Volume 83, Issue 9 (December 2025)
Tehran Univ Med J. 2025, 83(9): 683-689 |
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Abdolrazzaq Nejad A, Ansari Moghaddam A, Masnavi S. Prevalence and factors associated with first cesarean section in women referred to Ali IbnAbitaleb Hospital, Zahedan. Tehran Univ Med J. 2025; 83 (9) :683-689
URL: http://tumj.tums.ac.ir/article-1-13865-en.html
URL: http://tumj.tums.ac.ir/article-1-13865-en.html
1- Department of Gynecology, Ali IbneAbitaleb Hospital, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.
2- Department of Biostatistics and Epidemiology, Health Promotion Research Center, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran.
3- Clinical Research Development Unit, Afzalipour Hospital, Kerman University Of Medical Sciences, Kerman, Iran. ,drshima.masnavi@gmail.com
2- Department of Biostatistics and Epidemiology, Health Promotion Research Center, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran.
3- Clinical Research Development Unit, Afzalipour Hospital, Kerman University Of Medical Sciences, Kerman, Iran. ,
Abstract: (101 Views)
Background: The rate of cesarean section has increased significantly in Iran and worldwide. A primary cesarean section increases the likelihood of repeat cesarean deliveries in subsequent pregnancies. This procedure is associated with various clinical, social, and economic consequences, and both medical and non-medical factors contribute to its rising rate. Therefore, this study aimed to determine the prevalence and factors associated with primary cesarean section among pregnant women.
Methods: This descriptive cross sectional study was conducted during 2019–2020 on 410 mothers who underwent cesarean section at Ali ibn Abi Talib Hospital in Zahedan. Participants were selected using a convenience sampling method and included all mothers with complete medical records. Data were collected using a structured checklist based on patients’ medical records and were analyzed using SPSS software version 20. Descriptive statistics as well as independent t test and chi square test were used for data analysis, and a p value less than 0.05 was considered statistically significant.
Results: The findings showed that 58% of mothers had a primary cesarean section and 42% had a repeat cesarean section. The mean gestational age and prevalence of underlying diseases were higher in the primary cesarean section group. Multiple pregnancy, fetal distress, non cephalic presentation, and placental problems were significantly more common among mothers who underwent primary cesarean section. However, no significant differences were observed between the two groups regarding fetal weight and umbilical cord complications.
Conclusion: The prevalence of primary cesarean section was considerable in the studied population. Several maternal, fetal, and pregnancy-related factors were associated with primary cesarean delivery, among which fetal distress, multiple pregnancy, and non-cephalic fetal presentation played a significant role. Identification and proper management of these factors may contribute to reducing unnecessary primary cesarean sections and improving maternal and neonatal health outcomes.
Methods: This descriptive cross sectional study was conducted during 2019–2020 on 410 mothers who underwent cesarean section at Ali ibn Abi Talib Hospital in Zahedan. Participants were selected using a convenience sampling method and included all mothers with complete medical records. Data were collected using a structured checklist based on patients’ medical records and were analyzed using SPSS software version 20. Descriptive statistics as well as independent t test and chi square test were used for data analysis, and a p value less than 0.05 was considered statistically significant.
Results: The findings showed that 58% of mothers had a primary cesarean section and 42% had a repeat cesarean section. The mean gestational age and prevalence of underlying diseases were higher in the primary cesarean section group. Multiple pregnancy, fetal distress, non cephalic presentation, and placental problems were significantly more common among mothers who underwent primary cesarean section. However, no significant differences were observed between the two groups regarding fetal weight and umbilical cord complications.
Conclusion: The prevalence of primary cesarean section was considerable in the studied population. Several maternal, fetal, and pregnancy-related factors were associated with primary cesarean delivery, among which fetal distress, multiple pregnancy, and non-cephalic fetal presentation played a significant role. Identification and proper management of these factors may contribute to reducing unnecessary primary cesarean sections and improving maternal and neonatal health outcomes.
Type of Study: Original Article |
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