Risk Factors Associated With Cesarean Sections In Jenin, Palestine, 2015 Descriptive Study

Discussion Committee: 
Dr.Eman Alshawish/suprvisor
Dr.MunaAhmead/external examiner
Dr. Hamzeh Al zabadi/internal examiner
Dr.Eman Alshawish/suprvisor
Lina Hassan Zaidan
1. Background During the period from 2010 to 2015, the percentage of live births delivered by cesarean section (CS) in Palestine progressively increased. This rate exceeds the World Health Organization’s recommended percentage of between 10-15% (2010). 2. The aim of the study The aim of my study is to assess the common non-obstetric and obstetric risk factors of CS in Jenin. Moreover, it aims to determine the CS neonatal outcome. 3. Methodology A descriptive study was conducted using a standardized questionnaire to determine the independent risk factors that are related to CS. A total of 300 participants (150 cases who had a CS and 150 who had spontaneous vaginal delivery) were selected from three hospitals in Jenin, Palestine from February, 2016 to April, 2016, and they have been interviewed through face-to-face interviews. 4. Results The following independent risk factors were found to be significant association (P>0.05) with increased risk of CS: over-weight before and during pregnancy; having edema, anemia, bleeding or high blood hypertension during pregnancy; mal-presentation of fetus; higher level of education; living in village; history of eclampsia; previous CS; more gestational age; head circumference of newborn, use of pregnancy fixatives products, and use of IUD contraceptive methods. However, the independent factors that might help patients avoid cesarean section were practicing exercise before pregnancy, increase number of antenatal visits, and using of safe medical herbs. 5. Conclusion The study highlights the important of increasing awareness about clinical and public health majors that would lead to prevention of risk factors associated with increased risk of cesarean section. To decrease the risks, maintaining normal BMI, practicing sports, the importance of adequate antenatal visits, and prevention of any complications during pregnancy. Keywords: Obstetrics; Non-obstetrics; Cesarean section.
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