The Increased Cesarean Section Incidence - Is There a Clinical Justification?
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2011, Vol 4, Issue 3
Abstract
Aim: The aim of this study is to overview the unrealistically high incidence of surgically completed deliveries through the frequency of deliveries completed by Caesarean section at the Gynecology and Obstetrics Clinic in Kragujevac (Serbia) for the period from 1991 to 2010, the most common indications, frequency of vaginal delivery after Cesarean section and comparison of obtained results and indicators to world trends. Material and Methods: A retrospective study covering all deliveries completed by Cesarean section in the period between 1991-2010, indications as well as all vaginal deliveries after previous Cesarean section in the same period. The total perinatal and early neonatal mortality in the same period is processed. Results: The number of surgically completed deliveries in our clinic is very colorful and practically reflects many objective and subjective reasons for this trend. From 5% in the ‘90s to15% in 2010, there is a big difference. Have we become less good obstetricians, or have become less patient, or the social trends have changes and the obstetrician has become interesting legally and in media, so that recently, more and more deliveries are completed surgically? Our clinic is still in the group of institutions with the lowest percentage of Caesarean section. Conclussion: The current epidemic of surgically completed deliveries is a complex problem and is difficult to solve unless all the factors that influence it are brought under control and not publicly discussed.
Authors and Affiliations
Mirjana Varjacic| Department of Gynecology and Obstetrics, Kragujevac Clinical Center, Kragujevac, Serbia, Goran Babic| Department of Gynecology and Obstetrics, Kragujevac Clinical Center, Kragujevac, Serbia, Dragan Loncar| Department of Gynecology and Obstetrics, Kragujevac Clinical Center, Kragujevac, Serbia, Marija Bicanin| Department of Gynecology and Obstetrics, Kragujevac Clinical Center, Kragujevac, Serbia
Keywords
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- EP ID EP8818
- DOI 10.3889/MJMS.1857-5773.2011.0186
- Views 363
- Downloads 15
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