Evaluation Of Outcomes Of Caesarean Section On Demand

Abstract

Background : Cesarean delivery (C-section) is a surgical procedure used to deliver a baby through open incisions in the abdomen and uterus. Aim : To evaluate and assess the causes, outcomes, and cost of cesarean section (CS) on demand in Al-Azhar Assiut University Hospital and private delivery centers. Patients and methods : This randomized retrospective controlled study was performed on 400 pregnant women who underwent elective CS. Among women included in the study, group 1 underwent elective CS in Al-Azhar Assiut University Hospital ( n ¼ 200) and group 2 underwent elective CS in private delivery centers ( n ¼ 200). Results : There was no statistically signi fi cant difference between the included groups regarding demographic data. There was a highly statistically signi fi cant ( P < 0.001) increased percentage of obstetrician pressure in group 2 (24 cases, 12%) when compared with group 1 (0 case, 0%). There was fear of pain of CS on demand in two groups, with no statistical signi fi cant differences between the two groups ( P > 0.05). There was a statistically signi fi cant ( P > 0.039) increased percentage of postpartum hemorrhage in group 2 (21 cases, 10.5%) when compared with group 1 (10 cases, 5%). Conclusion : CS on demand was a primary choice for delivery worldwide. CS is related to demographic factors of pregnant women (age, parity, and willingness of delivery mode) and is affected by other people who are in close contact.