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بسم الله الرحمن الرحيم

بسم الله الرحمن الرحيم. Prevalence rate and indication of delivery by cesarean section in Nablus city project Prepared by Waleed Samodi mohamad Bsharat Adham Mansor Osama Alsalem Supervised by D.Adnan AL srhan Miss. Maream AL-tell. Aim of project.

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بسم الله الرحمن الرحيم

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  1. بسم الله الرحمن الرحيم Prevalence rate and indication of delivery by cesarean section in Nablus city project Prepared by Waleed Samodi mohamad Bsharat Adham Mansor Osama Alsalem Supervised by D.Adnan AL srhan Miss. Maream AL-tell

  2. Aim of project 1_To fined out Indications of cesarean section delivery. 2-To fined out Ratio of C/S to Normal delivery through anti natal care visits. 3-To fined out mother preference regard C/S. 4-To fined out doctor preference regard C/S. 5-To determine if mother know about decision of C/S either during labor or anti natal care.

  3. Hypothesis: 1- The maternal indication of C/S is higher than other indication. 2- Are their any other cause for C/S rather than the maternal causes. 3- The rate of C/S in government hospital is higher than in privet hospital. 4- All women are informed about C/S previously.. 5-Are their any relation ship between the C/S and the Quality of Anti Natal Care?.

  4. Study Setting: Study will be take all pregnant woman delivered by C/S in Nablus and Rafedia hospital during (Nov - Dec) 2008. Population: Mother who deliver by C/S during period of (November – December) 2008.

  5. Sample: Convenient sample was choice to select the subject of study. All pregnant (40 ) woman who deliver by C/S during (Nov - Dec) 2008 , were choices. Method of data collection and instrument : Self designated questioners was developed. All mothers delivered by C/S in Nablus and Rafedia hospital were interviewed on the first day of C/S . And we use SPSS system to analysis the collection data , and we use manual analysis.

  6. The tool was consist of six part : The 1st part is socioeconomic status. 2ndpart is medical status. 3rdpart is surgical condition. 4th part is obstetric condition. 5th part is anti natal care during last pregnancy. 6th part is care during labor.

  7. The main results

  8. And we found that 58.8% (10 women) of fetal cause was Male position. And 23.5% , (4 women) was Cord prolapsed, 11.8% , (2women) was Fetal distress, and 5.9% ,(one woman) was Other causes . By looking to the maternal cause we found that 66.7% , (10women) the cause was Cervix incompetence , 33.3%, (5women) was Previous C.S . By looking to the Mather choice we found that 16.7%, (one woman) the cause was Pain , and 83.3% , (5women) was Fear on baby .

  9. Conclusion 1- The maternal indication of C/S is higher than other indication? We reject this hypothesis because we found that the fetal cause is higher , 42.5% was fetal cause, 37.5% was maternal cause , 15% was mother choice , and 5% was doctor choice . 2- Are their any other cause for C/S rather than the maternal causes. We support and except this hypothesis ,because we found that fetal cause , mother choice , and doctor choice are other important causes of C.S indication .

  10. 3- The rate of C/S in government hospital is higher than in private hospital . We support this hypothesis , because we found that the rat of C.S in government hospital by one year was 706 cases , in front of 1050 cases was normal delivery .and in the private hospital we found that 350 cases was C.S in front of 750 cases was normal delivery . 4- All women are informed about C/S previously. We reject this hypothesis, because we found that just 92.5% was informed and 7.5% was not informed about the main cause of there C.S

  11. 5-Are their any relationship between the C/S and the Quality of Anti Natal Care? We reject that , because we assume that more bad more C.S , but we found that 40%,( 16 women) was taken moderate ( 3.1-7) ANT , and 60%, 24 women was good (7.1-10) ANT .

  12. THE RECOMNDATIONS FOR OUR STUDY:- 1- Construct maternal clinics that look for pregnant who have risk for C.S. 2- Establish of educational program for pregnant about ways for avoiding risk factors of C.S. 3- Establish of new laws by government that make some restriction for caesarean section perform. 4- Encourage the establishment of knowledge for pregnant about importance of normal delivery to her health. 5- Take our study results in consideration to improve health care for pregnant and to reduce risk factors of C.S.

  13. Thane you

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