Contribution of Multiple Pregnancies that Increase the Rate of Cesarean Birth
Examining the contribution of multiple pregnancies to the Increased Rate of Cesarean Birth., This is a retrospective observational study. In order to examine contribution of multiple pregnancies to the increased rate of cesarean birth, we studied 10286 live births delivered during 2013, in Obstetrics and Gynecology Clinic/University Clinical Centre of Kosovo. Out of 10,286 births; 97.22 percent (n=10,000) were singleton pregnancies, 2.78 percent (n=286) multiple pregnancies, out of these 2.63 percent (n=270) twins, 0.15% (n=16) triplet pregnancies. Out of 10286 live births; 3158 (30.70 percent) were delivered through caesarean section, whilst 7128 (69.30 percent) were delivered through vaginal delivery. This reveals that rate of cesarean birth in Kosovo during 2013, was very high: 30.70 percent. From 286 women with multiple pregnancies; 189 (66.1%) women delivered through caesarean section, whilst only 97 (33.9%) women delivered through vaginal delivery. We came to the conclusion that the contribution of multiple pregnancies to the increased rate of cesarean birth was very high, 66.1 percent women with multiple pregnancies have delivered through caesarean section, contributing with 5.99 percent in total rate of cesarean birth.
Multiple Pregnancies, Contribution, Rate of Cesarean Birth, Kosovo
Sewell JE; Cesarean Section-A Brief History. Washington DC, American College of Obstetricians and Gynecologists, 1993.
Althabe F, Belizán JM. Caesarean section: the paradox. Lancet. 2006; 368 (9546): 1472-3.
Betrán AP, Merialdi M, Lauer JA, Bing-Shun W, Thomas J, Van Look P, Wagner M. Rates of caesarean section: analysis of global, regional and national estimates. Paediatr Perinat Epidemiol. 2007; 21 (2): 98-113.
Althabe F, Sosa C, Belizán JM, Gibbons L, Jacquerioz F, Bergel E. Cesarean section rates and maternal and neonatal mortality in low-, medium-, and highincome countries: an ecological study. Birth. 2006; 33 (4): 270-7.
Ronsmans C, Holtz S, Stanton C. Socioeconomic differentials in caesarean rates in developing countries: a retrospective analysis. Lancet 2006; 368 (9546): 1516–23.
Martin JA, Hamilton BE, Ventura SJ, et al. Births: Final data for 2009. National vital statistics reports; vol 60 no 1. Hyattsville, MD: National Center for Health Statistics. 2011.
Laws P, Sullivan EA. Australia's mothers and babies 2007. National Perinatal Statistics Unit. Sydney, Australia (2009).
Nassar N, Sullivan EA. Australia's mothers and babies 1999. In: Perinatal Statistics Series no. 11. AIHW National Perinatal Statistics Unit, Sydney, Australia (2001).
Blondel, B., et al. "General obstetrics: Preterm birth and multiple pregnancy in European countries participating in the PERISTAT project." BJOG: An International Journal of Obstetrics & Gynaecology 113.5 (2006): 528-535.
Gashi AM, Fetiu S, Ramosaj M (2015) The Impact of Assisted Reproductive Technology (Art), to the Increasing Incidence of the High Order Multiple Pregnancies. Gynecol Obstet (Sunnyvale) 5: 302. doi:10.4172/2161- 0932.1000302
By the American Society for Reproductive Medicine, “Multiple Pregnancy and Birth: Twins, Triplets, and High-order Multiples” A Guide for Patients Revised 2012.
1995-2015 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
William’s Obstetrics Twenty-Second Ed. Cunningham, F. Gary, et al, Ch. 25.