[Can we defend a 10 per cent rate of cesarean sections? Experiences with 2000 cesarean sections (ending)]

During a period of 13 years 2000 Caesarean sections were performed in a total of 20 584 deliveries. That means a frequency of 9,7%. Maternal mortality was zero. Maternal morbidity was 72% if one includes all minor complications. Counting only the major postoperative complications the morbidity in our Caesarean sections was not higher than 1%. Perinatal mortality was 2,2%. If one excludes all premature children and not viable malformations, a perinatal mortality of 0,65% results. Conditions for good results in mother and child after Caesarean section are: prospective management of delivery, consequent prenatal care, optimal supervision in the delivery room, favourable peri-operative circumstances, elective prophylaxis with antibiotics and elective prophylaxis against thromboembolism.