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New trends in cesarean section.

A S Gulisano, M Panella, P Panella

    Clinical and Experimental Obstetrics & Gynecology
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

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    Cesarean section rates increased significantly between 1972-1985, despite a decrease in repeat Cesarean sections and perinatal mortality. Uterine atonia was the primary cause of maternal morbidity.

    Area of Science:

    • Obstetrics and Gynecology
    • Reproductive Medicine
    • Public Health

    Background:

    • Cesarean section rates have shown a global upward trend.
    • Understanding trends in Cesarean section indications and outcomes is crucial for maternal and infant health.
    • Previous studies have highlighted variations in Cesarean section practices across different regions and time periods.

    Purpose of the Study:

    • To analyze trends in Cesarean section frequency, indications, and outcomes.
    • To evaluate changes in repetitive Cesarean section rates and associated maternal/perinatal morbidity and mortality.
    • To compare obstetric practices and outcomes between two distinct time periods (1972-1974 and 1983-1985).

    Main Methods:

    • Retrospective analysis of delivery data from the First Clinic of Obstetrics and Gynecology, University of Catania.

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  • Inclusion of data on Cesarean section frequency, patient demographics (age, parity), indications, delivery timing, and maternal/perinatal outcomes.
  • Comparison of data from two distinct periods: 1972-1974 and 1983-1985.
  • Main Results:

    • Cesarean section frequency increased from 12.07% to 16.89%.
    • Repetitive Cesarean section rates decreased from 30.47% to 27.95%.
    • Perinatal mortality rate decreased from 4.35% to 3.19%.
    • Uterine atonia was the most common cause of maternal morbidity; no maternal deaths occurred.
    • Mechanical causes were the primary indication (1972-1974), shifting to previous hysterotomy (1983-1985).

    Conclusions:

    • Cesarean section rates have risen, necessitating ongoing monitoring and analysis of indications.
    • Improvements in obstetric care led to reduced perinatal mortality and no maternal deaths during the study period.
    • The shift in indications for Cesarean section suggests evolving clinical practices and patient profiles.