• Monira M Gad, Amina A Mohamed, Heba M Abd El-Galil, Marwa M Mahgoub, Shaymaa M Ghazy, and Mohammed Se Elsafty.
• Department of Obstetrics and Gynecology, Faculty of Medicine (Girls), Al-Azhar University, Cairo, Egypt.
• Afr Health Sci. 2022 Dec 1; 22 (4): 375385375-385.

Aimto compare patterns of delivery at an urban and a rural district in Egypt over 3 years.MethodsThis retrospective study included 500 women and 50 obstetricians from each district from January, 2013 till December, 2015. Women answered a questionnaire about their deliveries. Obstetricians answered a questionnaire about their practice of CS.ResultsCS rate in the rural district was 57.2% compared to 54.8% in the urban district in 2013. In 2014 and 2015, CS rates increased to 65.3% and 69%, respectively in the rural district compared to 56% and 57.7%, respectively in the urban district. 66% of obstetricians in the rural district performed CS for more than 50% of their patients compared to 76% of obstetricians in the urban district. 52% and 4% of obstetricians in the rural and urban districts, respectively, performed CS upon maternal request. 70.3% of women in the rural district who delivered by CS preferred to deliver vaginally. 51.4% of urban women who delivered by CS preferred to deliver vaginally. Level of education was the only factor showing statistical significance.ConclusionCS rates increased over time with higher rates in the rural area. Level of women's education was the only factor affecting delivery choice.© 2022 Gad MM et al.

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