Mode of Delivery at Siriraj Hospital: A Ten-Year Review (2001-2010)
Objective:To study mode of delivery and trend of cesarean section, indication of operative delivery and maternal and perinatal mortality at Siriraj Hospital for 10-year period (2001-2010) Material and Method: The medical records of mode of delivery, indication and maternal and perinata...
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The Royal Thai College of Obstetricians and Gynaecologists
2011-12-01
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doaj-8bbd426bc05c4a548c84cee20fe92e9b2020-11-24T23:26:33ZengThe Royal Thai College of Obstetricians and GynaecologistsThai Journal of Obstetrics and Gynaecology0857-60840857-60842011-12-01194181192Mode of Delivery at Siriraj Hospital: A Ten-Year Review (2001-2010)Saifon Chawanpaiboon0Anuwat Sutantawibul1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand 10700Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand 10700Objective:To study mode of delivery and trend of cesarean section, indication of operative delivery and maternal and perinatal mortality at Siriraj Hospital for 10-year period (2001-2010) Material and Method: The medical records of mode of delivery, indication and maternal and perinatal mortality at Siriraj Hospital during 2001-2010 were collected and analyzed. Results: During 10-year period, the birth was decreased from 9,555 cases in the year 2001 to 8,853 cases in the year 2010. The rate of single spontaneous vaginal delivery was decreased steadily from the year 2001 (67.1%) to 2010 (53.8%) while the rate of low transverse cesarean section was increased from the year 2001 (27.9%) to the year 2010 (44.5%). The rates of low forceps operation, vacuum extraction and birth before arrival were all decreased steadily from the year 2001 to the year 2010, (forceps operation: 2.99% to 0.44%, vacuum extraction: 8.79% to 2.74%, birth before arrival: 1.1% to 0.05%). Perinatal mortality rate (/1,000 births) after abdominal delivery was continued decreased from the year 2001 (2.4%) to 2006 (0.7%), then increased from the year 2007 (1.4%) to 2010 (2.9%). Perinatal mortality rate (/1,000 births) after vaginal delivery was not changed from the year 2001 (0.94%) to 2010 (0.56%). Conclusion: The cesarean rate has continued increased while spontaneous vaginal delivery was decreased during the last 10 years. Cesarean section without definite indication must be concerned because the complication and uneventful evidence might be reduced.https://tci-thaijo.org/index.php/tjog/article/download/1221/990/mode of deliverycesarean sectionindicationmaternal and perinatal mortality |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Saifon Chawanpaiboon Anuwat Sutantawibul |
spellingShingle |
Saifon Chawanpaiboon Anuwat Sutantawibul Mode of Delivery at Siriraj Hospital: A Ten-Year Review (2001-2010) Thai Journal of Obstetrics and Gynaecology mode of delivery cesarean section indication maternal and perinatal mortality |
author_facet |
Saifon Chawanpaiboon Anuwat Sutantawibul |
author_sort |
Saifon Chawanpaiboon |
title |
Mode of Delivery at Siriraj Hospital: A Ten-Year Review (2001-2010) |
title_short |
Mode of Delivery at Siriraj Hospital: A Ten-Year Review (2001-2010) |
title_full |
Mode of Delivery at Siriraj Hospital: A Ten-Year Review (2001-2010) |
title_fullStr |
Mode of Delivery at Siriraj Hospital: A Ten-Year Review (2001-2010) |
title_full_unstemmed |
Mode of Delivery at Siriraj Hospital: A Ten-Year Review (2001-2010) |
title_sort |
mode of delivery at siriraj hospital: a ten-year review (2001-2010) |
publisher |
The Royal Thai College of Obstetricians and Gynaecologists |
series |
Thai Journal of Obstetrics and Gynaecology |
issn |
0857-6084 0857-6084 |
publishDate |
2011-12-01 |
description |
Objective:To study mode of delivery and trend of cesarean section, indication of operative delivery and maternal and perinatal mortality at Siriraj Hospital for 10-year period (2001-2010) Material and Method: The medical records of mode of delivery, indication and maternal and perinatal mortality at Siriraj Hospital during 2001-2010 were collected and analyzed. Results: During 10-year period, the birth was decreased from 9,555 cases in the year 2001 to 8,853 cases in the year 2010. The rate of single spontaneous vaginal delivery was decreased steadily from the year 2001 (67.1%) to 2010 (53.8%) while the rate of low transverse cesarean section was increased from the year 2001 (27.9%) to the year 2010 (44.5%). The rates of low forceps operation, vacuum extraction and birth before arrival were all decreased steadily from the year 2001 to the year 2010, (forceps operation: 2.99% to 0.44%, vacuum extraction: 8.79% to 2.74%, birth before arrival: 1.1% to 0.05%). Perinatal mortality rate (/1,000 births) after abdominal delivery was continued decreased from the year 2001 (2.4%) to 2006 (0.7%), then increased from the year 2007 (1.4%) to 2010 (2.9%). Perinatal mortality rate (/1,000 births) after vaginal delivery was not changed from the year 2001 (0.94%) to 2010 (0.56%). Conclusion: The cesarean rate has continued increased while spontaneous vaginal delivery was decreased during the last 10 years. Cesarean section without definite indication must be concerned because the complication and uneventful evidence might be reduced. |
topic |
mode of delivery cesarean section indication maternal and perinatal mortality |
url |
https://tci-thaijo.org/index.php/tjog/article/download/1221/990/ |
work_keys_str_mv |
AT saifonchawanpaiboon modeofdeliveryatsirirajhospitalatenyearreview20012010 AT anuwatsutantawibul modeofdeliveryatsirirajhospitalatenyearreview20012010 |
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