the highest rate was 24.5% in 2013, and the annual rates were close to each other in this 6-year period (p > 0.05). History of uterine surgery was the indication with the highest rate of 49.52%, while fetal distress was the second most frequent with 12.53%; presentation anomalies were observed as the most frequent third indication with 7.55%, and umbilical cord prolapse was the least frequent indication with 0.33%.
Conclusions: Patient education about normal delivery and providing means for pain control during normal delivery, improvement in physical conditions of the clinics, frequent and regular training of the assisting staff with obstetrics physicians are important to diminish the rates of primary cesarean sections. In addition, a normal delivery after a previous cesarean section must be encouraged.
Abstract
Objective: Analysis of the annual distribution of cesarean sections and indications between 2010 and 2015 in our clinic.
Material and methods: Medical records of 10,437 cesarean section patients from a total number of 24,283 deliveries performed at Department of Obstetrics and Gynecology between 2010–2015 were evaluated retrospectively. The indications for Cesarean section were analyzed and compared based on years.
Results: The lowest cesarean section rate was 18.67% in 2011 and the highest rate was 24.5% in 2013, and the annual rates were close to each other in this 6-year period (p > 0.05). History of uterine surgery was the indication with the highest rate of 49.52%, while fetal distress was the second most frequent with 12.53%; presentation anomalies were observed as the most frequent third indication with 7.55%, and umbilical cord prolapse was the least frequent indication with 0.33%.
Conclusions: Patient education about normal delivery and providing means for pain control during normal delivery, improvement in physical conditions of the clinics, frequent and regular training of the assisting staff with obstetrics physicians are important to diminish the rates of primary cesarean sections. In addition, a normal delivery after a previous cesarean section must be encouraged.
Keywords
cesarean, vaginal delivery, cesarean section rates, indications
About this articleTitle
Investigation of cesarean sections at Konya Training and Research Hospital Obstetrics and Gynecology Department between 2010 and 2015
Journal
Issue
Article type
Research paper
Pages
185-190
Published online
2017-04-28
Page views
1442
Article views/downloads
1690
DOI
Pubmed
Bibliographic record
Ginekol Pol 2017;88(4):185-190.
Keywords
cesarean
vaginal delivery
cesarean section rates
indications
Authors
Zeynep Ozturk Inal
Hasan Ali Inal
Hasan Kucukkendirci
Ayla Sargin Oruc
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