The Association Between Medical Factors During Pregnancy and Cesarean Section in Bandar Abbas-Prospective Cohort

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Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background & Objectives

Cesarean section rates have increased significantly over the past decade. This increase has not been clinically justified. The objective of this study was to investigate the effect of medical factors on the type of delivery.

Materials & Methods

This prospective cohort study was done on 200 pregnant mothers. The main exposure in this study was the medical reasons for cesarean section and the main outcome of cesarean delivery. The relative risk index was calculated using the Cox regression model.

Results

Of the 196 pregnant women remained in the study, 40.31% had Cesarean section. Compared to non-medical factors, the risk of Cesarean section was higher (Relative Risk = 4.64) in mothers with medical factors. Also, the risk of elective Cesarean section was higher in mothers with medical factors (Relative Risk = 2.34). On the other hand, the risk of Cesarean section and elective Cesarean section was and higher in mothers with previous abortion (Relative Risk = 2.11) and hard labor (Relative Risk = 3.25), respectively. However, there was a significant relationship between maternal mental disorder during pregnancy and Cesarean section delivery (Relative Risk = 1.49).

Conclusion

Based on these results, there is an association between medical factors and type of delivery. Therefore, maternal preventable or controllable medical problems during pregnancy requires more attention.

Language:
Persian
Published:
Journal of Advanced Biomedical Sciences, Volume:10 Issue: 3, 2020
Pages:
2600 to 2612
magiran.com/p2243493  
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