title: Indications for cesarean section at Thammasat University Hospital.
abstract: OBJECTIVE
  To present the indications associated with the increase in cesarean section rate at Thammasat University Hospital during the past three years.
  
  
  METHODS
  This was a cross-sectional study. Pregnant women who underwent cesarean section between January 2003 and December 2005 at Thammasat University Hospital were recruited for the present study. Cases of fetal anomaly or intrauterine fetal death were excluded. Demographic and obstetric data including indications of cesarean section and pregnancy outcomes were collected and analyzed
  
  
  RESULTS
  Among the 1328, 1402, and 1522 cases of cesarean section (27.31, 27.94, and 29.26%) in 2003, 2004 and 2005 respectively, the major indication was previous cesarean section (29%). Cephalopelvic disproportion (CPD), and elective cesarean section were second, and third most common indication (24.64%, 11.23%) respectively.
  
  
  CONCLUSIONS
  The increasing cesarean section rate was due to rising of elective cesarean section or patient's request. Cesarean section without obstetric indication should be reconsidered to lower the cesarean section rate.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathum-Thani, Thailand. athitaka@gmail.com
authors.forename: Athita
authors.initials: A
authors.lastname: Chanthasenanont
authors.forename: Densak
authors.initials: D
authors.lastname: Pongrojpaw
authors.forename: Tongta
authors.initials: T
authors.lastname: Nanthakomon
authors.forename: Charintip
authors.initials: C
authors.lastname: Somprasit
authors.forename: Atiwut
authors.initials: A
authors.lastname: Kamudhamas
authors.forename: Komsun
authors.initials: K
authors.lastname: Suwannarurk
mesh_terms: D000328:Adult; D052178:Cephalopelvic Disproportion; D002585:Cesarean Section / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D012307:Risk Factors; D013785:Thailand