Abstract

The aim of the study is to estimate the monthly rate of cesarean section (CS) in Al-Wahda Teaching Hospital and to evaluate the most common indications for cesarean section, and some factors such as: maternal age, parity; as well as Apgar scoring for fetal outcomes of cesarean sections for (391) audited cesarean section done at Al-Wahda Teaching Hospital in Aden Governorate from January 1^st to June 30^th 2011. A retrospective descriptive review of cesarean section files was conducted at the Department of Obstetrics and Gynecology, Al-Wahda Teaching Hospital. There were a total of 2741 deliveries performed during the six months period with cesarean section of 391, giving a rate of 14,26% of the total deliveries. The majority were primary cesarean sections (66.75%) while the remaining (33.25%) were repeated cesarean sections. This rate was not running in a harmonious flow each month. It was noticed that in April 2011, the rate was the highest (21.23%), and the lowest rate was On May(7.93%). Nearly half of the cesarean sections were pluripara (48.8%), and the age groups from 21 to 40 years represented a percentage of (85.4%). The main three indications of CS were cephalo- pelvic disproportion (28.39%), breech presentation (13.30%) and fetal distress (11.00%). All still births (SB) were due to a rupture uterus and Abruptio placenta.