epidemiological study of cesarean section in Zagazig city

ABSTRACT

Cross-sectional study of cesarean section was carried out during the period from March to December 1997. A total of 1897 women were randomly selected, interviewed and asked about their last vaginal and cesarean section deliveries. The results of this study have revealed that the incidence rate of cesarean section deliveries [CS] was 26.15%, representing 71.57% with primary cesarean section and 28.43% with repeated cesarean section. 63.51% of all cesarean section deliveries were performed below the age of 30 years and about 32.26% of all cesarean deliveries were observed among primipara. The overall complication rate was 28.43% in which the main observed complications were operative hemorrhage 16.94%, postoperative wound infection 10.69% and 0.8% of urinary tract and chest infection. The study revealed that proper antenatal services should be available and accepted by target population, promotion of vaginal birth after cesarean section for properly selected cases and complete antiseptic techniques and antibiotic prophylaxis should be recommended when cesarean section done