The relation between types of Cesarean birth and indications in Maternity Teaching Hospital at Sulaimani City/ Iraq

Background: The rate of caesarean section in both rich and developing nations has increased dramatically in recent decades because there is no standard categorization technique for cesarean section kinds and reasons for doing CS, and they might be multiple or connected. Despite these obstacles, identifying the most prevalent indicators for the CS method of administration is critical for targeting preventative measures rates. Aim of the study: To find out the Relation between types of cesarean section and indications in Sulaimani maternity teaching hospital from 1 October December 31 July 2020. Study Design: A descriptive-analytic, cross-sectional study. Material and Methods: Direct interviews with study participants were used to obtain data. After gaining agreement, the researcher administered questionnaires to 790 women who delivered elective and emergency C.S during the study period using convenience sampling. A questionnaire format was created for this purpose following a thorough examination of the literature and in accordance with the study's goals. SPSS version 22 was used to analyze the data. The P-value and Chi-Square test are used to determine whether there is a significant relationship between variables. P-values less than 0.05 are considered significant. Results: Among 790 mothers, the majority of cesarean sections (63.8%) were emergency types, while more than one-third of participants (36.2 %) had elective C.S, and the most common indications of cesarean section were having a previous cesarean section (22.1%), failure of progress (11.9%), and fetal distress (10%). There was a significant association between the CS type and most CS indications. There was no significant association between CS type and CS indications for other items such as poor presentation, pre-eclampsia, APH, Antipartum Hemmorrhage, fresh scars, and old primiparas. Conclusion: The study concluded that the majority of C.S. were emergency kinds, and the most prevalent indications of cesarean surgery were having a prior cesarean section, lack of progress, and fetal distress. There was a strong link between most types of cesarean sections and indications.