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Original Research
Online Published: 03 Nov 2015
 
RMJ. 2015; 40(4): 413-418


Risk factors for cesarean delivery in primigravida during spontaneous labor

Ma Saung Oo, Ching Siew Mooi, Cheng Hui Ching, Mohd Shariffullah Yahya Bin Hussin.


Abstract
Objective: To identify the risk factors for cesarean delivery among primigravida at Hospital Serdang.
Methodology: This was a case control study which involved total 260 of 130 primigravida patients that underwent cesarean section (cases) and 130 primigravida patients that underwent vaginal delivery (control) at obstetrics and gynaecology department of Hospital Serdang, Malaysia from January until June 2013. A standardized proforma was used to collect the data of each primigravida patient presenting in spontaneous labour at term with singleton pregnancy with either caesarean or vaginal delivery.
Results: Majority of the cases were Malaysian (86.9%) and mostly were from Malay ethnic group (75.4%). In multivariate logistic regression analysis, presence of hypertension status (odds ratio [OR] 5.7, 95% CI; 1.56-20.84) and gestational age less than 40 weeks (OR 2.60, 95% CI 1.34-5.02), fetal weight more than 3000gm (OR 1.8, 95% CI 1.1-2.95), were associated with higher odds of cesarean delivery.
Conclusion: Primigravida with presence of hypertension, having gestational age less than 40 weeks and heavier fetus were associated with higher odds of cesarean delivery.

Key words: Cesarean delivery, labour, primigravida, risk factors, vaginal delivery


 
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How to Cite this Article
Pubmed Style

Oo MS, Mooi CS, Ching CH, Hussin MSYB. Risk factors for cesarean delivery in primigravida during spontaneous labor. RMJ. 2015; 40(4): 413-418.

Web Style

Oo MS, Mooi CS, Ching CH, Hussin MSYB. Risk factors for cesarean delivery in primigravida during spontaneous labor. https://www.rmj.org.pk/?mno=196113 [Access: October 30, 2025].

AMA (American Medical Association) Style

Oo MS, Mooi CS, Ching CH, Hussin MSYB. Risk factors for cesarean delivery in primigravida during spontaneous labor. RMJ. 2015; 40(4): 413-418.


Vancouver/ICMJE Style

Oo MS, Mooi CS, Ching CH, Hussin MSYB. Risk factors for cesarean delivery in primigravida during spontaneous labor. RMJ. (2015), [cited October 30, 2025]; 40(4): 413-418.


Harvard Style

Oo, M. S., Mooi, . C. S., Ching, . C. H. & Hussin, . M. S. Y. B. (2015) Risk factors for cesarean delivery in primigravida during spontaneous labor. RMJ, 40 (4), 413-418.


Turabian Style

Oo, Ma Saung, Ching Siew Mooi, Cheng Hui Ching, and Mohd Shariffullah Yahya Bin Hussin. 2015. Risk factors for cesarean delivery in primigravida during spontaneous labor. Rawal Medical Journal, 40 (4), 413-418.


Chicago Style

Oo, Ma Saung, Ching Siew Mooi, Cheng Hui Ching, and Mohd Shariffullah Yahya Bin Hussin. "Risk factors for cesarean delivery in primigravida during spontaneous labor." Rawal Medical Journal 40 (2015), 413-418.


MLA (The Modern Language Association) Style

Oo, Ma Saung, Ching Siew Mooi, Cheng Hui Ching, and Mohd Shariffullah Yahya Bin Hussin. "Risk factors for cesarean delivery in primigravida during spontaneous labor." Rawal Medical Journal 40.4 (2015), 413-418. Print.


APA (American Psychological Association) Style

Oo, M. S., Mooi, . C. S., Ching, . C. H. & Hussin, . M. S. Y. B. (2015) Risk factors for cesarean delivery in primigravida during spontaneous labor. Rawal Medical Journal, 40 (4), 413-418.


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