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Understanding caesarean section indications in Poland: trends and analysis.

Adrianna Zahorowska1, Adrianna Cwiertnia2, Aleksandra Winter2

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The caesarean section rate remains high, particularly for first-time mothers. Previous caesarean delivery and psychological disorders were key indications, highlighting a need for intervention to reduce rates.

Keywords:
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Area of Science:

  • Obstetrics and Gynecology
  • Public Health

Background:

  • Global caesarean section rates are rising significantly.
  • Understanding trends in caesarean delivery indications is crucial for public health initiatives.

Purpose of the Study:

  • To analyze and compare caesarean section indications between 2020-2022.
  • To identify trends contributing to the increasing caesarean section rate.

Main Methods:

  • Retrospective analysis of 6870 deliveries (2020-2022) at a University Clinical Hospital.
  • Comparison with data from a previous study (2014-2018).

Main Results:

  • Caesarean sections accounted for 53.29% of deliveries.
  • Previous lower segment caesarean section (19.65%) was the leading obstetric indication.
  • Psychological disorder (50.68%) was the most common non-obstetric indication.
  • First-time mothers had a 50.61% caesarean section rate.

Conclusions:

  • A persistently high caesarean section rate was observed.
  • Caesarean sections present a significant obstetric challenge, especially for primipara.
  • Strategies are needed to lower caesarean section rates to the recommended 15-20%.