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[Indications for vital and preventive cesarean section]
The indications for Caesarean section have not only increased but also changed. A spectrum of indications is described which comprises emergency and preventive indications. The postpartal state of the newborn after Caesarean section (200 cases) is described regarding indication, 148 additional cases due to the change of indication. The lowest Apgar-scores were found in newborns after sectiones for emergency fetal indications. ithe increase of the Caesarean section rate since 1971 was due to preventive fetal indications, which reached in the last 2 years more than 50%. It was found that the ""Caesarean section infant'' is not endangered, but the infant delivered by Caesarean section for reasons of emergency indications of fetal or maternal nature. Control examinations during pregnancy should help to recognize the risk-pregnancy and to decide on necessary ambulant treatment or hospitalisation.
The indications for Caesarean section have not only increased but also changed. A spectrum of indications is described which comprises emergency and preventive indications. The postpartal state of the newborn after Caesarean section (200 cases) is described regarding indication, 148 additional cases due to the change of indication. The lowest Apgar-scores were found in newborns after sectiones for emergency fetal indications. ithe increase of the Caesarean section rate since 1971 was due to preventive fetal indications, which reached in the last 2 years more than 50%. It was found that the ""Caesarean section infant'' is not endangered, but the infant delivered by Caesarean section for reasons of emergency indications of fetal or maternal nature. Control examinations during pregnancy should help to recognize the risk-pregnancy and to decide on necessary ambulant treatment or hospitalisation.