Prevalence of Cesarean and its complications in women referring to Vali-e-Asr hospital

In recent years, there has been an increase in the trend for cesarean section. Due to surgical complications, financial costs and mother's long period of hospitalization, the normal way of delivery is suggested. Cesarean rate in Khorasan was estimated to be 28/1 in 1999, though the desired rate in the world was 15 per cent for 2000. This study was performed to define cesarean rate and causes and complications in Vali-e-Asr hospital in Birjand.

In this descriptive study, which cross-sectionally was carried out, 1500 pregnant women referring to Vali-e-Asr hospital were studied. A questionnaire in 4 portions was filled out at mothers’ bed, in delivery room, operation room, and women's ward. Data were analyzed by chi square test in SPSS software. (P<0.05)

From 1500 pregnant women in this study 895 (59.7%) had a normal delivery and 605 (40.3%) by Cesarean. There was a significant relationship between age, job, education level, number of pregnancies, previous delivery, live births, abortion number and the route of delivery (P<0.05). The comparison of mother's complications with delivery route was significant, but not for neonatal ones.

Cesarean choice rate is high and intervention programs are necessary to change women attitudes toward it and to increase the knowledge of painless delivery to reduce Cesarean.