Developments in caesarean section techniques: a review.
BACKGROUND
Caesarean section is the most common surgical procedure performed on women world-wide. It is recommended when vaginal delivery might pose a risk to the mother or baby. This review examines the history and developments in caesarean section techniques over the years as well as the difficulties that may be encountered in each stage in our environment.


METHODS
A review of relevant literature was conducted using Pubmed and e-medicine websites for computer search. The following keywords were used: history, development, techniques and caesarean section. Relevant review articles, Cochrane database and chapters in text books were also used to extract information.


RESULTS
Though practiced since ancient times, the history of caesarean section remains shrouded in myths as no document describing its indication and techniques is still available. Ancient medical writers like Galen, Hippocrates and Soranus made no mention of the procedure. However, the evidence that it was performed arose from legal texts. The development in its technique was gradual over many years.


CONCLUSIONS
The development of caesarean section technique occurred with the withdrawal of surgeries from the stronghold of religion in Renaissance time. Operative techniques vary and this has continued to improve through many years of trial and error.
Uzoigwe
S A
SA
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Jeremiah
I
I
D002585:Cesarean Section / Q000266:history* / Q000379:methods; D005260:Female; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D011247:Pregnancy