Document Detail

Changing rates and indications for cesarean sections at a community hospital from 1972 to 1979.
MedLine Citation:
PMID:  7320229     Owner:  NLM     Status:  MEDLINE    
The indications for all cesarean sections done at Charleston Area Medical Center from 1972 to 1979 were reviewed. The cesarean section rate rose from 4.4% in 1972 to 8.8% in 1975, to 17.2% in 1979. Repeat cesarean sections accounted for 30.3% of all cesarean sections. The increase in the rate of primary cesarean sections was due to more cesarean sections being done for old indications as well as for the additional indications. From 1972 to 1979, cesarean sections performed for indication of dystocia increased threefold, for fetal distress ninefold, and for breech presentation elevenfold. Dystocia, however, remained the leading indication for primary cesarean section. Even though more cesarean sections and fetal surveillance tests were done from 1976 to 1979 than from 1972 to 1975, the perinatal mortality rate during the two four-year periods was not significantly different. Recommendations are made to a more objective and rational evaluation of the need to perform cesarean sections and for a periodic audit of both the operation and cost-effectiveness of the newer technology.
N N Sehgal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of community health     Volume:  7     ISSN:  0094-5145     ISO Abbreviation:  J Community Health     Publication Date:  1981  
Date Detail:
Created Date:  1982-03-26     Completed Date:  1982-03-26     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7600747     Medline TA:  J Community Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  33-46     Citation Subset:  IM    
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MeSH Terms
Cesarean Section / utilization*
Fetal Distress
Fetal Monitoring
Hospitals, Community
Infant Mortality
Infant, Newborn
Maternal Mortality
Obstetric Labor Complications
Technology, Medical / trends
West Virginia

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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