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Cesarean section; changing patterns in Saudi Arabia.

S K Chattopadhyay1, P B Sengupta, Y B Edrees

  • 1Department of Obstetrics and Gynecology, Maternity and Children's Hospital, Riyadh, Saudi Arabia.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|October 1, 1987
PubMed
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Cesarean section rates nearly tripled in Saudi Arabia from 1979 to 1984, primarily due to repeat procedures and fetal distress diagnoses. Overuse should be avoided by critically assessing fetal distress and allowing labor trials for prior cesarean births.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Surgical Outcomes

Background:

  • The cesarean section (CS) rate in Saudi Arabia has seen a significant increase.
  • Understanding the primary drivers of this rise is crucial for maternal and infant healthcare.
  • Social factors, such as the preference for large families, may influence obstetric decisions.

Purpose of the Study:

  • To analyze the trends and indications of cesarean births in Riyadh, Saudi Arabia.
  • To identify key factors contributing to the rising cesarean section rate.
  • To provide recommendations for optimizing cesarean birth practices.

Main Methods:

  • Retrospective analysis of 8000 cesarean births.
  • Data collected from the Maternity and Children's Hospital in Riyadh.

Related Experiment Videos

  • Examination of indications for cesarean delivery, including repeat sections and fetal distress.

    • Main Results:

    • The cesarean section rate increased from 3.9% in 1979 to 9.9% in 1984.
    • Repeat cesarean section (37.2%) and fetal distress (28.5%) were the leading indications.
    • Increased diagnosis of fetal distress correlated with the introduction of electronic fetal monitoring, but was not always supported by neonatal Apgar scores.

    Conclusions:

    • The rise in cesarean sections is linked to specific indications and potentially over-diagnosis of fetal distress.
    • Critical evaluation of fetal distress and encouraging trial of labor for women with prior cesarean births are recommended.
    • Avoiding overuse of cesarean section is important, especially given social preferences for larger families.