[Analysis of the increased frequency of cesarean section in the Czech Republic]

From the results of the nationwide analysis of the quality of perinatal care made every year ensues that in the period from 1986-1993 the mean annual increase of caesarean sections (SC) increased by 0.5%. In this increment more than 90% account for deliveries of neonates with a birth weight of 2,000 g and more without VVV. The effectiveness of the increment of SC from 7 to 10% measured by the decrease of perinatal mortality rate represents a decrease by 0.7% only. This effectiveness is higher in perinatological centres than in hospitals which refer pathological pregnancies to centres, and is lowest in hospitals which do not refer these cases. As to different indications which participated in the increased frequency of SC participated mainly foetal hypoxia, preceding SC, dystocia and disproportion. The higher the frequency of SC, the more frequently the decision taking of the doctor as regards these indications is influenced also by non-medical standpoints.