Nagy Sándor
Petz Aladár Megyei Oktató Kórház Szülészeti és Nőgyógyászati Osztály Győr Vasvári P. u. 2-4. 9024.
Orv Hetil. 2014 Jul 20;155(29):1140-6. doi: 10.1556/OH.2014.29931.
Cesarean section rates are increasing worldwide, which has been paralelled by an increase in primary cesarean delivery and decrease in vaginal birth after cesarean section. Behind the different frequencies there is a number of interrelated factors including advanced maternal age, increasing incidence of obesity, assisted reproductive technologies, and maternal request for non-medical reasons. The sub-optimal management of labor and the concerns about medical liability claims and litigations increase the number of abdominal deliveries. The author reviews the changing indications for cesarean deliveries in the last few decades and summarizes the effects on the obstetrical clinical practice.
剖宫产率在全球范围内不断上升，与此同时，首次剖宫产的比例增加，剖宫产术后阴道分娩的比例下降。在这些不同的发生率背后，有许多相互关联的因素，包括产妇年龄增大、肥胖发生率增加、辅助生殖技术以及产妇出于非医学原因的要求。产程管理欠佳以及对医疗责任索赔和诉讼的担忧增加了剖宫产的数量。作者回顾了过去几十年剖宫产指征的变化，并总结了其对产科临床实践的影响。
