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Cesarean section: recent trends

M C Martin, S Moyyen, M Gelfand

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Cesarean section rates rapidly increased due to dystocia diagnoses. While breech births are consistently managed via cesarean section, fewer cases of fetal distress result in this procedure, which carries significant maternal risks.

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    Area of Science:

    • Obstetrics and Gynecology
    • Surgical Procedures

    Background:

    • Cesarean section (C-section) is a major surgical procedure.
    • Rising C-section rates have been observed globally.
    • Understanding trends in C-section indications is crucial for maternal health.

    Purpose of the Study:

    • To analyze the trends in cesarean section rates.
    • To identify the primary indications for cesarean sections during the study period.
    • To assess changes in C-section practices for specific obstetric conditions.

    Main Methods:

    • Retrospective review of cesarean section records.
    • Data collected from Sir Mortimer B. Davis-Jewish General Hospital, Montreal.
    • Analysis of C-section rates between 1973 and 1979.

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    Main Results:

    • The cesarean section rate increased significantly from 10.8% in 1973 to 19% in 1977.
    • The primary driver for this increase was a rise in C-sections performed for dystocia.
    • All breech presentations were delivered via C-section, while C-sections for fetal distress decreased.

    Conclusions:

    • Cesarean section remains a major operation with associated maternal morbidity.
    • Increased C-section rates are linked to diagnostic trends, particularly for dystocia.
    • Clinical practice regarding fetal distress indications for C-section has evolved.