The Impact of Maternal Age and Parity on the Cesarean Section Rate
نویسنده
چکیده
Objective: To study the impact of maternal age and parity on cesarean section rate. Methods: Fifteen thousand three hundred and forty two women delivered at Prince Hashim Hospital between the 1 of January 1998 and 31 of December 2001. One thousand four hundred thirty four cesarean sections were performed in the same period. Patients underwent cesarean section were divided into three age groups: <25 yr. (n=280), 25-35 (n=462), and >35 yr. (n=692), and into five parity groups (P0 (n= 170), P1 (n=136), P2 (n=166), P3 (n=212), and >P3 (n=750). Information abstracted included maternal characteristics and indications for cesarean section. Statistical analysis was performed using Pearson Chi-Square test to evaluate the association between age parity, and cesarean section. Results: Out of the 15342 deliveries conducted during the study period, 1434 cesarean sections were performed, with incidence of 9.3%. The cesarean section rate in the three age groups was 5.2%, 6.9%, and 20.9%, respectively. The rate in the various parity groups was 8.5%, 7.1%, 7.4%, 6.3% and 12.9%, respectively. According to the indications, a statistically significant increase in cesarean section rates with increasing maternal age and parity (p<0.05 and p<0.02, respectively) was observed. Conclusion: Maternal age and parity are two factors that affect significantly the cesarean section rate.
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