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The Israel perinatal census.

S Mor-Yosef1, A Samueloff, J G Schenker

  • 1Department of Obstetrics and Gynecology, Hadassah University Hospital, Jerusalem, Israel.

Asia-Oceania Journal of Obstetrics and Gynaecology
|June 1, 1992
PubMed
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This national study identified key risk factors for cesarean delivery and perinatal mortality. Breech presentation significantly increases cesarean rates, while maternal disease and multiple pregnancies elevate perinatal mortality risks.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Public Health

Background:

  • Cesarean section rates and perinatal mortality are critical public health indicators.
  • Understanding risk factors is essential for improving obstetric outcomes.
  • Nationwide data provides a comprehensive overview of perinatal health trends.

Purpose of the Study:

  • To identify and rank risk factors associated with cesarean section.
  • To identify and rank risk factors associated with perinatal mortality.
  • To analyze delivery outcomes in specific high-risk obstetric scenarios.

Main Methods:

  • Nation-wide perinatal census of 22,815 deliveries.
  • Logistic regression analysis to determine risk factor significance.
Keywords:
AsiaBiologyBirth WeightBody WeightCensusCesarean SectionData AnalysisDeliveryDemographic FactorsDeveloped CountriesFertilityFertility MeasurementsGenitaliaGenitalia, FemaleInfant MortalityIsraelLow Birth WeightMediterranean CountriesMortalityMultiparityMultivariate AnalysisObstetrical SurgeryParityPhysiologyPopulationPopulation DynamicsPopulation StatisticsPregnancyPregnancy OutcomesReproductionResearch MethodologyRisk FactorsSurgeryTreatmentUrogenital SystemUterine EffectsUterusWestern Asia

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  • Comparative analysis of delivery modes and outcomes based on maternal history and fetal presentation.

    • Main Results:

    • Cesarean section rate was 9.6%; perinatal mortality rate was 13.5/1000.
    • Breech presentation and a single uterine scar were primary risk factors for cesarean section.
    • Breech presentation, maternal disease, and multiple pregnancy were key risk factors for perinatal mortality.
    • Vaginal birth after cesarean section was more successful (67.2%) if the woman had a prior vaginal delivery.
    • Preeclampsia, hypertension, and diabetes were more common in older primiparae.

    Conclusions:

    • Breech presentation remains a significant indication for cesarean section, with high rates observed nationally (57.8%).
    • Maternal factors like disease and multiple pregnancies require careful management to reduce perinatal mortality.
    • Prior vaginal delivery history positively influences the success of vaginal birth after cesarean section.