Cesarean section rate: The effect of age and parity

✍ Scribed by Hussein Qublan; Ahmad Alghoweri; Mohammad Al-Taani; Sami Abu-Khait; Areej Abu-Salem; Ahmad Merhej

• Publisher: John Wiley and Sons
• Year: 2002
• Tongue: English
• Weight: 52 KB
• Volume: 28
• Category: Article
• ISSN: 1341-8076
• DOI: 10.1046/j.1341-8076.2002.00008.x

✦ Synopsis

Abstract

Objective: To determine the impact of age and parity on Cesarean section rate.

Methods: Between 1 January 1998 and 31 December 1998, 7671 women delivered in two Jordanian
military hospitals (Prince Rhashed Hospital (PRH) and Prince Zaid Hospital (PZH)).
A total of 717 Cesarean sections were performed during the same period. Patients
who underwent Cesarean section were divided into three age groups: (i) <25 years
(n = 140); (ii) 25–35 years (n = 231); and (iii) >35 years
(n = 346). In addition, these patients were divided into five parity (P) groups:
(i) P0 (n = 85); (ii) P1 (n = 68); (iii) P2 (n = 83); (iv) P3
(n = 106); and (v) >P3 (n = 375). Information abstracted included maternal characteristics and indications for Cesarean section. Statistical analyses were performed using Pearson’s Chi‐squared test to evaluate the association between age, parity and Cesarean section.

Results: Of 7671 deliveries conducted during the study period, 717 Cesarean sections were
performed, giving an incidence of 9.3%. The Cesarean section rate in the
<25, 25–35 and >35 years age groups was 5.2, 6.9, and 20.9%,
respectively. The Cesarean section rate in the P0–>P3 parity groups was
8.5, 7.1, 7.4, 6.3 and 12.9%, respectively. According to the indications,
a statistically significant increase in Cesarean section rates with increasing maternal
age and parity (P < 0.05 and P < 0.01, respectively) was observed.

Conclusion: The Cesarean section rate was positively influenced by increasing maternal age and parity.