Abstract:

Purpose: In this study, it’s been purposed to calculate the caesarean section ratios by analysing the deliveries which took place at Tokat Public Hospital in the last two years. Material and Method: The deliveries that took place in Tokat Public Hospital between the 1st of January, 2019 and 21st of December, 2020 have been evaluated. The data received from the statistical unit of the hospital has been analysed retrospectively. Findings: 3813 deliveries took place in our hospital between the aforementioned dates. 53.47% of these births (2039) occured as vaginal, 46.36% of them (1768) occured as caesarean section, and 6% of them occured as assisted vaginal delivery. 896 of caesarean cases are primary caesarean section (23.49%), and 872 of them are recurrent caesarean section (22.86%). The mean age of the women giving delivery is 27. 1952 boy and 1884 girl babies were born. The number of caesarean section indications and their ratio has respectively been classified as 909 recurrent caesarean sections (51,41%), 276 fetal distresses (15,61%), 259 cephalopelvic disproportions (14,64%), 95 prolonged labors (5,37%), 64 malpresentation of fetus (3,61%), 62 fetal macrosomia (3,5%), 23 abnormalities of placenta (1,3%), 14 multiple pregnancies (0,79%), 11 hypertensive disorders in pregnancy (0,62%), 8 umbilical cord prolapses (0,45%) and 47 other reasons (2,65%). Conclusion and Recommendations: Along with the fact that caesarean section ratio in Tokat Public Hospital has been declining compared to average statistics throughout Turkey regarding with the last two years’ statistics, it’s beyond WHO suggestions. The most frequent reason for this is the surgery of uterus in the medical history of a patient and in order to reduce this ratio, it’s mainly necessary to reduce the ratio of primary caesarean sections. To reduce the ratio of primary caesarean sections, a multidisciplinary study is required. Hands-on trainings and seminars must be organized for midwives and doctors, legal regulations regarding complications of delivery must be arranged to prevent midwives and doctors to be left in difficult situations, pregnancy schools must be extended and it must be purposed to provide high level of participation.

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