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Research ArticleOriginal Article
Open Access

Can the rate of cesarean section be reduced?

Ratib A. Mesleh, Ahmad M. Kurdi and Hisham S. Ayoub
Saudi Medical Journal November 2000, 21 (11) 1054-1058;
Ratib A. Mesleh
Department of Obstetrics & Gynecology, Riyadh Armed Forces Hosptial, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. Tel. +966 (1) 477 7714 Ext. 5461 Fax. +966 (1) 476 0853.
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Ahmad M. Kurdi
Department of Obstetrics & Gynecology, Riyadh Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
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Hisham S. Ayoub
Department of Obstetrics & Gynecology, Riyadh Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
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Abstract

OBJECTIVE: To look into all cases with previous one cesarean section who were cared for and delivered at Armed Forces Hospital, Riyadh, between January 1990 and December 1998, to determine its prevalence, final method of delivery, and outline measures of reducing its incidence.

METHODS: Retrospective analysis of hospital records of all women with previous one cesarean section who had either a repeat cesarean section or delivered vaginally after cesarean section.

RESULTS: Between 1990 and 1998, 61,060 mothers were delivered. Two thousand five hundred and seventy eight patients had one previous cesarean section. They represented 3.5% of the total number of deliveries. Nine hundred and sixty eight (37.5%) cases had repeat cesarean section. Of the 1610 (62.5%) mothers who achieved vaginal delivery, 102 (6%) had ventouse, 42 (3%) had forceps and 22 (1%) had an assisted breech delivery. Rupture of uterine scar was reported in 15 cases. There were no maternal or perinatal deaths.

CONCLUSION: Patients with one previous cesarean section are three times more likely to have a cesarean section as compared to mothers with unscarred uterus. Reducing the overall cesarean section rate is possible through a closer look at the primary indication for the first cesarean section. A protocol is needed to allow more cases with one or more previous cesarean section to have trial of vaginal delivery under close monitoring and involve the senior staff more in the diagnosis and management of cases of dystocia and the use of Oxytocin when indicated.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 21 (11)
Saudi Medical Journal
Vol. 21, Issue 11
1 Nov 2000
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Can the rate of cesarean section be reduced?
Ratib A. Mesleh, Ahmad M. Kurdi, Hisham S. Ayoub
Saudi Medical Journal Nov 2000, 21 (11) 1054-1058;

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Can the rate of cesarean section be reduced?
Ratib A. Mesleh, Ahmad M. Kurdi, Hisham S. Ayoub
Saudi Medical Journal Nov 2000, 21 (11) 1054-1058;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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