A cross-sectional Analytic study of Rate and Indication of Caesarean Section

Background: The indications for cesarean section fall into two classes: absolute, where there is no choice, and relative, where there is a choice of method of delivery, but cesarean section appears to offer the best chance of safety for both mother and child. Aim: e: To investigate the incidence and indications used for CS in Sulaimani maternity teaching hospital. Method: A descriptive-analytic, cross-sectional study was carried out in Sulaimani maternity teaching hospital from 1 st October –to December 31 st July 2020. The study included 790 pregnant women who had delivered by elective or emergency cesarean section during the study period. women were interviewed by the researcher with a special questionnaire on the same day or the day after the surgery and a review of the case sheet done for information like indications, and types of cesarean section (elective or emergency) which was written in the operative note. Also, an ultrasound report was needed for the calculation of gestational age. Data organization and analysis were done by SPSS version 22. Result: The incidence of C.S in Sulaimani maternity teaching hospital was 34.6% during the study period and common indications of cesarean section were having a previous cesarean section (22.1%), failure of progress (11.9%), and fetal distress (10%). Conclusion: The study concluded that Cesarean sections were common in the study region, and the rate was more than twice higher than WHO recommendation and previous C.S, failure of progress, and fetal distress were the commonest indications of C.S.It will also create awareness among the mothers to not choose cesarean delivery unless it is medically necessary and not to accept physicians’ decisions to do a CS without asking critical questions about the indication.