ArticleArchives of gynecology and obstetrics2013
Rise in cesarean section rate over a 20-year period in a public sector hospital in northern Thailand.
Article in Archives of gynecology and obstetrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Incidence of Post-cesarean wound infections, bacterial profiles, resistant patterns, and associated costs among women delivering at public hospitals in Eastern Ethiopia: multi center study.BMC infectious diseases · 2026Article
- Cesarean Section Trend in a University Hospital in Thailand.Journal of pregnancy · 2026Article
- Evaluation of cesarean delivery rates and factors associated with cesarean delivery among women enrolled in a pregnancy cohort study at two tertiary hospitals in Thailand.BMC pregnancy and childbirth · 2024Article
- Postoperative Surgical Site Infection among Patients with Caesarean Delivery in the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2023Article
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- Caesarean delivery is associated with increased blood pressure in young adult offspring.Scientific reports · 2021Article
- Using Social Marketing to Reduce Intention of Cesarean Section in Iranian Women.Journal of pregnancy · 2021Article
- Rural-urban disparities in caesarean section rates in minority areas in China: evidence from electronic health records.The Journal of international medical research · 2020Article
- Surgical site infection following cesarean section in a general hospital in Kuwait: trends and risk factors.Epidemiology and infection · 2019Article
- Trend of Cesarean Section Rates and Correlations with Adverse Maternal and Neonatal Outcomes: A Secondary Analysis of Thai Universal Coverage Scheme Data.AJP reports · 2019Article
- Trend in cesarean delivery rate among twin pregnancies over a 20 years epoch and the accompanied maternal and perinatal outcomes.European journal of obstetrics & gynecology and reproductive biology: X · 2019Article
- Risk factors for persistent disability in children with obstetric brachial plexus palsy.Journal of perinatology : official journal of the California Perinatal Association · 2017Article
- Postcesarean wound infection: prevalence, impact, prevention, and management challenges.International journal of women's health · 2017Review
- First birth cesarean proportion: A missed indicator in controlling policies.Medical journal of the Islamic Republic of Iran · 2016Article
- Afraid of Delivering at the Hospital or Afraid of Delivering at Home: A Qualitative Study of Thai Hmong Families' Decision-Making About Maternity Services.Maternal and child health journal · 2015Article
- Trend in major neonatal and maternal morbidities accompanying the rise in the cesarean delivery rate.Scientific reports · 2015Article
- Induction of Labor Using Native (OXYTIP) in Comparison to Foreign Oxytocin (SYNTOCINON).Journal of family & reproductive health · 2014Article
- Article
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine a trend of cesarean section rate (CSR) and main contributing factors in a public sector hospital, representing northern part of Thailand.
methodsA retrospective descriptive analysis was conducted by assessing the database of maternal-fetal medicine unit, which had prospectively been collected for 20 years. Trends were evaluated using data for the years 1992-2011. Private sector patients were excluded.
resultsA total of 50,872 public sector patients were available for analysis. The number of deliveries was gradually decreased from 3,802 in 1992 to 1,748 in 2011. Of them, 7,480 underwent cesarean section, CSR of 14.7 %. However, the CSR was significantly increased from 11.3 % in 1992 to 23.6 % in 2011 (p value <0.001). The CSRs indicated by cephalopelvic disproportion (CPD) and previous CSs were mainly responsible for a marked increase over the study period. CSR due to CPD was increased from 3.2 % in 1992 to 7.9 % in 2011 (p value <0.0001). While CSR due to other indications either breech presentation, fetal distress and twin pregnancies were only slightly, but significantly increased in the last decades but they are relatively constant in the recent years.
conclusionsIn our public sector, CSR has gradually increased. The main reasons of such an increase were likely to be associated with over-diagnosis of CPD and subsequent repeated CS, while other indications played only a minimal role. To achieve the appropriate CSR, audit system for diagnosis of CPD must be instituted.
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