Trends and Outcomes of Cesarean Deliveries in Manas, Jalal-Abad, Kyrgyzstan: A Cross-Sectional Study on Prevalence and Contributing Factors
DOI:
https://doi.org/10.63666/ejsmr.1694-9013.4.I.2026.100Keywords:
cesarean section, obstetric outcomes, PROM, preeclampsiaAbstract
Background: Cesarean section (CS) rates have risen dramatically worldwide, exceeding the World Health Organization (WHO) recommended threshold of 10–15%. In Kyrgyzstan, national CS rates have more than doubled over the past decade, reaching 13–14% nationally and up to 20–38% in individual institutions. Despite this trend, region-specific data from smaller districts such as Manas, Jalal-Abad, remain sparse, limiting the ability to monitor and optimize local obstetric practice.
Objectives: This study aimed to (i) determine the CS rate in Manas over the study period, (ii) identify the most common indications for CS, and (iii) evaluate associated maternal and neonatal outcomes, including postoperative complications.
Methods: A cross-sectional study was conducted from December 1, 2025, to March 7, 2026, in Manas, Jalal-Abad, Kyrgyzstan. A structured questionnaire was administered via Google Forms to 65 eligible women (women who had experienced pregnancy or delivered more than one child). Descriptive statistics were computed using Microsoft Excel and SPSS.
Results: The overall CS rate was 41.5% (n=27/65), substantially higher than the WHO-recommended range. The most frequently identified indication was premature rupture of membranes (PROM), with preeclampsia representing the predominant maternal complication. Neonatal outcomes were largely favorable; however, a minority of neonates required NICU admission. A total of 43.1% of participants reported a prior CS history, and 72.3% delivered in private facilities.
Conclusion: The CS rate in Manas substantially exceeds WHO recommendations and mirrors rising operative delivery trends observed across Kyrgyzstan and globally. While favorable maternal and neonatal outcomes affirm the clinical utility of CS in high-risk presentations, the elevated rate underscores the need for evidence-based guidelines, standardized indications, and systematic monitoring to curtail medically unwarranted procedures.
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