Modes of delivery and maternal outcomes in women referred to Sanandaj Hospitals in 2013

Document Type : Original Article

Authors

1 Assistant Professor, Department of Obstetrics and Gynecology, School of Medicine, Kordestan University of Medical Sciences, Sanandaj, Iran.

2 Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Kordestan University of Medical Sciences, Sanandaj, Iran

3 Assistant Professor, Department of Statistics and Epidemiology, School of Medicine, Kordestan University of Medical Sciences, Sanandaj, Iran.

4 Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Kordestan University of Medical Sciences, Sanandaj, Iran.

Abstract

Introduction: Although the complications of vaginal delivery and cesarean section have been known, but decision about best mode of delivery (vaginal delivery versus cesarean section) is still controversial from specialists' point of view and the woman experiencing labor. This study was performed with aim to determine mode of delivery and maternal outcomes in Sanandaj hospitals.
Methods: This cross-sectional study was performed on 5984 women referred to delivery section of Sanandaj hospitals for delivery from April 2012 to April 2013. Data collection instrument was a researcher made questionnaire including three parts: the first part included demographic characteristics of the subjects, the second part about the problems associated with current pregnancy, and third part included mode of delivery and maternal outcomes of delivery until discharge (bleeding, perineal laceration, rupture of cervix, abnormal placental attachment, receiving antibiotics, blood transfusion, hysterectomy, ICU admission and maternal death). Data were analyzed using SPSS software (version 20), and chi-square test and Multiple logistic regression model. PResults: During the study, a total of 5984 deliveries were conducted in Sanandaj hospitals that among them, 3460 (57.82%) were vaginal and 2524 (42.18%) were cesarean section. There was a statistically significant association between mode of delivery and delivery outcomes such as severe hemorrhage, rupture of cervix, use of antibiotics and ICU admission (P=0.001).
Conclusion: In this study, complications such as bleeding, perineal laceration, rupture of the cervix, ICU admission and episiotomy were higher in vaginal delivery than cesarean section.

Keywords

References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 18, Issue 185
March 2016
Pages 1-9

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