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Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia

In the context of the global increase in the rate of cesarean deliveries, with an associated higher morbidity and mortality, this study aimed to investigate the role of maternal age and parity in the cesarean section rate among women in the Hail Region of Saudi Arabia. This retrospective cohort stud...

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Autores principales: Alshammari, Reem Falah, Khan, Farida Habib, Alkwai, Hend Mohammed, Alenazi, Fahaad, Alshammari, Khalid Farhan, Sogeir, Ehab Kamal Ahmed, Batool, Asma, Khalid, Ayesha Akbar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865448/
https://www.ncbi.nlm.nih.gov/pubmed/36674239
http://dx.doi.org/10.3390/ijerph20021486
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author Alshammari, Reem Falah
Khan, Farida Habib
Alkwai, Hend Mohammed
Alenazi, Fahaad
Alshammari, Khalid Farhan
Sogeir, Ehab Kamal Ahmed
Batool, Asma
Khalid, Ayesha Akbar
author_facet Alshammari, Reem Falah
Khan, Farida Habib
Alkwai, Hend Mohammed
Alenazi, Fahaad
Alshammari, Khalid Farhan
Sogeir, Ehab Kamal Ahmed
Batool, Asma
Khalid, Ayesha Akbar
author_sort Alshammari, Reem Falah
collection PubMed
description In the context of the global increase in the rate of cesarean deliveries, with an associated higher morbidity and mortality, this study aimed to investigate the role of maternal age and parity in the cesarean section rate among women in the Hail Region of Saudi Arabia. This retrospective cohort study used data collected from the labor ward of the Maternity and Child Health Hospital, Hail, over a period of 8 months, forming a cohort of 500 women. Women were categorized into four different parity classes. The results revealed that there was no significant relationship between cesarean deliveries and maternal age (p-value, 0.07). There was no significant difference in the mode of delivery between the study’s parity cohort group. A significant increase in cesarean deliveries was noticed among obese women with a BMI between 35–39.9 (52.14%). This increase was even greater among those with a BMI above 40 (63.83%). Fetal distress, malpresentation and abruptio placenta were the most significant indications for CS among all age groups (p-value 0.000, 0.021, and 0.048, respectively). Conclusions: The number of cesarean deliveries has no association with parity or age. However, there was a statistically significant association with BMI, a perineal tear after previous vaginal delivery, and a history of diabetes mellitus and gestational diabetes. The most reported reasons for CS were fetal distress, malpresentation, and abruptio placenta among all age groups.
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spelling pubmed-98654482023-01-22 Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia Alshammari, Reem Falah Khan, Farida Habib Alkwai, Hend Mohammed Alenazi, Fahaad Alshammari, Khalid Farhan Sogeir, Ehab Kamal Ahmed Batool, Asma Khalid, Ayesha Akbar Int J Environ Res Public Health Article In the context of the global increase in the rate of cesarean deliveries, with an associated higher morbidity and mortality, this study aimed to investigate the role of maternal age and parity in the cesarean section rate among women in the Hail Region of Saudi Arabia. This retrospective cohort study used data collected from the labor ward of the Maternity and Child Health Hospital, Hail, over a period of 8 months, forming a cohort of 500 women. Women were categorized into four different parity classes. The results revealed that there was no significant relationship between cesarean deliveries and maternal age (p-value, 0.07). There was no significant difference in the mode of delivery between the study’s parity cohort group. A significant increase in cesarean deliveries was noticed among obese women with a BMI between 35–39.9 (52.14%). This increase was even greater among those with a BMI above 40 (63.83%). Fetal distress, malpresentation and abruptio placenta were the most significant indications for CS among all age groups (p-value 0.000, 0.021, and 0.048, respectively). Conclusions: The number of cesarean deliveries has no association with parity or age. However, there was a statistically significant association with BMI, a perineal tear after previous vaginal delivery, and a history of diabetes mellitus and gestational diabetes. The most reported reasons for CS were fetal distress, malpresentation, and abruptio placenta among all age groups. MDPI 2023-01-13 /pmc/articles/PMC9865448/ /pubmed/36674239 http://dx.doi.org/10.3390/ijerph20021486 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Alshammari, Reem Falah
Khan, Farida Habib
Alkwai, Hend Mohammed
Alenazi, Fahaad
Alshammari, Khalid Farhan
Sogeir, Ehab Kamal Ahmed
Batool, Asma
Khalid, Ayesha Akbar
Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia
title Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia
title_full Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia
title_fullStr Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia
title_full_unstemmed Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia
title_short Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia
title_sort role of parity and age in cesarean section rate among women: a retrospective cohort study in hail, saudi arabia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865448/
https://www.ncbi.nlm.nih.gov/pubmed/36674239
http://dx.doi.org/10.3390/ijerph20021486
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