title: [How to reduce the number of cesarean sections?].
abstract: The cesarean section (C) frequency has increased dramatically as high as 62%. This situation has been producing a real preoccupation in all the world as well as in México. Documented bibliography about this subject, is unquestionable. We feel that at this time there is a lack of punctuals strategies in order to reduce the high frequency of C. Our communication analyzes this problem in relation to antecedents, evolution and integrated general strategies in order to reduce the C rates. Special analysis and comments involve amnioinfusion, trials for vaginal deliveries in case of previous cesarean section, prostaglandins, and external version. With these actions, at the Antiguo Hospital Civil de Guadalajara we have achieved 10.8% of C. rates, without any increase in fetomaternal morbility and/or mortality.
authors.affiliation: Departamento de Ginecología y Obstetricia del Antiguo Hospital Civil de Guadalajara.
authors.forename: A
authors.initials: A
authors.lastname: Guzmán Sánchez
authors.forename: J
authors.initials: J
authors.lastname: González Moreno
authors.forename: M
authors.initials: M
authors.lastname: González Guzmán
authors.forename: F
authors.initials: F
authors.lastname: Villa Villagran
mesh_terms: D002585:Cesarean Section / Q000009:adverse effects / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D008800:Mexico; D011247:Pregnancy; D011453:Prostaglandins / Q000008:administration & dosage; D014621:Vagina
chemical_list: D011453:Prostaglandins