Nahid Bolbol Haghighi Corresponding Author
- Obstetrics ultrasound, Shahrood University of Medical Sciences., Shahroud, Iran
Hossein Ebrahimi
- Nursing Department, Shahroud Medical Sciences Faculty, Shahroud, Iran
Mohammad Esmaeil Ajami
- Midwifery Department, Fatemiyeh Hospital, Shahroud, Shahroud, Iran

Received: 4/1/2002 Accepted: 4/1/2002 - Publisher : Avicenna Research Institute

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Cesarean is performed as a routine surgery nowadays and not only many facilities, hospital beds and equipments and professional personnel are involved but also mortality rate and pregnancy complications are more common in women who have undergone cesarean than those who have vaginal deliveries. The aim of this study was to evaluate and compare the frequency of vaginal delivery, cesarean and its causes in Shahroud, so that finding would be used for proper planning to promote vaginal delivery. This is a cross-sectional study. Data gathering instruments are two questionnaires, which were prepared base on objectives of research. When their validity was determined, necessary information was gathered in 5 months. Results showed that total number of delivery in Shahroud were 1221 cases which 1.3% of deliveries were with vaccum 42.1% cesarean and 56.6% vaginal deliveries at this period. The most common causes of cesarean were previous history of cesarean (26.1%) willing to perform tubectomy (9.5%) and cephalopelvic disproportion (8.4%). Cesarean frequency in Shahroud is higher than accepted international statistics (20-22%). Considering that the most common cause of cesarean is history of previous cesarean and since many researches believe that vaginal delivery is safe after cesarean, we hope this outbreak of cesarean rate decreases in this town and consequently all over the country by public training to promote vaginal delivery.

Keywords: Cesarean section, Vaginal delivery, Vaccum, Mothers health

To cite this article:


  1. Schuitemaker N., Von Roosmaien J., Dekker G., et al. Maternal mortality after cesarean section in the Netherlands. Acta Obs Gyn Scand. 1997; 76(4): 332- 4.
  2. جزايري حميد. بارداري و زايمان ويليامز. جلد دوم، تهران: مركز نشر اشارت، 1376.
  3. Wirakusmah F.F. Maternal and prenatal mortality morbidity associated with cesarean section in Indonesia.J Obs Gyn. 1995; 21(5): 475-81.
  4. Cunnigham F., Mocdonald P., Leveno K., et al. Cesarean section and cesarean hysterectomy. Williams obstetrics. 19th texa. Prentice Hail International, INC. 1993; 591- 4.
  5. گزارش وزارت بهداشت و درمان و آموزش پزشكي، معاونت امور درمان و دارو، بررسي ميزان سزارين و ترويج زايمان طبيعي در كشور، 1993.
  6. جزايري حميد. بارداري و زايمان ويليامز، جلد سوم، تهران، مركز نشر اشارت، 1376.
  7. James D.K., Steer P.J. High risk pregnancy. 2nd Edition. Harcourt Brace and Company. 1999.
  8. گزارش سالانه واحد آمار دانشكده علوم پزشكي شاهرود به وزارت بهداشت، درمان و آموزش پزشكي، گزيده‏اي از فعاليت‏هاي 1378دانشكده علوم پزشكي و خدمات بهداشتي درماني شاهرود طي سال 1378.
  9. Elliot M. Pediatrician attendance at cesarean delivery: necessary or not? Obs Gyn. 1999; 93 (3): 338– 40.
  10. Mattox J. Core textbook of obstetrics Edition. 1998.
  11. وزارت بهداشت، درمان و آموزش پزشكي، معاونت امور درمان و دارو، بررسي ميزان سزارين و ترويج زايمان طبيعي در كشور، 1375.
  12. Giuseppe L., Pantaleo G. Maternal complications associated with cesarean section. Perinatal Med. 2001; 29 (4): 29.
  13. Rageth J.C., Juzi C. Delivery after previous cesarean, a risk evaluation. Obs Gyn. 1999; 93(3): 332- 7.
  14. Richman V.V., Lack of local reflection of national changes in cesarean delivery rates: the Canadian experience. 1999; 80(2): 393- 5.
  15. Cunningham M., Gant L., Gils trap H. Williams obstetrics. 20th Edition, Appleton and Lange. 1997.
  16. Rageth J.C., Juzi C. Delivery after previous Cesarean: risk evaluation. Obs & Gyn. 1999; 93(3): 335.
  17. Jukelevics N. Vaginal birth after cesarean section: an online textbook for pregnant women and new parents on pregnancy and childbirth. 1999.
  18. Abu Heija A.T., Ziadeh S.M. Correlation of decrease in cesarean section rates and decrease in perinatal mortality. Ann Saudi Med. 1995; 15(1): 29- 31.
  19. WHO the partograph part I. WHO Division of family Health, Geneva, 1994.


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