Karami K, Najafian M.
Vaginal child birth and Cesarean frequencies in Imam Khomeini Hospital in seven years interval (2000, 2006).
Pak J Med Sci Jan ;24(4):803-7.

Objective: To study the cesarean rate and its indication after seven years interval in Imam Hospital in Ahwaz, the capital of Khuzestan province, Iran and compare it with national and international acceptable rates. Methodology: The study covers six month duration in years 2000 and 2006. Data was obtained from 3096 deliveries from medical records during the past seven years 2002-2006. Results: In a period of six month of years 2000 and 2006, 1107 and 1989 child births occurred respectively. The rate of cesarean section in both years was about 34%. In 2000 the main indication for cesarean section was previous cesarean section (60%) while in 2006 it was cephalous pelvic disproportion (31%). Elective cesarean section rate in 2000 was 34% while in 2006 it decreased to 7%. Most cesareans were done in an age group of 20 -30 years. Conclusion: The incidence of cesarean section in both studied durations is higher as per WHO standards of 15%. However the elective cesarean has decreased during seven years, but the whole rate remains constant.

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