Evidence map›Paper›PMID 41286741›Full record

ArticleBMC pregnancy and childbirth2025

Caesarean section rates and indications: a cross-sectional study from a tertiary care centre in Türkiye.

Gazi Guner, Can Berk Karabudak

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Gazi GunerDepartment of Gynaecologic Oncology, Basaksehir Cam and Sakura City Training and Research Hospital, Istanbul, Turkiye, Turkey. dr.gaziguner01@gmail.com.ORCID http://orcid.org/0000-0001-6504-0335
Can Berk KarabudakDepartment of Obstetrics and Gynaecology, Basaksehir Cam and Sakura City Training and Research Hospital, Istanbul, Turkiye, Turkey.ORCID http://orcid.org/0009-0001-7609-0626

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, including in Türkiye, caesarean section (C-section) rates have been rising steadily, largely due to changes in clinical practices, maternal preferences, medico-legal concerns, and healthcare system dynamics. This study aims to investigate the impact of a high patient load on C-section rates and their indications within a tertiary care setting.

methodsThis retrospective study was conducted on women with deliveries over four years, from June 1, 2020, to May 1, 2025. For pairwise comparisons, numerical and nominal variables were analysed with independent t-test or Pearson's chi-squared test, respectively. A p-value < 0.05 was accepted as statistically significant. All variables were expressed with 95% confidence intervals (CI).

resultsA total of 68,944 deliveries were eligible for analysis, with an overall C-section rate of 55.0%. Among the indications C-section, the most common was previous uterine surgery, including prior C-section and/or myomectomy, accounting for 56.2% of cases. This was followed by foetal distress (24.3%). Other foetal-related indications included multiple gestation (6.2%), foetal malpresentation (4.2%), and macrosomia (1.9%).Compared with women who had a normal vaginal delivery (NVD), those undergoing C-section had significantly higher percentage of male neonates, maternal age >35 years, multiparity, all categories of preterm birth, early-term birth, low birth weight, and macrosomia.

conclusionOur findings indicate that the overall C-section rate was 55.0%. Among the indications for C-section, the most common was previous uterine surgery, which includes prior C-section and/or myomectomy, followed by foetal distress.

Indexed as

Cesarean SectionAdultCross-Sectional StudiesFemaleFetal DistressHumansPregnancyRetrospective StudiesTertiary Care CentersTurkeyUterine MyomectomyYoung AdultCaesarean sectionFoetal distressPrevious uterine surgeryTurkiye

Identifiers

PMID41286741
PMCPMC12763865

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.