ISSN: 2147-2092
A Retrospective Evaluation of Cesaerean Section Rates Performed Between 2009-2012 in Our Clinic: Can the Increase in C-Section Rates be Overcome?
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Original Investigation
VOLUME: 24 ISSUE: 2
P: 40-43
April 2013

A Retrospective Evaluation of Cesaerean Section Rates Performed Between 2009-2012 in Our Clinic: Can the Increase in C-Section Rates be Overcome?

GMJ 2013;24(2):40-43
DOI: 10.12996/gmj.2013.1
İlknur MUTLU 1
Mehmet Fırat MUTLU 2
Ahmet DEMİR 1
Tünay EFETÜRK 3
Mine KİSELİ 4
1. Elazığ Eğitim Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Uzmanı, Elazığ, Türkiye
2. HRS Kadın Hastanesi, Kadın Hastalıkları ve Doğum Uzmanı, Ankara, Türkiye
3. Çorum Devlet Hastanesi, Kadın Kastalıkları ve Doğum Uzmanı, Çorum, Türkiye
4. Ufuk Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı, Kadın Hastalıkları ve Doğum Uzmanı, Ankara, Türkiye
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No information available
Received Date: 17.04.2013
Accepted Date: 11.06.2013
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ABSTRACT

Conclusion:

The increase in Cesarean section rates both in Turkey and worldwide are compatible. Strategies that require a multidisciplinary approach collaborating doctors, patients and health policy authorities have to be implemented immediately in order to decrease the Cesarean rates in Turkey.

Results:

Out of the 13874 deliveries that took place during years 2009 and 2012, the rate of normal spontaneous vaginal birth and cesarean section was 55.6% (n=7720) and 44.4% (n=6154) respectively. When the indications for Cesarean sections were taken into account, it was seen that 2391 (17.2%) of these patients were operated due to a previous Cesarean , 387 (2.7%) were due to breech presentation, 1067 (7.6%) due to cephalopelvic disproportion, 1125 (8.1%) due to fetal distress, 279 (2%) due to macrosomia and remaining patients underwent a Cesarean section for other reasons (abruptio placentae, prolapsed cord, multiple pregnancy, preeclampsia). By analyzing annual Cesarean statistics we determined that 41.6% (n=1491) of patients were delivered by cesarean section in 2009, 45.7% in 2010, 43% (n=1499) in 2011, and 43.7 (n=1225) in 2012

Methods:

Patients that were delivered at Elazig Research and Training Hospital Gynecology and Obstetrics Department between 01.01.2009 and 31.12.2012 were included. The patients’ demographic features, their gravida and parity, mode of delivery, indications of Cesarean sections, the newborns’ birth weights and genders were reviewed retrospectively. The rates and the indications of Cesarean sections were evaluated according to year of delivery.

Objective:

The purpose of this study is to investigate the rates of vaginal and Cesarean delivery, to evaluate the indications of Cesarean sections and to see how our rates parallel with the ever increasing percentages of Cesarean sections performed in Turkey. In doing so we aim to find a feasible solution to lower this increase in Cesarean rates.