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

Reem Falah Alshammari (), Farida Habib Khan, Hend Mohammed Alkwai, Fahaad Alenazi, Khalid Farhan Alshammari, Ehab Kamal Ahmed Sogeir, Asma Batool and Ayesha Akbar Khalid
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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

IJERPH, 2023, vol. 20, issue 2, 1-9

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.

Keywords: parity; age; BMI; mode of delivery; cesarean section; Saudi Arabia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:20:y:2023:i:2:p:1486-:d:1034958

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