Caesarean Section Status at Community Hospital Level M2: Lang Suan Hospital Case Study

Abstract

Background: A cesarean section is major obstetric procedures which can be reducing the chances of deaths during the crisis among maternal and infant. While number of cesarean delivery worldwide was 18.5 million per year. Thailand's government had been using policy cesarean section in community hospital level M2 more than 3 years ago.

Objective: To study cesarean section rate in community hospital level M2.

 Materials and Methods: A cross-sectional study and were collected. Secondary data from Langsuan hospital 4,632 cases. Statistical analysis used average proportion and estimate with 95% confidence interval. 

Results: The sample showed age average 26.8 year olds, cesarean section rate 54.5 percent. In 2016 had highest birth rate (1,214 cases) and cesarean section rate (55.7 percent) that is higher than the cesarean section national rate. The cesarean rate isn’t correlated with the number of deliveries.

 Conclusions: Thailand has a policy to cesarean section development in community hospitals which the objective to reduce the inequality in patient, congestion in secondary hospital that can be increased of cesarean section rate in community hospital.