Abstract

A caesarean section (CS) is a life-saving surgical procedure when certain complications arise during pregnancy and labour. However, it is a major surgery and is associated with immediate maternal and perinatal risks and may have implications for future pregnancies as well as long-term effects that are still being investigated.
The aim of the study is to estimate the rate of CS to evaluate the most common indications of the operated CS, to estimated, and outline the most common types of CS in the delivery and neonatal center (Al-Saab-Aden Hospital).
A retrospective analysis of clinical medical records of woman operated cesarean section and managed in the Department of Obstetrics and Gynecology at the Delivery and Neonatal Center -Al-Saab-Aden Hospital from 1^st Jan to 31^st  December 2016.
Out of 1532 deliveries over the study period from1^st of Jan– 31^st of Dec 2016, 312 cases had cesarean section representing 20.4% of total deliveries. More than half (52.9%) of cesarean section cases had repeated cesarean section and 77.2% in the Maternal age group 20 – 34 years, Cephalo-pelvic disproportion constitutes 14.7% of registered indications of CS, and the majority of C S due to previous one Scar (28.9%).
The cesarean section rate still high with continuous increasing more than the rate stated by WHO. It is obvious that previous scare is the most common indications for CS. The decision to perform a CS must be maternity-centered and not technology-centered,    in turn, lower the total cesarean delivery rate.