Analysis of Indication and Rate of Cesarean Deliveries at Dongsan Medical Center for Ten Years

Park, Joon Cheol; Oh, Sang Yup; Lee, Dong Ho; Rhee, Jeong Ho; Kim, Jong In

Abstract

OBJECTIVE
The aim of this study was to evaluate the rate and indications of cesarean delivery.
METHODS
All live birth >27weeks at the Dongsan Medical Center, Keimyung University from 1993 to 2002(n=35,891) were retrospectively analyzed of delivery route, indication of cesarean birth, gestational age, and maternal age.
RESULTS
Total cesarean rate was 29.0%(10,411/35,891) and primary rate was 16.8%(6,041/35,891). The annual primary cesarean birth rate number was increased gradually. The most common maternal age of cesarean section patients was between 26-30 years(43.7%). The most common gestational age of cesarean section patients was over 36 weeks(87.4%). Abnormal presentation and CPD were the most common indication(19.17%, 1,158/6,041) at primary cesarean deliveries. The third common indication was fetal distress(16.44%, 993/6,041).
CONCLUSIONS
Total cesarean rate was increased gradually by increasing the previous section rate as well as the primary section rate. Further evaluation will be needed about the relationship between cesarean deliveries and long term fetal outcome, and the effort for VBAC will be needed.