Risk factors for cesarean delivery in primigravida during spontaneous labor

Objective: To identify the risk factors for cesarean delivery among primigravida at Hospital Serdang. Methodology: This was a case control study which involved total 260 of 130 primigravida patients that underwent cesarean section (cases) and 130 primigravida patients that underwent vaginal delivery...

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Main Authors: Ma, Saung Oo, Cheng, Hui Ching, Hussin, Mohd Sharifullah Yahya, Ching, Siew Mooi
Format: Article
Language:English
Published: Pakistan Medical Association 2015
Online Access:http://psasir.upm.edu.my/id/eprint/46193/
http://psasir.upm.edu.my/id/eprint/46193/1/Risk%20factors%20for%20cesarean%20delivery%20in%20primigravida%20during%20spontaneous%20labor.pdf
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author Ma, Saung Oo
Cheng, Hui Ching
Hussin, Mohd Sharifullah Yahya
Ching, Siew Mooi
author_facet Ma, Saung Oo
Cheng, Hui Ching
Hussin, Mohd Sharifullah Yahya
Ching, Siew Mooi
author_sort Ma, Saung Oo
building UPM Institutional Repository
collection Online Access
description Objective: To identify the risk factors for cesarean delivery among primigravida at Hospital Serdang. Methodology: This was a case control study which involved total 260 of 130 primigravida patients that underwent cesarean section (cases) and 130 primigravida patients that underwent vaginal delivery (control) at obstetrics and gynaecology department of Hospital Serdang, Malaysia from January until June 2013. A standardized proforma was used to collect the data of each primigravida patient presenting in spontaneous labour at term with singleton pregnancy with either caesarean or vaginal delivery. Results: Majority of the cases were Malaysian (86.9%) and mostly were from Malay ethnic group (75.4%). In multivariate logistic regression analysis, presence of hypertension status (odds ratio [OR] 5.7, 95% CI; 1.56-20.84) and gestational age less than 40 weeks (OR 2.60, 95% CI 1.34-5.02), fetal weight more than 3000gm (OR 1.8, 95% CI 1.1-2.95), were associated with higher odds of cesarean delivery. Conclusion: Primigravida with presence of hypertension, having gestational age less than 40 weeks and heavier fetus were associated with higher odds of cesarean delivery.
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spelling upm-461932022-05-31T20:39:33Z http://psasir.upm.edu.my/id/eprint/46193/ Risk factors for cesarean delivery in primigravida during spontaneous labor Ma, Saung Oo Cheng, Hui Ching Hussin, Mohd Sharifullah Yahya Ching, Siew Mooi Objective: To identify the risk factors for cesarean delivery among primigravida at Hospital Serdang. Methodology: This was a case control study which involved total 260 of 130 primigravida patients that underwent cesarean section (cases) and 130 primigravida patients that underwent vaginal delivery (control) at obstetrics and gynaecology department of Hospital Serdang, Malaysia from January until June 2013. A standardized proforma was used to collect the data of each primigravida patient presenting in spontaneous labour at term with singleton pregnancy with either caesarean or vaginal delivery. Results: Majority of the cases were Malaysian (86.9%) and mostly were from Malay ethnic group (75.4%). In multivariate logistic regression analysis, presence of hypertension status (odds ratio [OR] 5.7, 95% CI; 1.56-20.84) and gestational age less than 40 weeks (OR 2.60, 95% CI 1.34-5.02), fetal weight more than 3000gm (OR 1.8, 95% CI 1.1-2.95), were associated with higher odds of cesarean delivery. Conclusion: Primigravida with presence of hypertension, having gestational age less than 40 weeks and heavier fetus were associated with higher odds of cesarean delivery. Pakistan Medical Association 2015 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/46193/1/Risk%20factors%20for%20cesarean%20delivery%20in%20primigravida%20during%20spontaneous%20labor.pdf Ma, Saung Oo and Cheng, Hui Ching and Hussin, Mohd Sharifullah Yahya and Ching, Siew Mooi (2015) Risk factors for cesarean delivery in primigravida during spontaneous labor. Rawal Medical Journal, 40 (4). pp. 413-418. ISSN 0303-5212 https://www.rmj.org.pk/?mno=196113
spellingShingle Ma, Saung Oo
Cheng, Hui Ching
Hussin, Mohd Sharifullah Yahya
Ching, Siew Mooi
Risk factors for cesarean delivery in primigravida during spontaneous labor
title Risk factors for cesarean delivery in primigravida during spontaneous labor
title_full Risk factors for cesarean delivery in primigravida during spontaneous labor
title_fullStr Risk factors for cesarean delivery in primigravida during spontaneous labor
title_full_unstemmed Risk factors for cesarean delivery in primigravida during spontaneous labor
title_short Risk factors for cesarean delivery in primigravida during spontaneous labor
title_sort risk factors for cesarean delivery in primigravida during spontaneous labor
url http://psasir.upm.edu.my/id/eprint/46193/
http://psasir.upm.edu.my/id/eprint/46193/
http://psasir.upm.edu.my/id/eprint/46193/1/Risk%20factors%20for%20cesarean%20delivery%20in%20primigravida%20during%20spontaneous%20labor.pdf