Abstract:

INTRODUCTION: Recently in both developing and developed countries considerable increase in cesarean section rates have been observed. Among the reasons for this trend, increase in the incidence of prior C/Ss, widespread use of electronic fetal monitorization, and cesarean sections done by patient requests. In this study we have aimed to present cesarean indications in Bagcılar district of İstanbul. METHODS: Women consulted to Clinics of Obstetrics, and Gynecology, Bağcılar Training and Research Hospital for childbirth between January 1, 2011-December 31, 2011 were included in the study. In women who had previously delivered by cesarean section, prior and/or current presence of fetal distress, prolonged labor, fetal macrosomia, presentation anomalies, gestational hypertension, placental abnormalities, cord prolapse and other indications (active genital herpes; etc) were interrogated. RESULTS: During this period 3996 deliveries [vaginal deliveries, n=2497;62.5 %, and cesarean sections, n=1499İ 37.5 %) were realized.. The indications for C/S included mainly prior cesarean sections (n=955; 36.7 %), followed by fetal distress (n=152; 10.1 %), prolonged labor (n=126; 8.4 %), fetal macrosomia (n=103; 6.8 %), presentation anomalies (n=85; 5.6 %), hypertensive disorders (n=30; 2 %), placental anomalies (n=11; 0.7 %), cord prolapse (n=1; 0.06 %), and other causes (n=35;2.3 %). DISCUSSION AND CONCLUSION: The most frequently performed surgical procedure in reproductive women is cesarean section. The risks for the procedure are infection, bleeding, thromboembolic events, requirements for transfusion, and longer hospital stay. Cesarean section should be performed, only if there are medical indications. In our clinic cesarean section rate is 38 % for all indications, but the primary cesarean rate is 13,6 % which is in the normal range (5 -15 %) recommended by WHO.

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