title: Trend in mode of delivery in Rajavithi Hospital: a ten-year analysis (2002-2011).
abstract: OBJECTIVE
  To create trends in mode of delivery both public and private service at Rajavithi Hospital.
  
  
  METHODS
  The medical records of singleton pregnant women delivered between January 1, 2002 and December 31, 2011 were retrospectively analyzed for mode of delivery, indication of operative obstetrics, and modality of services (public and private service).
  
  
  RESULTS
  During the study period, total singleton deliveries gradually decreased from 9,418 to 6,023 while the spontaneous vaginal delivery rate fluctuated, and the cesarean delivery rate increased from 25.48% to 34.70%. Vaginal operative deliveries steadily declined such as, forceps extraction 3.83% to 0.95%, vacuum extraction, 1.72% to 0.85%, and vaginal breech delivery 0.92 to 0.28%.
  
  
  CONCLUSIONS
  The cesarean delivery rate increased in contrast with the decline of the vaginal operative delivery rate.
authors: Department of Obstetrics and Gynecology, RajavithiHospital, College of Medicine, Rangsit University, Bangkok, Thailand.
authors: Najnapa
authors: N
authors: Wachiratarapadorn
authors: Ekachai
authors: E
authors: Kovavisarach
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric / Q000706:statistics & numerical data* / Q000639:trends; D005260:Female; D006801:Humans; D009775:Obstetrics and Gynecology Department, Hospital / Q000706:statistics & numerical data / Q000639:trends; D011247:Pregnancy; D012189:Retrospective Studies; D013785:Thailand; D055815:Young Adult