Original Article

IJMDC. 2022; 6(12): 1557-1564

A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital

Authors: Sarah K. Basudan, Ragad I. Al Jazzar, Zeinah Sulaihim, Hanan M. Al-Kadri.

ABSTRACT

Background: Cesarean section (CS) has been increasing in recent years with a wide range of etiologies. This study aimed to assess the indications, outcomes, and complications of CS in a hospital in Riyadh, Saudi Arabia. Methods: A retrospective cohort study was conducted at King Abdulaziz Medical City. The study included two cohorts including G1 (2009) and G2 (2020). Variables including CS indication, neonatal and maternal complications, CS type, age of the mother, body mass index, parity, gestational age, and neonatal data were assessed. Results: A total of 399 women were recruited and divided into two groups, G1 (n = 199) and G2 (n = 200) with a mean age of 32 ± 6 years. G1 and G2 had significant differences in mean age with 30 ± 6 and 34 ± 5 years, respectively (p ≤ 0.001), which indicated delayed fertility between the groups by 4 years. Moreover, the breech presentation was less likely to occur in G2. Maternal causes, such as repeated c-sections and maternal medical conditions were more likely to happen in G2. Furthermore, postpartum hemorrhage showed an increase of 12% in G2. G2 patients were more likely to be admitted to the neonatal intensive care unit and to the special care baby (p ≤ 0.001), compared to regular nursery admission. Conclusion: Multiple factors contributed to the increase in the CS rate in a Saudi tertiary hospital. The factors were suggested to be previous CS, abnormal fetal heart rate, malpresentation, and maternal or fetal medical condition.

Keywords:
Cesarean section, maternal indications, maternal complications, neonatal condition.


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A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital


Authors
Sarah K Basudan
College of Medicine, King Saud Bin Abdulaziz University for Health and Science, Riyadh, Saudi Arabia. King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Ragad I Al Jazzar
College of Medicine, King Saud Bin Abdulaziz University for Health and Science, Riyadh, Saudi Arabia. King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Zeinah Sulaihim
College of Medicine, King Saud Bin Abdulaziz University for Health and Science, Riyadh, Saudi Arabia. King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia
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Hanan M Al-Kadri
King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia. Department of Obstetrics and Gynecology, King Abdulaziz Medical City, Ministry of National Gaud Health Affairs, Riyadh, Saudi Arabia.
PubMed articlesGoogle scholar articles


Correspondence to:
. Sarah Basudan, College of Medicine, King Saud Bin Abdulaziz University for Health and Science, Riyadh, Saudi Arabia. King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia.; Sara.basudan123@gmail.com

Publication history
Received 01 Nov 2022
Accepted 06 Nov 2022
Published online 19 Nov 2022
Published in print 26 Nov 2022

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Pubmed Style

Basudan SK, Jazzar RIA, Sulaihim Z, Al-Kadri HM. A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital. IJMDC. 2022; 6(12): 1557-1564. doi:10.24911/IJMDC.51-1667323435


Web Style

Basudan SK, Jazzar RIA, Sulaihim Z, Al-Kadri HM. A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital. https://www.ijmdc.com/?mno=126387 [Access: January 29, 2023]. doi:10.24911/IJMDC.51-1667323435


AMA (American Medical Association) Style

Basudan SK, Jazzar RIA, Sulaihim Z, Al-Kadri HM. A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital. IJMDC. 2022; 6(12): 1557-1564. doi:10.24911/IJMDC.51-1667323435


Vancouver/ICMJE Style

Basudan SK, Jazzar RIA, Sulaihim Z, Al-Kadri HM. A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital. IJMDC. (2022), [cited January 29, 2023]; 6(12): 1557-1564. doi:10.24911/IJMDC.51-1667323435


Harvard Style

Basudan, S. K., Jazzar, . R. I. A., Sulaihim, . Z. & Al-Kadri, . H. M. (2022) A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital. IJMDC, 6 (12), 1557-1564. doi:10.24911/IJMDC.51-1667323435


Turabian Style

Basudan, Sarah K., Ragad I. Al Jazzar, Zeinah Sulaihim, and Hanan M. Al-Kadri. 2022. A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital. International Journal of Medicine in Developing Countries, 6 (12), 1557-1564. doi:10.24911/IJMDC.51-1667323435


Chicago Style

Basudan, Sarah K., Ragad I. Al Jazzar, Zeinah Sulaihim, and Hanan M. Al-Kadri. "A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital." International Journal of Medicine in Developing Countries 6 (2022), 1557-1564. doi:10.24911/IJMDC.51-1667323435


MLA (The Modern Language Association) Style

Basudan, Sarah K., Ragad I. Al Jazzar, Zeinah Sulaihim, and Hanan M. Al-Kadri. "A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital." International Journal of Medicine in Developing Countries 6.12 (2022), 1557-1564. Print. doi:10.24911/IJMDC.51-1667323435


APA (American Psychological Association) Style

Basudan, S. K., Jazzar, . R. I. A., Sulaihim, . Z. & Al-Kadri, . H. M. (2022) A comparison of cesarean section indications and characteristics in 2009 and 2020 in a Saudi tertiary hospital. International Journal of Medicine in Developing Countries, 6 (12), 1557-1564. doi:10.24911/IJMDC.51-1667323435


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