Current caesarean delivery rates and indications in a major public hospital in northern Greece.
BACKGROUND
Over the past 25 years, there has been a sustained increase in caesarean section (CS) rates around the world. However, there is a paucity of data regarding the current CS rates and particularly the trends of CS indications in Greece.


OBJECTIVE
To assess the overall CS rates and indications in a major Greek teaching hospital over the last five years.


METHODS
All deliveries that took place in our Department between January of 2002 and December of 2006 were retrospectively analysed through manual medical chart review to record CS rates and indications.


RESULTS
During the study period, 4964 deliveries took place in our department; among them, 1831 were CS (36.9%). The overall caesarean delivery rate has remained stable during these five years (36.7% during 2002 vs 35.5% during 2006; P = 0.633). The primary indications were previous caesarean delivery (30.9%), non-reassuring or pathological fetal heart rate trace by cardiotocography (12.3%) and dystocia (10.4%). The only indication whose rate significantly increased was previous caesarean delivery (+47.3%; P = 0.002), whereas a significant decrease was found for non-reassuring or pathological fetal heart rate trace by cardiotocography (-39.1%; P = 0.008).


CONCLUSIONS
It is quite difficult to reduce the proportion of caesarean deliveries, particularly in a teaching hospital with a considerable number of high-risk pregnancies. The dominant role of previous caesarean delivery among CS indications stresses the importance of performing more vaginal birth after CS if we are to avoid the self-perpetuation of the CS epidemic.
Dinas
Konstantinos
K
2nd Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Hippokration Hospital, Thessaloniki, Greece. konstantinosdinas@yahoo.gr
Mavromatidis
Georgios
G
Dovas
Dimitrios
D
Giannoulis
Charalambos
C
Tantanasis
Theocharis
T
Loufopoulos
Aristoteles
A
Tzafettas
John
J
D002585:Cesarean Section / Q000706:statistics & numerical data*; D005260:Female; D006115:Greece; D006779:Hospitals, Public; D006784:Hospitals, Teaching; D006801:Humans; D018579:Patient Selection; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors