Scientific Journal of Nursing, Midwifery and Paramedical Faculty

Background and Aim: Cesarean section is the most common surgical procedures in the field of obstetrics and gynecology. Caesarean section is the major surgery and may impose a lot of complications for mother and baby. The aim of this study was to evaluate changes in caesarean trends and causes of cesarean section and its changes in the 1995, 2005 and 2008 in Sanandaj Besat Hospital.

Materials and Methods: This study was a retrospective cross-sectional study. The required data was collected through analysis of all caesarian related cases of the intended years.  Statistical analysis was conducted using SPSS software version 18 and descriptive statistics.

Findings: The rate of cesarean section in 1995 was (4.16%) which had increased to (38%) in 2005. In 2008 it decreased by 3 percent and it reached to (35%). Elective cesarean rate has increased over time.  The most common causes of cesarean in three years were cesarean section experience, dystocia during labor and fetal distress.

Conclusion: Due to the increase in cesarean rates in our center, it seems logical that in order to increase the rate of vaginal delivery and reduce cesarean, measures such as encouraging vaginal birth after cesarean, creating medical facilities and required personnel, determining labor dystocia accurately and correct diagnosis of fetal distress are required. Also, promoting vaginal delivery using non-pharmacological methods of pain control and improving the quality of midwifery care can be helpful in preventing unnecessary Caesarean deliveries.