gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Analysis of indications for caesarean sectionin the last twenty years


Abstract

Author(s): RYSZARD CZAJKA, ANDZREJ TORBE, RAFAŁ RZEPKA, SEBASTIAN KWIATKOWSKI,WIOLETTA MIKOŁAJEK-BEDNER, MICHAŁ MICHALCZYK, KAZIMIERZ KOWALSKI,EWELINA CHŁAPOWSKA, MAGDALENA ŁODZIATO-KHEDER, MAŁGORZATA SOKOŁOWSKA,AGNIESZKA JAROSZEWICZ, OLIWIA MARCINKIEWICZ, MARTA ZAPAŁOWSKA,AGATA ŚWISZCZOWSKA, JOANNA LEWANDOWSKA, JOANNA LEBDOWICZ

Introduction. Caesarean section is now the most common obstetric operation. In Poland, theaverage rate is 25-30% cuts in many centers exceed 50%.The Aim. Retrospective analysis of indications to cesarean delivery which were performed inthe Department of Obstetrics and Gynecology of Pomeranian Medical University in Szczecinbetween the years 1995 and 2010.Material and Methods. 21872 labors were analyzed and the rate of caesarean delivery was26.9%. 8346 indications to operative delivery were established.Results. The rate of caesarean delivery was permanent 25-30% in all analyzed years. Reduc-tion of fetal distress diagnosis is observed probably because of improvement of fetal well-beingmonitoring methods.Conclusions. Elective caesarean deliveries rates because of fetal macrosomy and previous caesa-rean section and non obstetrical indications, specially ophthalmic, have increased in the last years.