Education and Social Media Versus Non-Indicated Caesarean Section Rate in Egypt

Study Overview
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Brief Summary
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This study focus on measuring effect of Egyptian Primigravidas' education level and accessibility to social media on rate of maternal request option offered for non-indicated primary caesarean section.

Detailed Description
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A caesarean section (CS) is a life-saving surgical procedure when certain complications arise during pregnancy and labour. However, it is a major surgery and is associated with immediate maternal and perinatal risks and may have implications for future pregnancies as well as long-term effects that are still being investigated. The use of CS has increased dramatically worldwide in the last decades particularly in middle- and high-income countries, and some studies showing a link between increasing CS rates and poorer outcomes, and reasons for this increase are multifactorial and not well-understood. In Egypt the CS rate according to WHO (World Health Organization),Health report (2010) is 27.6 %. Egypt also is considered to be the highest African country in CS rate (51.8 %), in which CS rate rose from 4.6 % to 51.8 % over the 24 year period (1990-2014), and more than half of all women give birth by CS in Egypt without much difference between urban and rural areas. Slightly more than half of the live births in the five-year period before 2014 Egypt Demographic and Health survey were by CS, and 60 % of primigravidas delivered by CS. Updated indications of primary CS including option of maternal request as one of these indications were reported in both RCOG (Royal College of Obstetricians and Gynaecologists) Press report (2001) and RCOG CS various guidelines. Recently, the Egyptian public opinion deviated to obstetricians' desire for self financial benefits to be the major cause of increasing Egypt CS rates; depending on newspaper articles and social media talks.

Official Title
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Education and Social Media Versus Non-Indicated Caesarean Section Rate in Egypt

Conditions
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Complications; Cesarean Section

Intervention / Treatment
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* Behavioral: Observation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Full term with gestational age (G.A) more than or equal 39 weeks. Acceptance to answer study short questionnaire to determine eligible participants for each cohort. Exclusion Criteria: Multiparity. History of previous Caesarean Section/s. Any Mental or Physical disabilities. Disapproval for answering a predefined short questionnaire related to study.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| A<br>Group of High Education level | Behavioral: Observation<br>* Observation of Participants' behaviour<br>|
| B<br>Group of Low/Non Education level | Behavioral: Observation<br>* Observation of Participants' behaviour<br>|
| C<br>Group has Accessibility to Social Media | Behavioral: Observation<br>* Observation of Participants' behaviour<br>|
| D<br>Group has not Accessibility to Social Media | Behavioral: Observation<br>* Observation of Participants' behaviour<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Primigravidas who request a Non-Indicated CS | Number of Primigravidas who request a Non-Indicated CS. | Up to 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Primigravidas who refused to have a trial of IOL (Induction of Labour), as an index for deviated intention to request a Non-Indicated CS | Number of Primigravidas who refused to have a trial of IOL (Induction of Labour), as an index for deviated intention to request a Non-Indicated CS. | Up to 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Caesarean Section Rate, Primigravida