Indications for Cesarean Section at Thammasat University Hospital
Athita Chanthasenanont MD*, Densak Pongrojpaw MD*, Tongta Nanthakomon MD*, Charintip Somprasit MD*, Atiwut Kamudhamas MD*, Komsun Suwannarurk MD*
Affiliation : * Department of Obsetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathum-Thani
Objective : To present the indications associated with the increase in cesarean section rate at Thammasat
University Hospital during the past three years.
Materials and Methods : This was a cross-sectional study. Pregnant women who underwent cesarean section
between January 2003 and December 2005 at Thammasat University Hospital were recruited for the present
study. Cases of fetal anomaly or intrauterine fetal death were excluded. Demographic and obstetric data
including indications of cesarean section and pregnancy outcomes were collected and analyzed.
Results : Among the 1328, 1402, and 1522 cases of cesarean section (27.31, 27.94, and 29.26%) in 2003, 2004
and 2005 respectively, the major indication was previous cesarean section (29%). Cephalopelvic dispropor-
tion (CPD), and elective cesarean section were second, and third most common indication (24.64%, 11.23%)
respectively.
Conclusion : The increasing cesarean section rate was due to rising of elective cesarean section or patient’s
request. Cesarean section without obstetric indication should be reconsidered to lower the cesarean section
rate
Keywords : Cesarean section, Indication, Elective cesarean section
