Frequency and indications of cesarean in nullipara mothers in mehriz hospital (2002-2003)

Cesarean is child birth from abdomen and uterous septum. c/s in compare to normal vaginal delivery has more complication such as infection post section and mother mortality and morbidity post c/s is more than NVD. review of studies showed an increase, cause of this increase dident identified but the important indication are: dystocia, no growth in delivery, fetal distressand breech presentation. This study is cross-sectional descriptive that collected with simple non probability sampling and includes all femal who went hospital for first delivery since Farvardin 81 to Esfand 82.These women were 430 persons that 160 of those became C/s.These persons were selected and completed questionar for perpose of search(evalution c/s prevalence in nullipara)by editor.collected data analized by descriptive statistical test with software spss/win. Cesarean frequency in this study is 37.2% evaluated age women were 16-40 years that all women were over 35 years old and became c/s in first delivery.92 persons (57.5%) with mother problems.44 persons(27.5%)fetal problems special fetal distress. 24persons (15%)mother and fetal problems.72%of c/s were term,23.5%post term and 4.5%preterm. Conclussion: Increasing in C/S that occure in pregnant mothers specially in nullipara showed important role of medical and care workers personel specially gynecologists that with strategen and correct decision making can prevention of un necessary. c/s and reduce of its compactions.