Iraqi Postgraduate Medical Journal

Abstract

BACKGROUND:
Rising rates of caesarean section (CS) is a worldwide concern.
OBJECTIVE:
Evaluating rate and indications of CS at both public and private hospital in Baghdad.
MATERIALS AND METHODS:
A review of all (1354) records of CS patients during January 2009 (552 public, 802 private
hospitals) was performed.
RESULTS:
Rate of CS was higher in private (59.2%) hospital and among mothers aged 25-29 years. Younger
patients and elective CS were higher among private patients, emergency CS was higher among
public patients. Most CS was performed in term pregnancy, longitudinal lie in both. The most
frequent indications were pervious scar (previous CS) and fetal distress in both sectors,
malpresentation in the public and failure to progress in the private hospital. Maternal request was
found only in the private.
CONCLUSION:
According to the accepted rates of CS adopted by the World Health Organization (WHO) (5% 15%);
CS
rate
is
still
high
in
both
sectors,

establishing audit committee, good training with second
opinion strategy are vital to reduce i