RESEARCH ARTICLE
Nobel Med 2010; 6(1): 10-14
DISTRIBUTION OF ANNUAL CESAREAN SECTION RATES AND THEIR INDICATIONS DURING FIFTEEN YEARS PERIOD IN AN OBSTETRIC CLINIC
Aşkın Yıldız, Atilla Köksal, Külal Çukurova, Adnan Keklik, Neriman Çelik, Hüseyin İvitABSTRACT
Material and Method: Three thousand six hundred and fifty-two cesarean section deliveries practised in our obstetric clinic from January 1990 through December 2004 were reviewed retrospectively. The variables of age, number of pregnancies and deliveries, and cesarean section indications were recorded. Data were analyzed using the Statistical Package for Social Science version 12.0 where p value of p<0.05 was considered significant.
Results: A total of 18,498 deliveries were performed during the whole study period. Of the 18,498 deliveries, 3,652 (19.74%) were cesarean sections. The lowest cesarean rate was 16.2% in the year 1990, and the rates had increased during the following years, and finally it was 27.14% in the year 2004. The increase in the rates of cesarean section according to the years was statistically significant (p<0.05). The distribution of indications for cesareans section was as follows: previous cesarean section (38.30%), fetal distress (17.96%), head-pelvis disproportion (10.50%), unprogressing labor ( 5.64%), breech presentation (9.97%), and others (18.24%). The rates of indications due to previous cesarean section and fetal distress showed significant increase according to years (p<0.001), while the cesarean section rates due to head-pelvis disproportion, unprogressing labor, breech presentation, and presentation anomalies showed a significant decrease according to years (p<0.001).
Conclusion: It was concluded that the cesarean section rates showed a significant increase due to previous cesarean sections and fetal distress parallel to years during the study period. Therefore we think that measurements such as restricting both the relative indications for cesarean section and cesarean sections on request, and encouraging the vaginal deliveries after cesarean sections may stop the increase in cesarean section rates.
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Pubmed Style
Aşkın Yıldız, Atilla Köksal, Külal Çukurova, Adnan Keklik, Neriman Çelik, Hüseyin İvit . [BİR OBSTETRİK KLİNİĞİNDE 15 YILLIK PERİOD SÜRESİNCE SEZARYEN ORANLARI VE ENDİKASYONLARININ YILLARA GÖRE DAĞILIMI]. Nobel Med 2010; 6(1): 10-14, Turkish. -
Web Style
Aşkın Yıldız, Atilla Köksal, Külal Çukurova, Adnan Keklik, Neriman Çelik, Hüseyin İvit . [BİR OBSTETRİK KLİNİĞİNDE 15 YILLIK PERİOD SÜRESİNCE SEZARYEN ORANLARI VE ENDİKASYONLARININ YILLARA GÖRE DAĞILIMI]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], Turkish. -
AMA (American Medical Association) Style
Aşkın Yıldız, Atilla Köksal, Külal Çukurova, Adnan Keklik, Neriman Çelik, Hüseyin İvit . [BİR OBSTETRİK KLİNİĞİNDE 15 YILLIK PERİOD SÜRESİNCE SEZARYEN ORANLARI VE ENDİKASYONLARININ YILLARA GÖRE DAĞILIMI]. Nobel Med 2010; 6(1): 10-14, Turkish. -
Vancouver/ICMJE Style
Aşkın Yıldız, Atilla Köksal, Külal Çukurova, Adnan Keklik, Neriman Çelik, Hüseyin İvit . [BİR OBSTETRİK KLİNİĞİNDE 15 YILLIK PERİOD SÜRESİNCE SEZARYEN ORANLARI VE ENDİKASYONLARININ YILLARA GÖRE DAĞILIMI]. Nobel Med (2010); 6(1): 10-14, [cited Mayıs 24, 2021], Turkish. -
Harvard Style
Aşkın Yıldız, Atilla Köksal, Külal Çukurova, Adnan Keklik, Neriman Çelik, Hüseyin İvit . (2010) [BİR OBSTETRİK KLİNİĞİNDE 15 YILLIK PERİOD SÜRESİNCE SEZARYEN ORANLARI VE ENDİKASYONLARININ YILLARA GÖRE DAĞILIMI]. Nobel Med, 6(1): 10-14, Turkish.