National Obstetrics Registry
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2.6 RECOMMENDATION
1. To reduce CS rates we should reduce the primary section rates and Obstetricians must be involved in decisions in deciding upon CS.
2. It is probably timely now to consider whether cases requiring CS should be seen by obstetricians before this major decision is taken. This would also provide
guidance and teaching to MOs. 3. CS audits should be performed in all hospitals.
4. More research is required to conclude if VBAC was considered or attempted in the group of patients with a previous CS.
2.7 REFERENCE
1. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. Term Breech Trial Collaborative Group.
Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR. Lancet 2000.
2. National Obstetric Registry 2
nd
Report 2010 Editors Ravichandran Jeganathan and Shamala Devi Karalasingam.
3. National Healthcare establishment and workforce survey statistics 2009 and 2011.
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tio n
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ist ry
Table 2.1 CS rates by SDP 2011 and 2012
SDP 2011
2012 Total
women who
delivered Total CS
LSCS Rates
Total women
who delivered
Total CS LSCS
Rates
Elective Emergency NA
Elective Emergency NA
HTF, Perlis 4,087
193 741
22.85 3,920
223 691
23.32 HSB, Kedah
10,396 705
1,861 24.68
10,307 741
2,017 2
26.78 HPP
3,336 305
1,123 42.81
3,010 360
962 43.92
HRPB, Perak 6,217
644 2,175
1 45.36
4,507 687
2,099 61.81
HTAR,Selangor 12,351
704 2,128
1 22.94
12,056 699
2,362 1
25.40 HKL
11,729 711
2,594 28.18
11,843 765
3,035 1
32.09 HTJ,Negeri Sembilan
4,841 331
696 8
21.38 6,192
458 1,096
3 25.15
Hospital Melaka 10,833
686 1,698
22.01 10,746
746 1,791
23.61 HSA, Johor
12,467 636
2,601 25.96
12,295 679
2,617 26.81
HTAA, Pahang 9,333
550 1,656
3 23.67
8,728 477
1,505 22.71
HSNZ, Terengganu 12,019
572 1,646
2 18.47
12,803 596
1,411 11
15.76 HRPZ II, Kelantan
13,066 426
1,810 1
17.12 10,955
332 1,738
2 18.91
HU Sarawak 9,854
375 1,922
1 23.32
1,513 76
259 22.14
HL, Sabah 14,851
254 1,479
11.67 13,759
285 1,553
43 13.67
Total 135,380
7,092 24,130
17 23.08
122,634 7,124
23,136 63
24.73
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