Determinants and Outcome of Caesarean Section Deliveries in Kafr-Elzyat General Hospital, Gharbia Governorate | ||
| Journal of High Institute of Public Health | ||
| Article 1, Volume 55, Issue 1, April 2025, Pages 1-8 PDF (522.46 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/jhiph.2025.431738 | ||
| Authors | ||
| Hind A. Bassyoni* ; Eman Younis; Ali A. Elsherbiny; Abd-Elaziz F. Al-Deeb | ||
| Department of Public Health, Faculty of Medicine, University of Tanta, Egypt | ||
| Abstract | ||
| Background: Caesarean section (CS) rates have been steadily increasing worldwide over the last few decades, exceeding levels that are not medically necessary. Objective(s): To identify the prevalence and determinants of CS deliveries in Kafr-El Zayat General Hospital and the health outcomes of CS deliveries for mothers and neonates within 30 days after delivery. Methods: A cross-sectional and prospective study was carried out. The study included 500 women aged 17-50 years, who delivered during this period in the gynecology and obstetrics department at Kafr-El Zayat General Hospital. Results: Among the studied women, 65% delivered by CS. Higher percentages of CS were observed among highly educated women, those from urban areas, and those employed in government sectors. The most frequent obstetric indications for CS were previous CS (30.4%), malpresentation (18.5%), poor outcomes (18%), and failure to progress (7.6%). Non-clinical indications included maternal request (12.9%) and physician’s preference (36.9%). Vaginal delivery was associated with better outcomes for both mothers and newborns compared to CS. Significant predictors of the type of delivery included advanced maternal age, higher education levels, passive smoking, previous CS delivery, and presenting in labor upon admission. Conclusion: The frequency of CS deliveries in Kafr-El Zayat General Hospital, Gharbia Governorate, is highly prevalent and represents a multifaceted challenge. | ||
| Keywords | ||
| Caesarean Section; Normal Vaginal Delivery; Pregnancy; Gharbia Governorate | ||
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