Rising Rates of Caesarean Delivery at Mansoura University Hospital: A Reason for ConcernAdel Saad Helal*, El Said Abdel-Hady, Ehsan Refaie, Osama Warda, Hosam Goda and Lotfy Sherief Sherief
Faculty of Medicine, Department of Obstetrics and Gynaecology, Mansoura, Mansoura University, Egypt
- *Corresponding Author:
- Adel Saad Helal, MD
Department of Obstetrics and Gynaecology
Mansoura University, Egypt
E-mail: [email protected]
Received date: March 04, 2013; Accepted date: April 25, 2013; Published date: April 29, 2013
Citation: Helal AS, Abdel-Hady ES, Refaie E, Warda O, Goda H, et al. (2013) Rising Rates of Caesarean Delivery at Mansoura University Hospital: A Reason for Concern. Gynecol Obstet 3:146. doi: 10.4172/2161-0932.1000146
Copyright: © 2013 Helal AS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objectives: To study the rates and indications of Caesarean delivery at Mansoura University Hospital in Egypt.
Patients and methods: This retrospective study collected data on caesarean delivery rates and indications from the medical records of 34598 women admitted to both emergency and high risk obstetric units over a 5-year period (January 2006-December 2010).
Results: The overall rate of caesarean delivery was 47.25%. Rates at the high risk and the emergency units were 79.33% and 29.15% respectively. The annual rate of caesarean delivery increased significantly (p<0.01) from 42.65% in 2006 to 55.33 % in 2010, mainly due to an increase in the rate of caesarean at the emergency unit. The most common causes were repeat caesarean (35.78%), medical disorders complicating pregnancy (14.25%), failure to progress in labor (10.37%) and malpresentations (9.9%). Vaginal birth after caesarean (VBAC) was attempted in 2078 women and was successful in 22.23%.
Conclusion: The overall rate of caesarean delivery at Mansoura University hospital was 47.25%. This high rate was mainly attributed to previous caesarean delivery, low rate of successful VBAC and the very low rate of attempted instrumental delivery.