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Incidence and correlates of cesarean section in a capital city of a middle-income country

  • Hala Tamim , Souheil El-Chemaly , Anwar Nassar , Ghina Mumtaz , Afamia Kaddour , Tamar Kabakian-Khasholian , Hassan Fakhoury , Khalid Yunis and for the National Collaborative Perinatal Neonatal Network (NCPNN)
Published/Copyright: July 5, 2007
Journal of Perinatal Medicine
From the journal Volume 35 Issue 4

Abstract

Objective: To determine the prevalence and correlates of cesarean deliveries (CS) in Beirut.

Methods: A cross-sectional study conducted on 18,837 consecutive infants born at nine hospitals from the National Collaborative Perinatal Neonatal Network (NCPNN). Stepwise Logistic Regression was performed to determine CS correlates.

Results: The rate of CS was 26.4% and correlated with socio-demographic, obstetrical and provider-related variables. Regression analysis identified age, paternal occupation, mode of payment, parity, birth weight, gestational age, multiple pregnancies, adequate prenatal care, complications during pregnancy, body mass index at delivery, hospital teaching status, day of the week and year of delivery to be significant correlates of CS.

Conclusion: This study shows an increased CS rate in a middle-income country, and identifies the correlates of women delivering by the abdominal route. These correlates may be used for effective reduction policies in the future.


Corresponding author: Khalid Yunis Department of Pediatrics American University of Beirut Medical Center P.O. Box 11-0236 Riad El Solh- Beirut-11072020 Lebanon Tel.: +961-1-374374 ext: 5512 Fax: +961-1-370781

Received: 2007-2-9
Revised: 2007-3-21
Accepted: 2007-4-18
Published Online: 2007-07-05
Published in Print: 2007-8-1

©2007 by Walter de Gruyter Berlin New York

Articles in the same Issue

  1. WAPM-Newsletter No 1/2007 8th WORLD CONGRESS OF PERINATAL MEDICINE in Florence, Italy, September 9–13, 2007
  2. Poverty and perinatal health
  3. Maternal mortality in Africa
  4. Lessons learned from four advanced abdominal pregnancies at an East African Health Center
  5. Incidence and correlates of cesarean section in a capital city of a middle-income country
  6. Metabolic changes, hypothalamo-pituitary-adrenal axis and oxidative stress after short-term starvation in healthy pregnant women
  7. Does maternal docosahexaenoic acid supplementation during pregnancy and lactation lower BMI in late infancy?
  8. Feasibility of a randomized controlled trial testing nifedipine vs. placebo for the treatment of preterm labor
  9. Atosiban versus usual care for the management of preterm labor
  10. Umbilical cord blood collection: do patients really understand?
  11. Comparison between singleton- and triplet-specific “growth” curves to detect growth restricted triplet infants
  12. Role of visfatin, insulin-like growth factor-I and insulin in fetal growth
  13. Dynamic QT/RR relationship of cardiac conduction in premature infants treated with low-dose doxapram hydrochloride
  14. Risk factors and outcomes for ventilator-associated pneumonia in neonatal intensive care unit patients
  15. Neonatal outcomes in triplet pregnancies: assisted reproduction versus spontaneous conception
  16. Sequela of preterm versus term infants born to mothers on a methadone maintenance program: differential course of neonatal abstinence syndrome
  17. Vacuum extraction and autonomic balance in human infants
  18. Accuracy of second trimester fetal head circumference and biparietal diameter for predicting the time of spontaneous birth
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  20. Induction of labor with oral misoprostol for premature rupture of membranes at term in women with unfavorable cervix
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  22. In memoriam: Prof. Shouichi Sakamoto
  23. Congress Calendar
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