Document Detail

Current caesarean delivery rates and indications in a major public hospital in northern Greece.
MedLine Citation:
PMID:  18366486     Owner:  NLM     Status:  MEDLINE    
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. AIM: 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.
Konstantinos Dinas; Georgios Mavromatidis; Dimitrios Dovas; Charalambos Giannoulis; Theocharis Tantanasis; Aristoteles Loufopoulos; John Tzafettas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  48     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-27     Completed Date:  2008-08-21     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  142-6     Citation Subset:  IM    
2nd Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Hippokration Hospital, Thessaloniki, Greece.
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MeSH Terms
Cesarean Section / statistics & numerical data*
Hospitals, Public*
Hospitals, Teaching*
Patient Selection
Pregnancy Complications / diagnosis,  epidemiology,  surgery*
Retrospective Studies
Risk Factors
Comment In:
Aust N Z J Obstet Gynaecol. 2008 Oct;48(5):522-3   [PMID:  19032675 ]

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