Journal Article

Caesarean delivery rates, determinants and indications in Makassed Hospital, Jerusalem 1993 and 2002

2009
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Abstract
This study investigated the rising rate of caesarean section (CS) deliveries between 1993 and 2002 (9.4% to 14.4%) and associated factors, including indications for CS and sociodemographic and clinical characteristics based on the register of a major Palestinian teaching hospital. Instrumental deliveries declined from 12.6% to 4.4%. Fetal distress decreased as an indication for CS, while previous CS and breech presentations contributed to the increase. Decision-making for CS needs to frame the benefits and risks of the intervention within the context of women's entire reproductive life-cycle and existing standards of care, avoiding unnecessary and costly CS deliveries to reduce iatrogenic complications and conserve resources.
Year
2009
Language
English
Date Published
Jul-Aug
Volume
15
Pages
868-79
Accession Number
20187538
ISBN Number
1020-3397 (Print)1020-3397 (Linking)
Journal Name
East Mediterr Health J
Keywords
Hospitals
Teaching
Patient Selection
Adolescent
Adult
Breech Presentation
surgery
Cesarean Section
Trends
Chi-Square Distribution
Female
Fetal Distress
Health Services Research
Humans
Hypertension
Pregnancy-Induced
Logistic Models
Medical Audit
Middle East
Parity
Physician's Practice Patterns
Pregnancy
Socioeconomic Factors
Unnecessary Procedures