[Is the epidemic of cesarean sections the result of more liberal indications?].
BACKGROUND
The rate of cesarean sections around the world is steadily rising. The analysis of indications for cesarean section might find the answer to the question whether this trend is a consequence of more liberal indications.


OBJECTIVE
The aim of the study was to analyze and compare the changes in the indications for cesarean sections (cs) over the years.


METHODS
Data regarding cesarean sections performed at the 1st Department of Obstetrics and Gynecology Medical University of Warsaw were analyzed and compared: 559 cs between the years 2000-2001 (G1) and 663 cs in 2010 (G2).


RESULTS
The rate of cs was statistically higher in 2010 (30.1% vs. 29.2%; p<0.001), however the rate of preterm cs was lower (25.4% vs. 11.9%; p<0.01). The most frequent indication for cs in 2010 was lack of patient consent for vaginal birth after cs (27.3% vs. 17.9%; p<0.01). Other frequent indications throughout the decade were: fetal distress (G1 18.6% vs. G2 14.2%; p<.01), cervical dystocia (12.3% vs. 11%, respectively), fetal position other than cephalic (12.5% vs. 13.6%) and non-obstetrical indications (14.1% vs. 9.4%; p<0.05).


CONCLUSIONS
In the last decade the rate of cesarean sections has risen and there are minor differences in the indications for cs. Previous cesareans delivery seems to be the main cause of an increase in the number of cs nowadays.
Studenckie Koło Naukowe przy I Katedrze i Klinice Połoznictwa i Ginekologii Warszawskiego Uniwersytetu Medycznego.
Aleksandra
A
Stasiełuk
Izabela
I
Langowicz
Katarzyna
K
Kosińska-Kaczyńska
Bronisława
B
Pietrzak
Mirosław
M
Wielgoś
D000328:Adult; D001946:Breech Presentation / Q000601:surgery; D002585:Cesarean Section / Q000706:statistics & numerical data*; D003657:Decision Making; D004420:Dystocia / Q000601:surgery; D005260:Female; D005316:Fetal Distress / Q000601:surgery; D006801:Humans; D007229:Infant Welfare / Q000706:statistics & numerical data; D007231:Infant, Newborn; D008429:Maternal Welfare / Q000706:statistics & numerical data; D007744:Obstetric Labor Complications / Q000453:epidemiology* / Q000601:surgery; D009775:Obstetrics and Gynecology Department, Hospital / Q000706:statistics & numerical data; D011044:Poland / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D015995:Prevalence; D016387:Women's Health; D055815:Young Adult