[Indications for vital and preventive cesarean section]

Area of Science:

• Obstetrics and Gynecology
• Neonatal Health
• Public Health Trends

Context:

• The indications for Caesarean section (CS) have evolved, encompassing both emergency and preventive reasons.
• Analysis of 200 Caesarean section cases and 148 additional cases due to indication changes provides insight into outcomes.

Purpose:

• To describe the changing indications for Caesarean section and their impact on neonatal outcomes.
• To evaluate the postpartal state of newborns based on the specific indications for Caesarean delivery.

Summary:

• Lowest Apgar scores were observed in newborns delivered via emergency Caesarean section for fetal indications.
• The rise in Caesarean section rates since 1971 is attributed to preventive fetal indications, exceeding 50% in recent years.
• Infants born via Caesarean section are generally not endangered, except those delivered due to emergency fetal or maternal indications.

Impact:

• Highlights the need for careful risk assessment during pregnancy to identify high-risk pregnancies requiring intervention.
• Suggests that proactive management, including potential ambulant treatment or hospitalization, can mitigate risks associated with emergency Caesarean sections.
• Informs clinical practice and public health policy regarding Caesarean section indications and neonatal well-being.