RESUMO
This study investigated the rising rate of caesarean section (CS) deliveries between 1993 and 2002 (9.4% to 14.4%) and associated factors, including indications for CS and sociodemographic and clinical characteristics based on the register of a major Palestinian teaching hospital. Instrumental deliveries declined from 12.6% to 4.4%. Fetal distress decreased as an indication for CS, while previous CS and breech presentations contributed to the increase. Decision-making for CS needs to frame the benefits and risks of the intervention within the context of women's entire reproductive life-cycle and existing standards of care, avoiding unnecessary and costly CS deliveries to reduce iatrogenic complications and conserve resources.
Assuntos
Cesárea/tendências , Hospitais de Ensino , Seleção de Pacientes , Padrões de Prática Médica/tendências , Adolescente , Adulto , Apresentação Pélvica/cirurgia , Distribuição de Qui-Quadrado , Feminino , Sofrimento Fetal/cirurgia , Pesquisa sobre Serviços de Saúde , Humanos , Hipertensão Induzida pela Gravidez/cirurgia , Modelos Logísticos , Auditoria Médica , Oriente Médio , Paridade , Gravidez , Fatores Socioeconômicos , Procedimentos Desnecessários/tendênciasRESUMO
This study investigated the rising rate of caesarean section [CS] deliveries between 1993 and 2002 [9.4% to 14.4%] and associated factors, including indications for CS and sociodemographic and clinical characteristics based on the register of a major Palestinian teaching hospital. Instrumental deliveries declined from 12.6% to 4.4%. Fetal distress decreased as an indication for CS, while previous CS and breech presentations contributed to the increase. Decision-making for CS needs to frame the benefits and risks of the intervention within the context of women's entire reproductive life-cycle and existing standards of care, avoiding unnecessary and costly CS deliveries to reduce iatrogenic complications and conserve resources
