The incidence of CS for the first time among PG and cases with previous normal deliveries and how to decrease it
Year: 2025
Type: article
Study design: Observational Study
Abstract: This retrospective audit was conducted to assess the increasing rate of first-time Cesarean Section (CS) and its impact on overall CS frequency, as well as its associated immediate, early, and late complications. The primary objective was to identify contributing factors to first-time CS in Primigravida (PG) and multigravida (MG) women and to recommend strategies to reduce CS rates and associated morbidities. A total of 278 women undergoing their first CS at Kafr Eldawar General Hospital between August 2023 and August 2024 were analyzed. Patient data, including Gestational Age (GA), age, and BMI, were collected under ethical and confidentiality guidelines. The most common indications for CS were unknown causes (41.7%), decreased fetal movement (24.8%), and failed induction of labor (15.8%). Less frequent causes included preeclampsia/eclampsia (6.1%), premature rupture of membranes (5%), breech presentation (3%), antepartum hemorrhage (2.9%), and cord prolapse (0.7%). No significant associations were found between parity and CS causes (P=0.45), or between age and CS causes (p=0.32). PG and MG were nearly equally distributed (48.9% and 51.1%, respectively). The mean age was 30.1 years, mean GA was 38.8 weeks, and mean BMI was 25.3. Compared to studies in low-income countries like Nigeria, Ethiopia, and Peru, where Cephalopelvic Disproportion (CPD) and fetal distress were predominant causes, the unusually high percentage of
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4410245318