Table 2.
Cesarean indications | Total number of scenarios | Appropriateness of scenarios | Agreement on Appropriateness | ||
---|---|---|---|---|---|
Inappropriate N (%) |
Equivocal N (%) |
Appropriate N (%) |
|||
Repeat cesarean | 18 | 1 (5.6) | 1 (5.6) | 16 (88.9) | 10 (55.5) |
Preterm delivery | 49 | 18 (36.7) | 10 (20.4) | 21 (42.9) | 12 (24.5) |
Acute fetal distress | 15 | 3(20) | 1(6.7) | 11(73.3) | 8 (53.3) |
Chronic distress | 39 | 4 (10.3) | 5 (12.8) | 30 (76.9) | 20 (51.3) |
Macrosomia | 13 | 1(7.7) | 0 (0) | 12 (92.3) | 6 (46.2) |
Multiple gestation | 28 | 7 (25) | 7 (25) | 14 (50) | 7 (25) |
Abnormal presentation (breech) | 28 | 0 (0) | 0 (0) | 28 (100) | 22 (75.6) |
Dystocia of soft tissue | 14 | 5 (35.7) | 4 (28.6) | 5 (35.7) | 1(7.1) |
Cephalic Pelvic Disproportion (CPD) | 24 | 1(4.2) | 6 (25) | 17 (70.8) | 14 (58.3) |
Fetal anomaly | 5 | 1(20) | 0 (0) | 4 (80) | 0 (0) |
Mother characteristics | 41 | 19 (46.3) | 5 (12.2) | 17 (41.5) | 12 (29.3) |
Uterine anomaly | 4 | 0 (0) | 0 (0) | 4 (100) | 2 (50) |
Hemorrhage and premature rupture of membrane | 16 | 3 (18.8) | 1(6.2) | 12 (75) | 11(68.7) |
Total | 294 | 63 (21.4) | 40 (13.6) | 191(65) | 125 (42.5) |