Study on the rate of first-time cesarean section and clinical characteristics of women at Ha Hoa Medical Center, Phu Tho Province, 2023-2024

  • Vu Van Binh Thai Nguyen University; Ha Hoa Medical Center, Phu Tho
  • Nguyen Thi Binh Thai Nguyen University
  • Hoang Thi Ngoc Tram Thai Nguyen University

Main Article Content

Tóm tắt

Objective: To determine the cesarean section (CS) rate and describe some clinical characteristics of women undergoing their first cesarean at Ha Hoa Medical Center, Phu Tho Province, during 2023–2024. Subject and methods: 487 medical records of women who had their first cesarean section between January 1, 2023, and December 31, 2024, at Ha Hoa Medical Center. Method: Descriptive cross-sectional study. Result: The cesarean section rate was 28.17%, with primiparous women (con so) accounting for 17.93%. The mean maternal age was 26.97 ± 6.74 years. Most pregnancies were natural, accounting for 96.1% in primiparas and 97.2% in multiparas (con rạ). Gestational age between 37 and 41 weeks accounted for 98%. The main indications for cesarean were combined factors (76.5% in primiparas, 79.7% in multiparas), and most surgeries were performed after labor onset (71.9% in primiparas, 78% in multiparas). Conclusion: The first-time cesarean section rate at Ha Hoa Medical Center was 28.17%, mostly among primiparous women, with combined indications being the main reason, and most procedures performed after the onset of labor.

Article Details

Các tài liệu tham khảo

1. WHO. Caesarean section rates continue to rise, amid growing inequalities in access. https://wwwwhoint/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access. 2021.
2. Dung MT, Nguyen DT, Pham HS, Nguyen THP, Huyen LL (2022) Analysis of factors related to cesarean section indications at the National Hospital of Obstetrics and Gynecology, 2021. Journal of Obstetrics & Gynecology 20(3): 46-49.
3. Tu HN, Bach CA, Phan VT, Phan LV, Ngo HH, Hien NTD (2016) Cesarean section indications according to Robson classification at Hue Central Hospital. Journal of Obstetrics & Gynecology 14(3): 38-43.
4. WHO (2015) WHO statement on caesarean section rates.
5. Giang HTN, Duy DTT, Hieu LTM et al (2022) Factors associated with the very high cesarean section rate in urban areas of Vietnam. PLoS One. 17(8): 0273847. doi:10.1371/journal.pone.0273847
6. Nguyen AD, Duong GTT, Do DT et al (2022) Primary cesarean section rate among full-term pregnant women with non-previous uterine scar in a hospital of Vietnam. Heliyon 8(12): 12222.
7. Liu B, Abdi MA, Ma Y (2025) Trend of Cesarean Section Rates and Related Factors Among First-Time Mothers with Single Pregnancies in Zhejiang Province, China: Evidence from a Multi-Center Study. Int J Womens Health 17: 1681-1692.
8. Küçük M (2024) Striking rise of cesarean section rates in Türkiye: there is a need for a whole new perspective. Pan Afr Med J. 2024;48:6.
9. Hang TTK (2020) Study on factors related to cesarean section in full-term primiparas at the Department of Obstetrics, Thai Nguyen Central Hospital, June 2019-May 2020. Residency Thesis. Thai Nguyen University of Medicine and Pharmacy.
10. Quynh ĐTN (2022) Study on indications for cesarean section in primiparas at Hanoi Obstetrics Hospital, 2021. Undergraduate Thesis. Hanoi Medical University.
11. Minh NX, Vinh TQ (2022) Cesarean section trends in primiparas at Quang Ngai Obstetrics and Pediatrics Hospital. Journal of Obstetrics & Gynecology 20(4): 43-49.
12. Hao VT (2024) Current status of cesarean section indications in full-term primiparas at Vinh Phu Obstetrics and Pediatrics Hospital. Specialty Thesis Level II. Thai Nguyen University of Medicine and Pharmacy.