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CAESAREAN SECTION - CHANGING TRENDS DURING LAST TWO DECADES.

M Alam1, R P Arora2

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This summary is machine-generated.

Caesarean section rates have increased over 20 years, coinciding with lower perinatal mortality. This rise, particularly for specific conditions, warrants further investigation into its justification.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health

Background:

  • The past two decades have witnessed evolving trends in obstetric surgical interventions.
  • Caesarean section (CS) rates represent a significant area of focus in contemporary obstetrics.
  • Understanding these trends is crucial for maternal and neonatal health outcomes.

Purpose of the Study:

  • To analyze the changing trends in caesarean section incidence over the last twenty years.
  • To investigate the correlation between caesarean section rates and perinatal mortality.
  • To examine specific indications contributing to the rise in caesarean sections.

Main Methods:

  • Retrospective analysis of caesarean section data over a 20-year period.
  • Comparison of caesarean section rates with perinatal mortality data.
  • Identification and quantification of trends for specific indications such as post-caesarean pregnancy, breech presentation, and fetal distress.

Main Results:

  • A consistent, gradual increase in the overall incidence of caesarean section was observed over the study period.
  • A simultaneous decline in the perinatal mortality rate was noted.
  • Specific indications, including post-caesarean pregnancy, breech presentation, and fetal distress, showed a slow but steady increase in caesarean section frequency.

Conclusions:

  • The rising trend in caesarean sections, alongside decreasing perinatal mortality, suggests complex obstetric practice changes.
  • The increasing incidence for specific indications necessitates a critical evaluation of their justification.
  • Close monitoring and further research into the drivers and implications of these trends are recommended.