Alarming rise of cesarean births: a single center experience.

BACKGROUND AND OBJECTIVES

The increase in cesarean section rates requires detailed investigation worldwide. The goal of this study was to analyze the distribution of indications and rates of cesarean sections in a developing country and to introduce the measures for controlling increased cesarean deliveries.

MATERIAL AND METHODS

Electronic medical records of the patients who underwent cesarean section were retrospectively evaluated between the years of 2006 and 2008.

RESULTS

Total of 42,547 vaginal delivery, 104 instrumental vaginal delivery and 28357 cesarean section were performed. The instrumental delivery and cesarean section rates were 0.14 and 39.9%, respectively. The most common indication was repeat cesarean that was present in 9224 patients (32.5%) followed by fetal distress in 6427 patients (22.6%).

CONCLUSIONS

Encouraging vaginal delivery for patients with previous cesarean by community based national approaches seems the leading measure to control the increased rates of cesarean section in developing countries.