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Abstract                 Volume:5  Issue-2  Year-2017          Original Research Articles


Online ISSN : 2347 - 3215
Issues : 12 per year
Publisher : Excellent Publishers
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Rising Rate of Caesarean Section – A Global Problem
Farzana Rizwan Arain*
Taif Medical College, Taif, KSA
*Corresponding author
Abstract:

To compare the frequency of Caesarean Section (CS), Emergency and Elective CS, indications of Emergency and Elective CS and obstetrician reasons for supporting women choice for caesarian section between a healthcare setting of Saudi Arabia and Pakistan. The retrospective study analyzed the hospital records of all deliveries during the period January, 2012 till December, 2012 at two settings, Muhammad Medical College Hospital (MMCH), Pakistan and Sabatal Alaya Hospital, Saudi Arabia. Data (demographic information, parity and outcome variables i.e., cesarean section or vaginal delivery, elective cesarean section or emergency cesarean section) from the clinical records were retrieved. Importantly, the indicators for cesarean section mentioned in the clinical notes were also recorded. The present study also included the collection primary data on reasons for supporting women choice for caesarian section from obstetricians of Pakistan and Saudi Arabia. The data was analysed using SPSS version 21 and qualitative variables were compared between women delivered at Muhammad Medical College Hospital (MMCH), Pakistan and Sabatal Alaya Hospital, Saudi Arabia using chi square statistics. The retrospective analysis included data of eleven hundred and fifty women who delivered in MMCH and eight hundred and thirty four deliveries in Sabatal Alaya Hospital, Saudi Arabia. Fifty eight percent of women were delivered through Caesarian section in Pakistan compared to around thirty four percent in Saudi Arabia. The most common indicators for Elective CS among Pakistani and Saudi women were previous CS followed by breech presentation, maternal condition and maternal request. Significant difference lied between indications of Emergency CS between the two countries with most common reasons as difficult labor (26.5% Vs. 39%), fetal distress (20.9% Vs. 17.3%), Antipartum Hemorrhage (12.7% Vs. 10.8%) and breech presentation (10.2% Vs. 9.7%). Greater proportion of obstetricians from Saudi Arabia compared to those working in Pakistan accounted women choice (51.8% Vs 18.2%; p-value < 0.001), previous caesarian section (87.5% Vs 68.2%; p-value = 0.035), respect for women autonomy (80.4% Vs 56.8%; p-value = 0.084) and legal consequences if something goes wrong (58.9% Vs 15.9%; p-value = 0.001) as reasons for supporting caesarean delivery. The present study concluded that in both Pakistan and Saudi Arabia CS rate exceeded the acceptable 15% rate suggested by the World Health Organization (WHO). The obstetricians from Saudi Arabia had more fear of legal consequences, and accounted women choice and respect for women autonomy as reasons for supporting women decision of Elective CS.

Keywords: Caesarean section, Elective, Emergency, Maternal request, Indications.
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How to cite this article:

Farzana Rizwan Arain. 2017. Rising Rate of Caesarean Section – A Global Problem.Int.J.Curr.Res.Aca.Rev. 5(2): 44-50
doi: http://dx.doi.org/10.20546/ijcrar.2017.502.006