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Cesarean section: trends and morbidity

T F Baskett, R M McMillen

    Canadian Medical Association Journal
    |October 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    The cesarean section rate more than tripled between 1967-79 and 1977-79. Reducing this rate requires planning vaginal births for select patients with prior cesarean births and improving labor management.

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    Area of Science:

    • Obstetrics and Gynecology
    • Reproductive Health
    • Surgical Outcomes

    Background:

    • Cesarean section rates have significantly increased globally.
    • Understanding trends and indications is crucial for maternal healthcare.
    • Hospital-specific data provides insights into local obstetric practices.

    Purpose of the Study:

    • To analyze trends in cesarean section rates over a decade.
    • To identify primary indications contributing to the rise in cesarean births.
    • To suggest strategies for potentially reducing cesarean section rates.

    Main Methods:

    • Retrospective review of 1683 cesarean sections.
    • Data collected from a single hospital over a 3-year period (1977-1979).
    • Comparison of cesarean rates with a previous decade (1967-1979).

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    Main Results:

    • Cesarean section rate increased from 5.8% (1967-1979) to 16.9% (1977-1979), a threefold rise.
    • Key indications included dystocia, breech presentation, and previous cesarean section.
    • 23.3% of patients received antibiotics post-operation.

    Conclusions:

    • Significant increase in cesarean section rates observed.
    • Dystocia, breech presentation, and prior cesarean delivery are major drivers.
    • Strategies to lower rates involve selective vaginal birth after cesarean and improved labor management.