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Type: Journal article
Title: Caesarean section in four South East Asian countries: reasons for, rates, associated care practices and health outcomes
Author: Festin, M.
Laopaiboon, M.
Pattanittum, P.
Ewens, M.
Henderson-Smart, D.
Crowther, C.
Citation: BMC Pregnancy and Childbirth, 2009; 9(1):1-11
Publisher: BioMed Central
Issue Date: 2009
ISSN: 1471-2393
Statement of
Mario R Festin, Malinee Laopaiboon, Porjai Pattanittum, Melissa R Ewens, David J Henderson-Smart and Caroline A Crowther for The SEA-ORCHID Study Group
Abstract: Background: Caesarean section is a commonly performed operation on women that is globally increasing in prevalence each year. There is a large variation in the rates of caesarean, both in high and low income countries, as well as between different institutions within these countries. This audit aimed to report rates and reasons for caesarean and associated clinical care practices amongst nine hospitals in the four South East Asian countries participating in the South East Asia-Optimising Reproductive and Child Health in Developing countries (SEA-ORCHID) project. Methods: Data on caesarean rates, care practices and health outcomes were collected from the medical records of the 9550 women and their 9665 infants admitted to the nine participating hospitals across South East Asia between January and December 2005. Results: Overall 27% of women had a caesarean section, with rates varying from 19% to 35% between countries and 12% to 39% between hospitals within countries. The most common indications for caesarean were previous caesarean (7.0%), cephalopelvic disproportion (6.3%), malpresentation (4.7%) and fetal distress (3.3%). Neonatal resuscitation rates ranged from 7% to 60% between countries. Prophylactic antibiotics were almost universally given but variations in timing occurred between countries and between hospitals within countries. Conclusion: Rates and reasons for caesarean section and associated clinical care practices and health outcomes varied widely between the four South East Asian countries.
Keywords: SEA-ORCHID Study Group; Humans; Blood Loss, Surgical; Pregnancy Outcome; Antibiotic Prophylaxis; Postnatal Care; Cesarean Section; Health Status; Pregnancy; Patient Selection; Infant, Newborn; Medical Audit; Outcome Assessment (Health Care); Asia, Southeastern; Female
Rights: © 2009 Festin et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
RMID: 0020091209
DOI: 10.1186/1471-2393-9-17
Appears in Collections:Obstetrics and Gynaecology publications

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