study of caesarean sections

ABSTRACT

This study was carried out on 248 patients delivered by caesarean at Zulfi General Hospital, Riyadh over a period of four years. During this period, there were total of 5394 deliveries. Overall caesarean section rate of 4.6% was significantly lower than other reports from Saudi Arabia and abroad. Perinatal mortality during the same period was 16.7/1000 live births. Common indications for caesarean section included CPD, failure to progress, malpresentation and fetal distress. Fetal weights, maternal age parity and were found to be appreciably related to the caesarean section rates. From this experience, we conclude that a lower caesarean section rate can be maintained without compromising perinatal mortality