title: Cesarean section rates and indications in Greece: data from a 24-year period in a teaching hospital.
abstract: OBJECTIVE
  To assess the overall cesarean section rates and indications in a Greek teaching hospital over a period of 24 years.
  
  
  METHODS
  Data from 34,575 deliveries between 1977 and 2000 were reviewed. Analysis of cesarean section rates and indications followed.
  
  
  RESULTS
  The overall cesarean section rate increased progressively from 13.8% (1977-83) to 29.9% (1994-2000). Cesarean section rates due to previous cesarean delivery increased from 7.7% of all deliveries (1977-83) to 10.9% (1994-2000). Primary cesarean section rates increased more than three-fold from 6.1% (1977-83) to 19% (1994-2000). The main indications for primary cesarean section were: dystocia (including dysfunctional labor, cephalopelvic disproportion and malpresentations), fetal distress, breech presentation, and hypertensive disorders of pregnancy.
  
  
  CONCLUSIONS
  The overall cesarean section rate increased more than two-fold over the study period. Previous cesarean section was the most common indication. However, the overall increase is mainly to increase of primary cesarean section rates.
authors.affiliation: 1st Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Hippokrateio General Hospital, Thessaloniki, Greece.
authors.forename: P
authors.initials: P
authors.lastname: Tampakoudis
authors.forename: E
authors.initials: E
authors.lastname: Assimakopoulos
authors.forename: G
authors.initials: G
authors.lastname: Grimbizis
authors.forename: M
authors.initials: M
authors.lastname: Zafrakas
authors.forename: G
authors.initials: G
authors.lastname: Tampakoudis
authors.forename: S
authors.initials: S
authors.lastname: Mantalenakis
authors.forename: J
authors.initials: J
authors.lastname: Bontis
mesh_terms: D001946:Breech Presentation; D002585:Cesarean Section / Q000706:statistics & numerical data / Q000639:trends*; D004420:Dystocia / Q000601:surgery; D005260:Female; D005316:Fetal Distress / Q000601:surgery; D006115:Greece; D006784:Hospitals, Teaching; D006801:Humans; D006973:Hypertension / Q000601:surgery; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D014592:Uterine Hemorrhage / Q000601:surgery