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Clinical and Experimental Obstetrics & Gynecology  2014, Vol. 41 Issue (4): 436-439    DOI: 10.12891/ceog17362014
Original Research Previous articles | Next articles
Rising cesarean section rates, a patient’s perspective: experience from a high birth rate country
M.M. Shaaban1, *(), W.A. Sayed Ahmed1, Z. Khadr2, H.F. El-Sayed3
1Department of Obstetrics and Gynecology, Suez Canal University, Ismailia
2Department of Statistics, Faculty of Economics and Political Sciences and The Social Research Center, The American University in Cairo, Cairo
3Department of Pediatrics, Suez Canal University, Ismailia (Egypt)
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Abstract  
Purpose of investigation: To investigate the effect of social class, education and antenatal care on cesarian section (CS) rate and women’s preference for CS. Materials and Methods: This is a descriptive study performed on 509 women attending postnatal clinics in three primary care units in Ismailia governorate, Egypt. The study performed via a structured questionnaire including questions related to background socio-demographic data, questions related to obstetrical history for the last pregnancy and delivery, and questions related to economic standards. Results: The study included 266 participants (52.3%) that delivered by CS in their last delivery. CS rate was significantly higher in highly educated women and high economic standard. Only 29 (7.7 %) reported that they had preferred CS as a method of delivery. Educational level and economic standards significantly affected the proportion of women preferring CS as a method of delivery (p = 0.02 and p = 0.01, respectively). In a stepwise logistic regression model, significant factors affecting CS rate were: the method of delivery preferred (p < 0.005) and educational level (p < 0.05). Conclusion: Educational level and economic standards significantly affected women’s preference towards CS and CS rate.
Key words:  Cesarean delivery      Women preference for CS      Social class      Education      Antenatal care     
Published:  10 August 2014     
*Corresponding Author(s):  M.M. SHAABAN     E-mail:  mohmsh20@hotmail.com

Cite this article: 

M.M. Shaaban, W.A. Sayed Ahmed, Z. Khadr, H.F. El-Sayed. Rising cesarean section rates, a patient’s perspective: experience from a high birth rate country. Clinical and Experimental Obstetrics & Gynecology, 2014, 41(4): 436-439.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog17362014     OR     https://ceog.imrpress.com/EN/Y2014/V41/I4/436

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