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

How to reduce the Caesarean section epidemic?



Caesarean section (C-section) is the most frequent obstetrical surgery in the world. Every year the number of Caesarean sections increases and they are performed increasingly often without medical indications. Every fourth newborn in the world is delivered via Caesarean section. The epidemic of Caesarean sections has reached Poland, as well, and nowadays every third newborn in Poland is delivered by a Caesarean section. The increasing rate of Caesarean sections is at great odds with the recommendations of experts from WHO, the American Congress of Obstetricians and Gynecologists (ACOG), and the Polish Gynaecological Society (PTG). Caesarean section, just as any abdominal operation, is not safe from complications, and a consecutive C-section increases significantly the rate of complications - both early, late and distant ones - that may pose a threat to the women’s life and health. Women who request a Caesarean section are usually unaware of possible complications involved in the surgery. The Caesarean section epidemic calls for a thorough investigation of the alarming trend and a rational attempt to limit its extent. Basing on extensive Polish and foreign literature as well as on the author’s own experience, the study presents guidelines to be observed and implemented in everyday outpatient care of pregnant women and in maternity departments and delivery rooms so that Caesarean section does not soon become the only route of delivery, followed by an increasing rate of complications and related prosecutions and lawsuits.