Education and Social Media Versus Non-Indicated Caesarean Section Rate in Egypt

This study focus on measuring effect of Egyptian Primigravidas' education level and accessibility to social media on rate of maternal request option offered for non-indicated primary caesarean section.

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Key information

Conditions

Complications; Cesarean Section

Age range

20 year–40 year

Sex eligibility

Female

Study type

Observational

Primary location

Talkha Central Hospital

Al Mansurah, Al-Dakahliya, 35511, Egypt

About this study

A caesarean section (CS) is a life-saving surgical procedure when certain complications arise during pregnancy and labour. However, it is a major surgery and is associated with immediate maternal and perinatal risks and may have implications for future pregnancies as well as long-term effects that are still being investigated. The use of CS has increased dramatically worldwide in the last decades particularly in middle- and high-income countries, and some studies showing a link between increasing CS rates and poorer outcomes, and reasons for this increase are multifactorial and not well-understood.

In Egypt the CS rate according to WHO (World Health Organization),Health report (2010) is 27.6 %. Egypt also is considered to be the highest African country in CS rate (51.8 %), in which CS rate rose from 4.6 % to 51.8 % over the 24 year period (1990-2014), and more than half of all women give birth by CS in Egypt without much difference between urban and rural areas.

Slightly more than half of the live births in the five-year period before 2014 Egypt Demographic and Health survey were by CS, and 60 % of primigravidas delivered by CS.

Updated indications of primary CS including option of maternal request as one of these indications were reported in both RCOG (Royal College of Obstetricians and Gynaecologists) Press report (2001) and RCOG CS various guidelines.

Recently, the Egyptian public opinion deviated to obstetricians' desire for self financial benefits to be the major cause of increasing Egypt CS rates; depending on newspaper articles and social media talks.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Full term with gestational age (G.A) more than or equal 39 weeks.
Acceptance to answer study short questionnaire to determine eligible participants for each cohort.

Exclusion criteria

Multiparity.
History of previous Caesarean Section/s.
Any Mental or Physical disabilities.
Disapproval for answering a predefined short questionnaire related to study.

Treatment and study plan

observation

Behavioral

Observation of Participants' behaviour

Primary outcomes

Number of Primigravidas who request a Non-Indicated CS

Time frame: Up to 2 weeks

Number of Primigravidas who request a Non-Indicated CS.

Secondary outcomes

Number of Primigravidas who refused to have a trial of IOL (Induction of Labour), as an index for deviated intention to request a Non-Indicated CS

Time frame: Up to 24 hours

Number of Primigravidas who refused to have a trial of IOL (Induction of Labour), as an index for deviated intention to request a Non-Indicated CS.

Sponsors and collaborators

Lead sponsor

Talkha Central Hospital

Other Gov

Registry information

Important dates

Study start: 2016
Primary completion: 2016
Study completion: 2016
First posted: May 27, 2016
Registry last updated: Sep 7, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed