Journal of Occupational Health and Epidemiology
J Occup Health Epidemiol
Medical Sciences
http://johe.rums.ac.ir
224
admin
2251-8096
2252-0902
10.61186/johe
0
en
jalali
1393
1
1
gregorian
2014
4
1
3
2
online
1
fulltext
en
A survey on causes of cesarean sections performed at the university hospitals of Niknafs and Ali-Ibn Abi Talib of Rafsanjan, Iran, in the second trimester of 2014
Epidemiology
Original Article
<p dir="ltr" style="text-align: justify;"><strong>Background: </strong>The increase in the prevalence of cesarean section (C-section) in recent decades has become a public health problem worldwide. Studies of cesarean section in order to identify the causes and form policies and interventions to reduce the incidence of this health problem are necessary. This study was conducted with the aim to investigate the causes of C-sections performed at Niknafs and Ali-Ibn Abi Talib Hospitals in Rafsanjan, Iran, in the second trimester of 2014.</p>
<p dir="ltr" style="text-align: justify;"><strong>Materials and Methods:</strong> In this cross-sectional study, 560 pregnant women were selected from among those referred to Niknafs and Ali-Ibn Abi Talib Hospitals in the second trimester of 2014 for cesarean delivery. Information was collected using a researcher-made checklist through interviews with patients and reviewing medical records. Data were analyzed using <em>chi</em>-square or <em>Fisher's</em> exact tests, as required.</p>
<p dir="ltr" style="text-align: justify;"><strong>Results:</strong> The mean and standard deviation of age of women was 29.46 ± 5.08 years and most of them (65.0%) were in the age range of 26-36 years and had a diploma (40.7%). Considering delivery history, the highest percentage of women had had a single delivery (38.9%) and over half of the subjects (52.9%) had experienced a previous C-section. The most common causes were repeated C-section (52.9%), elective C-section (on maternal request) (7.5%), meconial stained (6.1%), fetal distress (5.0%), and breech presentation (4.5%). Statistically significant associations were observed between C-section reasons, and age (P < 0.001), number of previous pregnancies (P < 0.001), and previous delivery method (P = 0.010).</p>
<p dir="ltr" style="text-align: justify;"><strong>Conclusions:</strong> Repeated C-section, as the most common cause of cesarean, has had a major role in increasing cesarean. Vaginal delivery after cesarean, taking into account the clinical and legal circumstances and providing training programs to acquaint women to the negative consequences of C-section and vaginal delivery benefits would be effective in the choice of delivery and might help in reducing cesarean.</p>
Cesarean Section, Delivery, Pregnancies, Iran.
104
111
http://johe.rums.ac.ir/browse.php?a_code=A-10-28-2&slc_lang=en&sid=1
B
Rezaie Sardari
rezaie_55@yahoo.com
2240031947532846004395
2240031947532846004395
No
Health Deputy Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Rafsanjan University of Medical Sciences
F
Torkashvand
ftorkashvand295@yahoo.com
2240031947532846004396
2240031947532846004396
No
Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Rafsanjan University of Medical Sciences
M
Karami
mka115@yhoo.com
2240031947532846004397
2240031947532846004397
No
Director of Finance, Member of Insurance Committee and Resources of Health Development Plan, Rafsanjan, Iran.
Rafsanjan University of Medical Sciences
M
Sheikh Fathollahi
mamoosh502002@yahoo.com
2240031947532846004398
2240031947532846004398
Yes
Dept. of Social Medicine and Occupational Environment Research Center, Medical School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Rafsanjan University of Medical Sciences
A
Manshori
mamoosh502002@yahoo.com
2240031947532846004399
2240031947532846004399
No
Dept. of Gynecology, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Rafsanjan University of Medical Sciences