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Vol - 25, Issue - 3
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[This article belongs to Volume - 25, Issue - 3]
International Medical Journal
Journal ID
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IMJ-16-02-2020-256
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130
Title
:
Women's and obstetricians' opinion about high rates and determinants of cesarean section
Abstract
: The increase in caesarean section rates seems uncontrollable, with no signs that it is slowing down. This descriptive cross-sectional study was conducted during the period from the 1st of January through June 2019 in four major teaching hospitals in Baghdad. The study was designed to be of two parts; the first targeted women to search for reasons behind choosing caesarean section as a mode of delivery, the second part included 30 obstetricians to dig for their opinion about that. The major medical reason was Cephalo-pelvic disproportion (27.8%), 87% of the women reported fear from normal vaginal delivery, 61% think that it is safer than vaginal delivery, 37% got a strong advice from her obstetrician to do caesarean. The results revealed that 84.5% of the women have an intention to have another caesarean in the next pregnancy. Twenty-nine (96.7%) of the obstetricians think that most of the cases of caesarean are not indicated, while 56.7% attributed that to money as it is usually done in private hospitals. Caesarean section is becoming a trend that may substitute normal vaginal delivery due to the "pushing" of the obstetricians and the increasing preference of women to lessen the pain
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