Boisselier P, Maghioracos P, Marpeau L, Hajali B, Barrat J
J Gynecol Obstet Biol Reprod (Paris). 1987;16(2):251-60.
Between 1977 and 1983 there were 18,605 women delivered in the maternity unit of St-Antoine Hospital. Of these 2,382 had caesarean operations, which is a percentage of 12.8. This percentage rose in a statistically significant way between 1977, when it was 8.8% and 1984 when it was 14.9%. Three groups of indications for caesarean operations were classified. These are: absolutely essential caesareans (feto-pelvic disproportion, placenta praevia, transverse lies). Prophylactic caesareans (uterine scars, breech presentations and fetal distress) and caesarean operations judged eventually to be necessary (dystocia in labour, high blood pressure and maternal pathology). The rise in the caesarean operations in the period of years studied came mainly from the increase in prophylactic caesarean operations, which reflected a progressive change in the attitude of obstetricians in the department. A study of the literature shows that this change coincided with a parallel change in many countries without there having been any concerted action between the countries, and also because there was a general desire to control the great rise in the number of caesareans and to find the optimum number that should be performed.
1977年至1983年期间，圣安托万医院产科有18,605名妇女分娩。其中2,382人接受了剖宫产手术，占比12.8%。这一比例在1977年（当时为8.8%）至1984年（当时为14.9%）之间有统计学意义的上升。剖宫产手术的指征分为三组。分别是：绝对必要的剖宫产（胎儿骨盆比例失调、前置胎盘、横位）。预防性剖宫产（子宫瘢痕、臀位和胎儿窘迫）以及最终判定为必要的剖宫产手术（产程难产、高血压和母体病理情况）。在所研究的数年期间剖宫产手术的增加主要源于预防性剖宫产手术的增加，这反映了该科室产科医生态度的逐渐转变。对文献的研究表明，这种变化在许多国家同时出现，各国之间并未采取任何协同行动，而且也是因为普遍希望控制剖宫产数量的大幅上升并找到应进行的最佳数量。
