Szemléletváltás a császármetszé sek indikációjában klinikánkon

Translated title of the contribution: Changes in attitude in the decision making regarding Caesarean sections at our department

Dávid Szabó, Zoltán Kozinszky, Hajnalka Orvos, Gábor Németh, Attila Pál

Research output: Contribution to journalArticle

Abstract

Rapid increase in the frequency of Caesarean sections (CS) over the past years is the consequence of the change in convenience of CS indications. The incidence of risk factors of CS were determined in 1995 and in 2004, at the Department of Obstetrics and Gynaecology, University of Szeged. The rate of CS deliveries rose from 15.5% to 37.5%. The frequency of breech presentations (16.6% vs. 28.1%; P<0.05), prolonged first stage of labour (6% vs. 12.5%; P<0.05) increased considerably. The contribution of acute intrauterine distress (3.3% vs. 9.7%), breech presentation (2.6% vs. 10.7%), and prior CS delivery (3.7% vs. 9.1%) as indications for CS, have increased significantly. The diagnosis of acute foetal distress in majority of the cases (70/76: 92.1%) resulted in an operative delivery in 1995, this rate showing a further rise in 2004 (193/198: 97.5%). This change is even more pronounced in case of breech presentations (56/78: 71.8% vs. 213/216: 98.6%). The sharp rise in the incidence of CS at our department is attributable to the number of previous breech presentations and poor progress of labour. Our results highlighted that a profound foetal monitoring and prior CS promote the failure of vaginal birth.

Translated title of the contributionChanges in attitude in the decision making regarding Caesarean sections at our department
Original languageHungarian
Pages (from-to)11-16
Number of pages6
JournalMagyar Noorvosok Lapja
Volume70
Issue number1
Publication statusPublished - Feb 14 2007

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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