Prevalence rate and indication of delivery by cesarean section in Nablus city

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• Prevalence rate and indication of delivery by
  cesarean section in Nablus city
• project Prepared by
• Waleed Samodi
• mohamad Bsharat
• Adham Mansor
• Osama Alsalem
• Supervised by
• D.Adnan AL srhan
• Miss. Maream AL-tell

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Aim of project

•  1_To fined out Indications of cesarean section
  delivery.
• 2-To fined out Ratio of C/S to Normal delivery
  through anti natal care visits.
• 3-To fined out mother preference regard C/S.
• 4-To fined out doctor preference regard C/S.
• 5-To determine if mother know about decision of
  C/S either during labor or anti natal care.

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Hypothesis

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• 1- The maternal indication of C/S is higher than
• other indication.
• 2- Are their any other cause for C/S rather than
  the maternal causes.
• 3- The rate of C/S in government hospital is
  higher than in privet hospital.
• 4- All women are informed about C/S previously..
• 5-Are their any relation ship between the C/S and
  the Quality of Anti Natal Care?.

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Study

• Setting 
• Study will be take all pregnant woman delivered
  by C/S in Nablus and Rafedia hospital during (Nov
  - Dec) 2008.
•  
• Population 
• Mother who deliver by C/S during period of
  (November December) 2008.

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• Sample
• Convenient sample was choice to select the
  subject of study.
• All pregnant (40 ) woman who deliver by C/S
  during (Nov - Dec) 2008 , were choices.
•  
• Method of data collection and instrument  
• Self designated questioners was developed.
• All mothers delivered by C/S in Nablus and
  Rafedia hospital were interviewed on the first
  day of C/S . And we use SPSS system to analysis
  the collection data , and we use manual analysis.
  

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• The tool was consist of six part
• The 1st part is socioeconomic status.
• 2nd part is medical status.
• 3rd part is surgical condition.
• 4th part is obstetric condition.
• 5th part is anti natal care during last
  pregnancy.
• 6th part is care during labor.
•  

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The main results
Doctor choice Mather choice Maternal cause Fetal cause
2 5 6 15 15 37.5 17 42.5 N Valid Percent
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• And we found that 58.8 (10 women) of fetal cause
  was Male position.
• And 23.5 , (4 women) was Cord prolapsed, 11.8 ,
  (2women) was Fetal distress, and 5.9 ,(one
  woman) was Other causes .
• By looking to the maternal cause we found that
  66.7 , (10women) the cause was Cervix
  incompetence , 33.3, (5women) was Previous C.S .
• By looking to the Mather choice we found that
  16.7, (one woman) the cause was Pain , and
  83.3 , (5women) was Fear on baby .

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Conclusion

• 1- The maternal indication of C/S is higher than
• other indication?
• We reject this hypothesis because we found that
  the fetal cause is higher , 42.5 was fetal
  cause, 37.5 was maternal cause , 15 was mother
  choice , and 5 was doctor choice .
• 2- Are their any other cause for C/S rather than
  the maternal causes.
• We support and except this hypothesis ,because we
  found that fetal cause , mother choice , and
  doctor choice are other important causes of C.S
  indication .

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• 3- The rate of C/S in government hospital is
  higher than in private hospital .
• We support this hypothesis , because we found
  that the rat of C.S in government hospital by one
  year was 706 cases , in front of 1050 cases was
  normal delivery .and in the private hospital we
  found that 350 cases was C.S in front of 750
  cases was normal delivery .
• 4- All women are informed about C/S previously.
• We reject this hypothesis, because we found that
  just 92.5 was informed and 7.5 was not informed
  about the main cause of there C.S

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• 5-Are their any relationship between the C/S and
  the Quality of Anti Natal Care?
• We reject that , because we assume that more bad
  more C.S , but we found that 40,( 16 women) was
  taken moderate ( 3.1-7) ANT , and 60, 24 women
  was good (7.1-10) ANT .

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THE RECOMNDATIONS FOR OUR STUDY-

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• 1- Construct maternal clinics that look for
  pregnant who have risk for C.S.
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• 2- Establish of educational program for pregnant
  about ways for avoiding risk factors of C.S.
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• 3- Establish of new laws by government that make
  some restriction for caesarean section perform.
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• 4- Encourage the establishment of knowledge for
  pregnant about importance of normal delivery
  to her health.
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• 5- Take our study results in consideration to
  improve health care for pregnant and to reduce
  risk factors of C.S.

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• Thane you