title: Caesarean section survey in Galway--1973 through 1987.
abstract: We review the trend, indications and maternal mortality with caesarean section at University College Hospital Galway from 1973 to 1987. The caesarean section rate (CSR) rose from 6.06% in 1973 to 10.18% in 1987, primary sections from 3.58% to 6.51% and repeat sections from 2.49% to 3.67% during the same interval. The four major indications for section were cephalopelvic disproportion, foetal distress, previous section and malpresentations. Lower segment caesarean section was the commonest operation and a slight increase in the classical operation was noted due to an increased intervention in prematurity. The maternal mortality rate was 11.2/10,000 in the 15-year period and the complications leading to death were ultimately ascribable to primary postpartum haemorrhage. Strategies for reduction in the CSR are discussed.
authors.affiliation: Department of Obstetrics and Gynaecology, University College Hospital, Galway, Ireland.
authors.forename: I I
authors.initials: II
authors.lastname: Bolaji
authors.forename: F P
authors.initials: FP
authors.lastname: Meehan
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data* / Q000639:trends; D005260:Female; D005316:Fetal Distress / Q000601:surgery; D006801:Humans; D015994:Incidence; D007494:Ireland; D007746:Labor Presentation; D007744:Obstetric Labor Complications / Q000601:surgery; D011247:Pregnancy; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016064:Vaginal Birth after Cesarean