ArticleInternational journal of women's health2015
Increased cesarean section rate in Central Saudi Arabia: a change in practice or different maternal characteristics.
Article in International journal of women's health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 24 citations in OpenAlex.
- A successful model for KSA-based payor-provider collaborative in maternity care.Journal of patient-reported outcomes · 2026Article
- The Incidence and Risk Factors of Surgical Site Infection Following Cesarean Section.Nursing research and practice · 2025Article
- Multiple Cesarean Section Outcomes and Complications: A Retrospective Study in Jazan, Saudi Arabia.Healthcare (Basel, Switzerland) · 2023Article
- Assessing the Quality of Antenatal Care in King Abdulaziz University Hospital: A Retrospective Study.Cureus · 2023Article
- Common Complications of Cesarean Section During the Year 2017 in King Abdulaziz Medical City, Jeddah, Saudi Arabia.Cureus · 2021Article
- Using Social Marketing to Reduce Intention of Cesarean Section in Iranian Women.Journal of pregnancy · 2021Article
- Indications and rate of first cesarean delivery in central region's maternity and children hospital.Saudi medical journal · 2019Article
- Cesarean sections. Associated factors and frequency at King Abdulaziz Medical City in the Central Region of the Kingdom of Saudi Arabia.Saudi medical journal · 2018Article
- Causes and management of urogenital fistulas. A retrospective cohort study from a tertiary referral center in Saudi Arabia.Saudi medical journal · 2018Article
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Authors and funding
3 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCesarean section (CS) rate has shown an alarming increase. We aimed in this work to identify factors contributing to the increasing rate of CS in central Saudi Arabia.
methodsA retrospective cohort study was conducted at King Abdulaziz Medical City. Two groups of women were included (G1 and G2). G1 had delivered by CS during the year 2002 (CS rate 12%), and G2 had delivered by CS during the year 2009 (CS rate 20%). We compared the included women's characteristics, neonates, CS indications, and complications. Data were analyzed using SPSS version 15 program. Odds ratios and confidence intervals were calculated to report precision of categorical data results. A P-value of ≤0.05 was considered significant.
resultsA total of 198 women were included in G1 and 200 in G2. Both groups had comparable maternal and fetal characteristics; however, absence of antenatal care has resulted in 70% increase in CS deliveries for G2, P=0.008, OR =0.30, CI 0.12-0.76. Previous vaginal surgeries have contributed to tenfold increase in CS deliveries for G2, P=0.006, OR =10.37, CI 1.32-81.78. G2 had eight times increased CS deliveries than G1 due to intrauterine growth restriction, P=0.02, OR =8.21, CI 1.02-66.25, and 80% increased risk of CS was based on maternal demand, P=0.02, OR =0.20, CI 0.02-1.71. Decision taken by less-experienced staff was associated with 2.5-fold increase in CS deliveries for G2, P=0.002, OR =2.62, CI 1.39-4.93. There was a significant increase in CS deliveries under regional analgesia and shorter duration of hospital stay for G2, P=0.0001 and P=0.001, respectively. G2 women had 2.75-fold increase in neonatal intensive care unit admission, P=0.03, OR =2.75, CI 1.06-7.15.
conclusionCS delivery rate significantly increased within the studied population. The increased rate of CS may be related to a change in physician's practice rather than a change in maternal characteristics, and it appears to be reducible.
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