n Obstetrics and Gynaecology Forum - Is the high caesarean section rate a cause for concern? : review article

Volume 12, Issue 2
  • ISSN : 1027-9148



The caesarean section rate has increased over recent years throughout the world. No acceptable ideal caesarean section rate has been agreed upon, and values in the developed world vary from 10% in Sweden to 38% in Chile. Some areas of Brazil have a rate of 75%! Is the high caesarean section rate a cause for concern? The answer is obviously "yes". The more important question might be : for whom? Who might be concerned, or who should be concerned? Are academics concerned about the high caesarean section rate (what should the "normal" rate be?). Should the obstetricians in private practice be concerned, or perhaps the medical fund providers? Maybe the patients should be concerned as they are on the receiving end, or perhaps the paediatricians should be concerned on behalf of the neonate. And don't forget about the ethicists among us - they might also be concerned about this issue. It is obvious that there are many role players in this debate, and this review will attempt to look at all the different issues regarding caesarean sections, hopefully in such a way that it will allow everybody to decide for him / herself whether there are reasons for concern or not.

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