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Examining Maternal Health in Cesarean Section and Vaginal Delivery: Jordanian Royal Medical Services Context

Vol. 2 No. 3 (2025): Desember:

Ahmad Ibraheem Eissa Al-Bataineh (1), Hamza Ali Faisal Al-Tahat (2), Qussai Omar Al-Boqai (3), Taleb Atiyah Taleb Al-Zoubi (4), Taleb Atiyah Taleb Al-Zoubi (5), Mohammad Yousef Ali Al-Tahat (6)

(1) Department of Obstetrics and Gynecology, Prince Rashid Ben Al-Hasan Military Hospital, Jordan
(2) Department of Obstetrics and Gynecology, King Talal Military Hospital, Jordan
(3) Department of Obstetrics and Gynecology, King Talal Military Hospital, Jordan
(4) Department of Obstetrics and Gynecology, Prince Rashid Ben Al-Hasan Military Hospital, Jordan
(5) Department of Obstetrics and Gynecology, Prince Rashid Ben Al-Hasan Military Hospital, Jordan
(6) Department of Obstetrics and Gynecology, Prince Rashid Ben Al-Hasan Military Hospital, Jordan
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Abstract:

Particularly in healthcare systems with limited resources, maternal health outcomes after various delivery procedures continue to be a serious public health problem. Concerns regarding the effects of cesarean sections (C-sections) on maternal health have been raised by the fact that their rates have been increasing globally, frequently exceeding WHO guidelines. Evidence on postpartum outcomes by delivery mode is still lacking in the Middle East, especially in Jordan, and especially in military healthcare facilities. This study's main goal is to assess and contrast the health outcomes for mothers in the Jordanian Royal Medical Services after vaginal delivery versus cesarean section. To provide region-specific evidence to support clinical decision-making and policy in maternal healthcare. 200 women who gave birth at Royal Medical Services hospitals in Jordan between August 2023 and August 2024-100 by caesarean section and 100 vaginally-were examined using a retrospective cohort design. Patients undergoing cesarean section experienced substantially prolonged hospitalization, a higher incidence of post-procedural complications, and a greater prevalence of postpartum opioid analgesic use. Furthermore, the cesarean cohort exhibited a higher baseline prevalence of certain comorbidities, including gestational diabetes. A notably increased rate of surgical site infections was also observed in this group compared to those who delivered vaginally. The study findings are consistent with the previous study.


Highlights



  1. Cesarean section was associated with significantly longer hospital stays, higher postoperative complications, and greater opioid use compared to vaginal delivery.

  2. Surgical site infections and overall maternal morbidity were markedly higher among women undergoing cesarean section, even after adjusting for comorbidities.

  3. Findings support stricter adherence to WHO cesarean section guidelines and improved infection control and pain management protocols in military healthcare settings.

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