PMID: 3770279Sep 1, 1986Paper

Can the number of cesarean sections be reduced without risk? An analysis of rates and indications in a university clinic

European Journal of Obstetrics, Gynecology, and Reproductive Biology
A S Poisson-SalomonC Rumeau-Rouquette

Abstract

This study concerns women followed from the first trimester of pregnancy, in a university clinic in Paris in 1977, 1979 and 1981. The cesarean section rate was separately analysed for primiparas, and multiparas with and without previous cesarean section. The overall rate of cesarean section was 11.4% in 1977, 17.2% in 1979 and 21.1% in 1981. The 9.6% increase observed between 1977 and 1981 is mainly attributable to an increase in primary cesarean section, particularly among primiparas, between 1977 and 1979. This does not seem to have arisen from sample variations. There is a change in obstetrical attitude and more cesarean sections are performed in cases of hypertension, breech presentation or intrauterine growth retardation. The greater number of previously sectioned women explains the increase in the rate between 1979 and 1981. The main fact among primiparas is the 18.8% increase in diagnosis of dynamic dystocia between 1979 and 1981. Three key areas allow us to envisage a reduction in cesarean section rate: obstetrical attitude towards previous cesarean section, breech presentation, and management of labor, whose perturbations lead to diagnosis of dynamic dystocia.

References

Jan 1, 1976·Acta Obstetricia Et Gynecologica Scandinavica·H E JohnellT Wåhlstrand
May 1, 1983·American Journal of Obstetrics and Gynecology·M L GimovskyR H Paul
Sep 1, 1984·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S AndermanS Grunstein
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Dec 1, 1980·Obstetrics and Gynecology·M L GimovskyW D Todd

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Citations

Jan 1, 1990·European Journal of Obstetrics, Gynecology, and Reproductive Biology·F SiminiG Breart
Apr 1, 1990·American Journal of Obstetrics and Gynecology·B BlondelC Sureau
Mar 1, 1988·Early Human Development·M GarelM Kaminski

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