IMR Press / CEOG / Volume 41 / Issue 4 / DOI: 10.12891/ceog17362014
Open Access Original Research
Rising cesarean section rates, a patient’s perspective: experience from a high birth rate country
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1 Department of Obstetrics and Gynecology, Suez Canal University, Ismailia
2 Department of Statistics, Faculty of Economics and Political Sciences and The Social Research Center, The American University in Cairo, Cairo
3 Department of Pediatrics, Suez Canal University, Ismailia (Egypt)
Clin. Exp. Obstet. Gynecol. 2014 , 41(4), 436–439; https://doi.org/10.12891/ceog17362014
Published: 10 August 2014
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.
Keywords
Cesarean delivery
Women preference for CS
Social class
Education
Antenatal care
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