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Understanding caesarean section indications in Poland: trends and analysis
Adrianna Zahorowska1, Adrianna Cwiertnia2, Aleksandra Winter2
1Department of Obstetrics and Gynecology, Pomeranian Medical University, Szczecin, Poland. adzahorowska@gmail.com.
Ginekologia Polska
|April 14, 2025
Summary
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.
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%.

