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Updated: Jun 2, 2026

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Elective caesarean section: a case study.

Zoe Edwards1, Karen McColgan

  • 1Labour Ward and Obstetric Theatres, Ulster Hospital, Dundonald.

Journal of Perioperative Practice
|April 12, 2011
PubMed
Summary

Caesarean section rates have significantly increased globally and in the UK since 1973. This rise impacts clinical practice and the NHS, with higher costs and increased maternal risks compared to vaginal birth.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Surgical Interventions

Background:

  • Caesarean section, a centuries-old delivery method, is now the most common major surgical procedure for women worldwide.
  • UK caesarean section rates have risen dramatically from 5.3% in 1973 to 23-30% currently.
  • This trend presents significant implications for healthcare systems and patient outcomes.

Purpose of the Study:

  • To highlight the increasing rates of caesarean section births.
  • To discuss the clinical and economic consequences of this trend.
  • To compare maternal risks associated with caesarean versus vaginal births.

Main Methods:

  • Review of historical data on caesarean section prevalence.
  • Analysis of current caesarean section rates in the UK.
  • Examination of reported clinical outcomes and economic impact.

Main Results:

  • Caesarean section rates have surged significantly over recent decades.
  • Each 1% increase in caesarean section rates incurs substantial costs for the National Health Service (NHS).
  • Maternal mortality and morbidity are notably higher following caesarean delivery compared to vaginal birth.

Conclusions:

  • The rising caesarean section rate necessitates careful consideration of clinical practice and resource allocation.
  • Increased caesarean births pose greater risks to maternal health.
  • Further research and policy adjustments are needed to address this growing trend.

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