Caesarean section in countries of the Eastern Mediterranean Region.
This paper reviews global data on caesarean section (CS) focusing on Eastern Mediterranean Region (EMR) countries for which data could be obtained. CS rates in the EMR tend to average around 10%. The data, however, are often not representative of the whole country, being mostly hospital rather than community based. Global and regional CS trends, determinants, and outcomes are presented. Controversies and consensus over the indications for CS are reviewed. The cost of rising CS rates, women's involvement in decision-making, the role of health workers, data quality and legal aspects are highlighted, with discussion of the aim of reducing unduly high CS rates and promoting high-quality maternity care.
Department of Obstetrics and Gynaecology, University of Al Zaiem Al Azhari, North Khartoum, Sudan. baldo_Hassan@yahoo.com
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D001946:Breech Presentation / Q000601:surgery; D002585:Cesarean Section / Q000009:adverse effects / Q000401:mortality / Q000639:trends; D054869:Clinical Audit; D017558:Elective Surgical Procedures; D005260:Female; D014943:Global Health; D006302:Health Services Research; D006801:Humans; D007044:Hysterectomy / Q000639:trends; D008428:Maternal Mortality; D019083:Mediterranean Region / Q000453:epidemiology; D007752:Obstetric Labor, Premature / Q000601:surgery; D010358:Patient Participation; D018579:Patient Selection; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000601:surgery; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011273:Pregnancy, Prolonged / Q000601:surgery; D024382:Professional Role / Q000523:psychology; D012107:Research Design; D012111:Residence Characteristics; D012749:Sexually Transmitted Diseases / Q000601:surgery; D013397:Sudan / Q000453:epidemiology