Objectives: To report the Cesarean section rate in Al-
Batool Maternity Teaching Hospital and to identify
how many of them were done for maternal and fetal
condition.
Design: A statistical cross sectional study.
Setting: The study was conducted at Al-Batool
Maternity Teaching Hospital (13000 deliveries per
year).
Participants: The patients group consists of 4556
patients admitted for delivery (vaginal and abdominal)
during a period of four months commencing from
January 2003.
Main outcome measures: calculation of all live
births, calculation of cesarean section rate, percentage
of the primary cesarean sections and the repeat
cesarean sections and listing the indications of the
operation according to maternal and fetal condition
with their percentage.
Results: Total births during the period of this study
were 4556 births, 3732 vaginal deliveries and 824
cesarean sections. Cesarean section rate was found to
be 17.94% of total live births, the most frequent
indication for cesarean section was malpresentation
(24.3%). Primary cesarean sections contribute to 75%
of cases.
Conclusions: A primary cesarean section is one of the
most important causes of high cesarean section rate.
Decreasing the incidence of primary operations will
help in reducing cesarean section rate.
Abstract
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The issue of measurement of operational efficiency and productivity plays a major role in determining the weakness of the company, especially in relation to the productive processes, and thus starting to address these points and improve their performance. Hence the problem of research on how to determine the constraints in the production process, to identify weaknesses in the company. The research aims to clarify the role of throughput accounting in measuring the operational efficiency of the company in addition to clarify some of the constraints and causes behind them. The study concluded a set of conclusions, the most important of which is the availability of throughput accounting indicators that help in measuring operational efficienc
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