Evaluation Of Outcomes Of Caesarean Section On Demand

Authors

1 Professor Of Obstetric and Gynecology , Faculty of Medicine, Al-Azhar University, Assiut, Egypt Address: sohag, Egypt.

2 Assistant Professor Of Obstetric and Gynecology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.

3 Al-Ismailiah, Egypt.

Abstract

Background: Cesarean delivery (C-section) is a surgical procedure used to deliver a baby through open incisions in the abdomen and uterus. Aim: to evaluate and assessment the causes, outcomes and cost of the Caesarean section (CS) on demand in Al-Azhar Assiut University Hospital and a private delivery centers Patients and methods: This randomized retrospective controlled study was applied on 400 pregnant women underwent elective CS. Among women included in the study,group1 underwent elective CS in Al-Azhar Assiut university hospital (n=200) and group2 underwent elective CS in private delivery centers (n=200). Results: No statistical significant difference among included groups in demographic data. There is Highly statistical significant (p-value < 0.001) increased percentage of obstetrician pressure in group II (24 cases, 12%) when compared with group I (0 case, 0%). Fear of pain of CS on-demand in 2 groups with no statistical significant differences between 2 groups (p-value > 0.05). Statistically significant; p-value > 0.039 increased percentage of post-partum hemorrhage in group II (21 cases, 10.5%) when compared with group I (10 cases, 5%). Conclusion: Cesarean section on-demand were a primary choice for delivery worldwide. CS is related to the demographic-factors of pregnant-women (age, parity, willingness of delivery mode) and is affected by other people surrounding