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ORIGINAL ARTICLE
Year : 2020  |  Volume : 33  |  Issue : 2  |  Page : 458-463

Comparative study of cesarean section in secondary and tertiary healthcare levels


1 Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Menoufia, Egypt
3 Obstetrics and Gynecology at Ministry of Health, Menoufia, Egypt

Correspondence Address:
Abdullah G Arafat
Obstetrics and Gynecology at Ministry of Health, Menoufia
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_144_19

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Objective To clarify the prevalence of cesarean section (CS) in Menoufia University Hospital and Menouf General Hospital regarding the rate, indications, and complications of CS. Background CS rate is rising worldwide with increasing concern especially in developed countries. It is associated with higher maternal and neonatal morbidity. Patients and methods This was a retrospective analytical study. The rates of CS in both Menoufia University Hospital and Menouf General Hospital were reviewed from 2013 to 2017, and detailed patient records in both hospitals were reviewed from January 2017 to December 2017. Robson Ten Group Classification System was applied to categorize the different indications of CS. Results There was a significant rise in CS rate in both hospitals every year. In Menoufia University Hospital, it increased from 48.50% in 2013 to 59.43% in 2017, and in Menouf General Hospital, it increased from 45.95% in 2013 to 53.50% in 2017. The most common indication in both hospitals was a previous CS. According to Robson Ten Group Classification System, the most common group in both hospitals was group five. The most common maternal complication in both hospitals was postpartum hemorrhage, but the rate of cesarean hysterectomy was more common in Menoufia University Hospital. Wound sepsis was more common in Menouf General Hospital than Menoufia University Hospital. Conclusion Rate of CS in Menoufia University Hospital is higher than Menouf General Hospital owing to its nature as a tertiary care and referral hospital for difficult and complicated cases.


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