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https://hdl.handle.net/2440/51516
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Type: | Journal article |
Title: | Caesarean section in four South East Asian countries: reasons for, rates, associated care practices and health outcomes |
Author: | Festin, M. Laopaiboon, M. Pattanittum, P. Ewens, M. Henderson-Smart, D. Crowther, C. |
Citation: | BMC Pregnancy and Childbirth, 2009; 9(1):1-11 |
Publisher: | BioMed Central |
Issue Date: | 2009 |
ISSN: | 1471-2393 1471-2393 |
Statement of Responsibility: | Mario R Festin, Malinee Laopaiboon, Porjai Pattanittum, Melissa R Ewens, David J Henderson-Smart and Caroline A Crowther for The SEA-ORCHID Study Group |
Abstract: | Background: Caesarean section is a commonly performed operation on women that is globally increasing in prevalence each year. There is a large variation in the rates of caesarean, both in high and low income countries, as well as between different institutions within these countries. This audit aimed to report rates and reasons for caesarean and associated clinical care practices amongst nine hospitals in the four South East Asian countries participating in the South East Asia-Optimising Reproductive and Child Health in Developing countries (SEA-ORCHID) project. Methods: Data on caesarean rates, care practices and health outcomes were collected from the medical records of the 9550 women and their 9665 infants admitted to the nine participating hospitals across South East Asia between January and December 2005. Results: Overall 27% of women had a caesarean section, with rates varying from 19% to 35% between countries and 12% to 39% between hospitals within countries. The most common indications for caesarean were previous caesarean (7.0%), cephalopelvic disproportion (6.3%), malpresentation (4.7%) and fetal distress (3.3%). Neonatal resuscitation rates ranged from 7% to 60% between countries. Prophylactic antibiotics were almost universally given but variations in timing occurred between countries and between hospitals within countries. Conclusion: Rates and reasons for caesarean section and associated clinical care practices and health outcomes varied widely between the four South East Asian countries. |
Keywords: | SEA-ORCHID Study Group Humans Blood Loss, Surgical Pregnancy Outcome Antibiotic Prophylaxis Postnatal Care Cesarean Section Health Status Pregnancy Patient Selection Infant, Newborn Medical Audit Asia, Southeastern Female Outcome Assessment, Health Care |
Rights: | © 2009 Festin et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
DOI: | 10.1186/1471-2393-9-17 |
Published version: | http://dx.doi.org/10.1186/1471-2393-9-17 |
Appears in Collections: | Aurora harvest 5 Obstetrics and Gynaecology publications |
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hdl_51516.pdf | Published version | 320.46 kB | Adobe PDF | View/Open |
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