Document Detail

Indications for cesarean section at Thammasat University Hospital.
MedLine Citation:
PMID:  17957912     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To present the indications associated with the increase in cesarean section rate at Thammasat University Hospital during the past three years. MATERIAL AND METHOD: This was a cross-sectional study. Pregnant women who underwent cesarean section between January 2003 and December 2005 at Thammasat University Hospital were recruited for the present study. Cases of fetal anomaly or intrauterine fetal death were excluded. Demographic and obstetric data including indications of cesarean section and pregnancy outcomes were collected and analyzed RESULTS: Among the 1328, 1402, and 1522 cases of cesarean section (27.31, 27.94, and 29.26%) in 2003, 2004 and 2005 respectively, the major indication was previous cesarean section (29%). Cephalopelvic disproportion (CPD), and elective cesarean section were second, and third most common indication (24.64%, 11.23%) respectively. CONCLUSION: The increasing cesarean section rate was due to rising of elective cesarean section or patient's request. Cesarean section without obstetric indication should be reconsidered to lower the cesarean section rate.
Athita Chanthasenanont; Densak Pongrojpaw; Tongta Nanthakomon; Charintip Somprasit; Atiwut Kamudhamas; Komsun Suwannarurk
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  90     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-25     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  1733-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathum-Thani, Thailand.
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MeSH Terms
Cephalopelvic Disproportion
Cesarean Section / statistics & numerical data,  utilization*
Cross-Sectional Studies
Pregnancy Complications*
Risk Factors
Surgical Procedures, Elective

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