بررسي فراواني سزازين و علل انجام آن در استان چهارمحال و بختياري سال 1381

Prevalence and causes of cesarean section in Chaharmahal & Bakhtiary, 2002

Background and Aim: The high prevalence of cesarean section has become a worldwide problem, nowadays. As a first step for decreasing cesarean rate, we have studied its prevalence and its reasons in Chaharmahal and Bakhtiary province. Method: Patients who had cesarean sections in the hospitals of Chaharmahal and Bakhtiary province were included in this study. The data including: patients characteristics and the reasons of cesarean sections, were collected, (from the patients records) and analyzed. Results: The frequency of cesarean sections included 44% of deliveries (74% urgent, 26% elective). Prevalence of cesarean in hospitals was as follows: Shahrekord (46%), Tamin-e-Ejtemaee (60%), Borujen (39%), Farsan (39%) and Lordegan (28%). In global, patients aged 20-25 years had, 41% and 26-30 years, 29%. Patients having a job 9% and housewives 91%. Primigravida 43.5%, 30-35, 15%, below 20, 9% and over 35, 6%, second pregnancy, 25% and multipara, 31.5% cesarean section. The most prevalent causes of urgent cesarean were fetal distress (30.2%), previous cesarean (43.4%) pelvic contracture (20%), high-risk pregnancy (4.7%) and non-cephalic presentation (6%). Conclusion: The rate of cesarean section in Chaharmahal and Bakhtiary province is high. It seems if the clinicians record the reasons of cesarean section scientifically, employ painless methods of delivery and improve the quality of labour departments. The rate of cesarean section may decrease.