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Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia

Author

Listed:
  • Reem Falah Alshammari

    (Department of Family and Community Medicine, College of Medicine, University of Ha’il, Ha’il 55476, Saudi Arabia)

  • Farida Habib Khan

    (Department of Family and Community Medicine, College of Medicine, University of Ha’il, Ha’il 55476, Saudi Arabia)

  • Hend Mohammed Alkwai

    (Department of Pediatrics, College of Medicine, University of Ha’il, Ha’il 55476, Saudi Arabia)

  • Fahaad Alenazi

    (Department of Pharmacology, College of Medicine, University of Ha’il, Ha’il 55476, Saudi Arabia)

  • Khalid Farhan Alshammari

    (Department of Medicine, College of Medicine, University of Ha’il, Ha’il 55476, Saudi Arabia)

  • Ehab Kamal Ahmed Sogeir

    (Department of Family and Community Medicine, College of Medicine, University of Ha’il, Ha’il 55476, Saudi Arabia)

  • Asma Batool

    (Maternity and Child Hospital, Ha’il 55471, Saudi Arabia)

  • Ayesha Akbar Khalid

    (William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust Kent, Canterbury CT1 3NG, UK)

Abstract

In the context of the global increase in the rate of cesarean deliveries, with an associated higher morbidity and mortality, this study aimed to investigate the role of maternal age and parity in the cesarean section rate among women in the Hail Region of Saudi Arabia. This retrospective cohort study used data collected from the labor ward of the Maternity and Child Health Hospital, Hail, over a period of 8 months, forming a cohort of 500 women. Women were categorized into four different parity classes. The results revealed that there was no significant relationship between cesarean deliveries and maternal age ( p -value, 0.07). There was no significant difference in the mode of delivery between the study’s parity cohort group. A significant increase in cesarean deliveries was noticed among obese women with a BMI between 35–39.9 (52.14%). This increase was even greater among those with a BMI above 40 (63.83%). Fetal distress, malpresentation and abruptio placenta were the most significant indications for CS among all age groups ( p -value 0.000, 0.021, and 0.048, respectively). Conclusions: The number of cesarean deliveries has no association with parity or age. However, there was a statistically significant association with BMI, a perineal tear after previous vaginal delivery, and a history of diabetes mellitus and gestational diabetes. The most reported reasons for CS were fetal distress, malpresentation, and abruptio placenta among all age groups.

Suggested Citation

  • Reem Falah Alshammari & Farida Habib Khan & Hend Mohammed Alkwai & Fahaad Alenazi & Khalid Farhan Alshammari & Ehab Kamal Ahmed Sogeir & Asma Batool & Ayesha Akbar Khalid, 2023. "Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia," IJERPH, MDPI, vol. 20(2), pages 1-9, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1486-:d:1034958
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    References listed on IDEAS

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    1. Kornelia Zaręba & Jolanta Banasiewicz & Hanna Rozenek & Stanisław Wójtowicz & Grzegorz Jakiel, 2020. "Peripartum Predictors of the Risk of Postpartum Depressive Disorder: Results of a Case-Control Study," IJERPH, MDPI, vol. 17(23), pages 1-12, November.
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