title: [Cesarean section versus vaginal delivery--state-of-the-art paper].
abstract: OBJECTIVE
  The aim of the study was to perform a comparative analysis of complications after vaginal deliveries and cesarean sections and to introduce emotional status of the mother as an indication for a cesarean section.
  
  
  METHODS
  406 patients after vaginal deliveries and cesarean sections, that took place in the first quarter of 2009, were enrolled into the study.
  
  
  RESULTS
  In the studied group of 406 patients, 200 women (49.2%) had cesarean section and 206 women (50.8%) delivered vaginally. In both groups there were no differences in the clinical state of newborns, which were assessed according to the Apgar score, and in umbilical cord blood pH. Hemoglobin concentration evaluated on the second day of puerperium was statistically significantly higher in the group of patients after cesarean section than after vaginal delivery. Episiotomy and laparotomy wound healing complications were observed in 2 (0.97%) and 3 (1.5%) cases, respectively.
  
  
  CONCLUSIONS
  Due to lack of differences in complication rates between cesarean section and vaginal delivery patients, the emotional status of a pregnant woman should be considered as an indication for cesarean section.
authors.affiliation: II Katedra i Klinika Ginekologii Połoznictwa i Neonatologii Akademii Medycznej im. Piastów Slaskich we Wrocławiu. michal_pomorski@poczta.onet.pl
authors.forename: Michał
authors.initials: M
authors.lastname: Pomorski
authors.forename: Robert
authors.initials: R
authors.lastname: Woytoń
authors.forename: Piotr
authors.initials: P
authors.lastname: Woytoń
authors.forename: Jolanta
authors.initials: J
authors.lastname: Kozłowska
authors.forename: Mariusz
authors.initials: M
authors.lastname: Zimmer
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007229:Infant Welfare; D007231:Infant, Newborn; D007743:Labor, Obstetric / Q000523:psychology*; D008429:Maternal Welfare; D009321:Natural Childbirth / Q000706:statistics & numerical data*; D007744:Obstetric Labor Complications / Q000601:surgery; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology* / Q000523:psychology; D047929:Term Birth / Q000523:psychology*; D055815:Young Adult