Objective: The aim of this study was to assess the change in the frequency of cesarean delivery and indications for a cesarean section procedure over a 2-year time period at a tertiary center.
Materials and Methods: A retrospective examination of all births that occurred at the Kayseri Training and Research Hospital between May 2018 and April 2020 was conducted. The data of patients who had a cesarean delivery were recorded and compared by year. The Robson Ten Group Classification System of perinatal events and outcomes was used to categorize the deliveries.
Results: A total of 18,576 patients gave birth in the hospital during the study period. The rate of vaginal delivery was 65.11% and the cesarean delivery rate was 34.89%. During the period May 2018-April 2019, 32.64% of deliveries were by cesarean section, and the rate was 36.87% in May 2019-April 2020. The most common indication for a cesarean procedure was a history of cesarean delivery, followed by fetal distress.
Conclusion: The 2-year rate of cesarean deliveries in the hospital was 34.89%, which is well below the mean rate for Turkey. As seen in the literature, the most common indication for a cesarean delivery was a history of a previous cesarean procedure, and the most common indication for a primary cesarean was fetal distress.