Primary cesarean section in King Khalid University Hospital: Indications and obstetric outcome

This study was conducted to estimate the rate and indications for primary cesarean section in King Khalid University Hospital, Riyadh, over a period of five years. The overall cesarean section rate of 10.3% was found to be lower than in the Western world. The primary cesarean section rate of 6.1% was equally lower than in most other studies. Breech presentation, failure to progress and fetal distress were the main indications for primary cesarean section in the study. Maternal age, parity and fetal weight were found to be significantly associated with the primary cesarean section rate.