Print ISSN: 0027-1446

Online ISSN: 2309-6217

Main Subjects : Community Medicine

Prevalence of Caesarean Sections in Mosul City Hospitals :A Cross – Sectional Study

Noor Nazar Al-Sanjary; Omaima Abdulrazzaq Zubair; Raida Muhammed Al-Wazzan

Annals of the College of Medicine, Mosul, 2020, Volume 42, Issue 2, Pages 126-132
DOI: 10.33899/mmed.2020.128879.1059

Background: Caesarean section rates had been increasing markedly in the world and the procedure as it become more safe than before (although it still a major surgical operation) and the objective of this study is to estimate the prevalence of caesarean section in Mosul city hospitals.
Methods: A cross-sectional study was conducted at eight hospitals in Mosul city from both river sides including five governmental hospitals and three private hospitals, (671) women who delivered by caesarean section in Mosul city hospitals during a period of data collection were included from beginning 15th of November 2019 and ending at 15th of April 2020.
Results: Women delivered by caesarean section aged between 20-35 years in (70.6%), (74.8%) of low educational level and (91.8%) were unemployed. The rate of caesarean section during the period of data collection in Mosul city hospitals was (28.8%) while the rate of caesarean section during the period of data collection showed that the highest rate of caesarean section were in private hospital and especially at Al-Zahrawi and Al-Rabee Private Hospitals (100%) while Al-Batool Hospital include (37.6%) from governmental hospitals in spite that the highest numbers of deliveries and caesarean section was in Al-Khansa Teaching Hospital.
Conclusions: Caesarean section rate was higher than WHO recommendation among Mosul hospitals. Further improvement and attention to primary health care should be applied.

Physicians' Perception at College of Medicine/ University of Mosul Regarding Relationship with Drug Industries

Nadia Saeed

Annals of the College of Medicine, Mosul, 2019, Volume 41, Issue 1, Pages 11-17
DOI: 10.33899/mmed.2019.161255

Context: Physicians experience a conflict of interest related to appropriate interaction to the current industries' practices of gifts provision as a marketing strategy.
Aim of the study: The study aims to explore physicians' insight about dealing with drug promotion activities of pharmaceutical industries.
Subjects and methods: A cross- sectional study design was conducted in the College of Medicine /University of Mosul during the academic year 2018-2019. Medical faculty staffs in the College of Medicine/ University of Mosul in the clinical departments including department of: (Medicine, Surgery, Pediatrics and Obstetrics and Gynecology). In addition to academic physicians in non-clinical departments who have privet clinic who agreed to participate were involved. A modified standardized questionnaire form was used.
Results: From 71 participant physicians 61 (85.92%) had no previous teaching regarding ethical principles of interaction with drug representatives. Forty percent of the participants had personal friendship with a medical representative; meanwhile 63.38% had previous dealing with pharmaceutical companies. Only 16.9% of participants trust the information that delivered from drug companies. More than one fifth of participants supposed that gift provision from drug companies will influence drug prescription manners. Physicians considered drug sample appropriate gift to be accepted followed by conference registration fees, textbooks and travel to conference.
Conclusion and recommendations: Considerable proportion of academic Physicians at College of Medicine /University of Mosul had interaction with pharmaceutical company representatives. Academic physicians' responses attempted to minimize gifts provision on their professional behavior. However, pharmaceutical promotional activities should be monitored and controlled through physicians' self- regulation and legislations.