Cesarean section and perinatal mortality. A nine-year experience in a city/county hospital.
Presented is an analysis of experience from July, 1973, through June, 1982, in a teaching institution that served a high-risk urban population. The suggestion is made that improvement in perinatal mortality does not necessarily rely upon an ever-increasing cesarean section rate. During the 9 years encompassed by the study, the total cesarean section rate ranged from a low of 5.8% to a high of 8.2%. The primary cesarean section rate was first recorded separately in 1976, and stayed between 3.2% and 4.9%. During the same span of time, the uncorrected Perinatal Group II mortality rate dropped from 35/1,000 to 18/1,000. An attempt is made to interpret the various factors involved in accomplishing these results.
D001724:Birth Weight; D002585:Cesarean Section; D005260:Female; D005313:Fetal Death; D006766:Hospitals, County; D006773:Hospitals, Municipal; D006801:Humans; D007196:Indiana; D007226:Infant Mortality; D007231:Infant, Newborn; D011247:Pregnancy; D012306:Risk; D013997:Time Factors; D014505:Urban Population