Indications for caesarean section: results of a local study.
Records from 6820 deliveries of three year (1980, 1985 and 1988) were reviewed in order to collect informations on cesarean section trend and its indications in a public hospital of Milan, Italy. Data show the magnitude of the phenomenon in the wards considered and an evident increase of cesarean section proportion from 1980 (18.6%) to 1988 (26.9%). The frequencies of major indications has not changed much apart from dystocia which has decreased and previous cesarean section which has increased. A logistic regression model was performed to evaluate cesarean section risk factors. Distribution of cesarean section during the days of the week show higher (about 30%) cesarean section proportion Monday through Thursday compared with low proportion (20% or less) on Fridays and weekend-days; this suggesting a possible high proportion of pre-programmed cesarean section.
Department of Epidemiology and Population Sciences, London School of Hygiene and Tropical Medicine, England.
C
C
Signorelli
M
M
Ferdico
M S
MS
Cattaruzza
J F
JF
Osborn
D000328:Adult; D002585:Cesarean Section; D005260:Female; D005313:Fetal Death; D006801:Humans; D007231:Infant, Newborn; D007558:Italy; D007746:Labor Presentation; D016015:Logistic Models; D010298:Parity; D011247:Pregnancy