Assessment the Indication for Caesarean Section among Women's attending AL -Dewaniya Maternity and Pediatric Hospital

Abstract

Background: Knowing the indications for a cesarean section will help to have a better understanding of this common obstetrical procedure and prepare for the high level of care management that it entails.

Aims of the study: The goal of this study was to determine the factors that influence caesarean section indications among women who visited AL-Dewaniya Maternity and Pediatric Hospital, as well as the relationship between caesarean section women's indications and socio-demographic data.

Methodology: A descriptive cross-sectional study design is conducted for the period of December 26th 2020 to June 1st 2021 at Al Dewaniya Maternity and Pediatric Hospital. The validity of the questionnaire is determined through a panel of experts and reliability is achieved through a pilot study. By a purposive sample is selected among those who are undergo caesarean section, data was collected through the use questionnaire and interview techniques; and analyzed through the descriptive and inferential statistic.

Results: the mean age was 29±7.723, most of the patient were in the age 20-29 years old (n=217; 43.4%), about (n=149; 29.8%) not read and write, more than half of study participants are housewife (n=339; 67.8%), most of study participants are overweight (n=248; 49.6%). Failure of labor progress were predominated were most common indications for cesarean section, the Oligohydramnios were the most factors indicated for cesarean section, as well as, there were no-significant relationship between women demographic data and their indications for caesarean section at p-value >0.05.

Conclusion: failure of progress of labor was the most indication for cesarean section. Oligohydramnios was the most fetal factors indicated for cesarean section.

Recommendations: Avoiding unjustified cesarean section delivery should be encouraged and detailed medical justification for performing caesareans by doctors should be provided