Causes of primary cesarean section in Abo Ghraib general hospital

Aim of the study:  To evaluate the causes of primary cesarean section in Abu Ghraib general hospital with the intention to reduce cesarean section rate. Patients and methods: A descriptive study done prospectively in Abo Ghraib general hospital in Baghdad, Iraq during the period from first of January till 30th of June 2021, there were 2799 of deliveries (beyond 28 weeks of gestation), 466 of them delivered by cesarean section. The study included all cesarean sections that collected from labor ward, general and private sector. Results: The most common primary Cs (57.4%) was found in age group between (21-30) years old, then (31.4%)) in age ?20 years, (9.9 %) in age between (31-40) years, and only (1.3%) in group of age >40 years. the most common indication was fetal distress in 65 (29.1%), then FTP in 57 (25.6%), then malpresentation in 27 (12.1%) and the least cause was preeclampsia and rupture uterus in 4 (1.8 %) for each cause. Conclusion: The most common causes of primary cesarean section in Abo Ghraib general hospital was fetal distress this may be due to low hospital resources