Evaluation of the cesarean section cases

It is aimed to evaluate the cesarean section ratios, indications, parities, sex, birth weight and Apgar scores of the newborns, and the maternal and fetal mortalities in our clinic.

Yöntem

From 11780 cases of deliveries performed in 8.5 years in 3rd Obstetrics and Gynecology Department, 2009 cesarean section cases were evaluated retrospectively. Bulgular

The cesarean section ratio was determined as 17.1 %. This ratio was 12.0 % in 1994, 21.35 % in 2001 and 23.8 % in the first six months period of 2002. We found that, 47.8 % of the cases were between 25-35 ages. Primary cesarean section ratio of the cases was 71.3 % and repeat cesarean section ratio was 28.7 %. When the indications of the cesarean sections were reviewed, 25.3 % were found to be repeat cesarean sections, 22.7 % were fetal distress, 12.1 % were CPD, and 11.4 % were presentation anomalies. 47.9 % of the babies were female, 52.1 % were male. Within the babies who had fetal distress, male sex was significantly high ( p< 0.001). in 9.2 % of the babies 1' Apgar scores, and in 10.7 % of the babies 5' Apgar scores were < 6. Birth weights of the babies were <2500 grams in 20.0 % of the cases, > 4000 grams in 11.0 % of the cases and between 2500-3999 grams in 69.0 % of the cases. The stillbirth ratio was 3.52 % (n:73). Apgar scores were 0 at 5' minute in 3.76 % (n:78) of the cases. Fetal mortality was mostly seen in abruptio placenta and placenta previa cases (n:69).
 
It is seen that, cesarean section ratios increased in years. Although our hospital is a reference hospital and this leads to an increase in the cesarean section ratios, the ratio was 23.8 % in the last 6 months period, when the biggest increase was seen. But nowadays cesarean section ratios increase, as cesarean sections are preferred in private hospitals. When the complications and the obligation of the following deliveries to be cesarean section are concerned, it is seen that their pregnancy and labor chances decrease. When our countıy's socioeconomic status is concerned, it is obviously seen that cesarean section ratios should be decreased because of their economic cost.

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