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Causes of cesarean section performed in an educational health care center

机译：在教育保健中心进行剖宫产的原因

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Introduction: Cesarean section is the most common surgery among women. According to ?World Health Organization, the rate of cesarean section in each area should not exceed ??10?? –??15?? ?percent. In our country, one of the targets in maternal health program is reducing the rate of ?unnecessary cesarean delivery to ??25?? percent by ??2015??.?Objective: This study was designed to determine the causes recorded by the physician to ?perform a cesarean section in an educational - care center in Rasht/Iran.?Methods: In this descriptive study, we used a questionnaire based on the particular research ?setting to collect the necessary data according to physicians’written statements from ??600?? cases ?via a simple random sampling in a referral educational health care center specialist in obstetrics ?and gynecology in Rasht. Data were analyzed by using statistical software and descriptive ?statistics.? Results:?? ?The highest frequency of cesarean section was in the age group ??20-29?? years. ??83?? ?percent of mothers had their first or second pregnancy. In this educational center ??63.38?? ?percent of deliveries were performed by Caesarean during ??2004?? and ??2005??. The most common ?causes recorded by the physician to perform a cesarean section were respectively fetal distress ??(??42.7%??),?? ?repeated cesarean section(??20.3%??),?? ?cephalopelvic disproportion(??10.7%??), meconium ?stained (??8.2??%),?? ?breech presentation(??7.5%??),?? ?placenta previa(??1.8%??)?? ?and lack of progress in ?labor(??1.8%??).??Conclusion: The findings of this study? ?showed that the frequency of cesarean section in this ?center in ??2004?? and ??2005?? was high compared with the standards. It seems that the study of ?causes of cesarean and its results may help the authorities to plan some strategies on behalf of ?reducing the number of unnecessary cesarean birth.?.
机译：简介：剖宫产是女性中最常见的手术。根据世界卫生组织的数据，每个地区的剖宫产率不应超过10分。 – ?? 15 ?? ？百分。在我国，孕产妇保健计划的目标之一是将“不必要的剖宫产”率降低到“ 25”。目的：本研究旨在确定医师记录的在拉什特/伊朗的教育-护理中心进行剖宫产的原因。方法：在本描述性研究中，我们使用了以特定研究为基础的调查问卷-设置为根据“ 600”的医师书面陈述收集必要的数据在拉什特的妇产科转诊教育保健中心专家中，通过简单的随机抽样获得这些病例。使用统计软件和描述性“统计”对数据进行分析。结果：剖宫产的最高频率是在20-29岁年龄段年份。 ?? 83 ?? ％的母亲第一次或第二次怀孕。在这个教育中心?? 63.38 ??剖宫产是在2004年？和?? 2005 ??。医师记录的进行剖宫产的最常见原因分别是胎儿窘迫≥42.7％。重复剖宫产（20.3％）头盆骨比例失调（占10.7％），胎粪污染（占8.2％），臀位演示（?? 7.5％??），??前置胎盘（1.8％）且劳动方面没有进展（1.8％）。结论：本研究的结果？显示出该剖宫产的频率在“ 2004年中心”。和?? 2005 ??与标准相比很高。似乎对“剖宫产的原因及其结果”的研究可能有助于当局代表“减少不必要的剖宫产的数量”制定一些策略。

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