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  • Title: [Indications for cesarean section].
    Author: Stoll W.
    Journal: Schweiz Med Wochenschr; 1990 Feb 24; 120(8):255-9. PubMed ID: 2408143.
    Abstract:
    Following introductory remarks on rates of cesarean section, the relative and absolute indications for the procedure are reviewed. The rise in the rate of cesarean sections is due to widening of the relative indications, such as dystocia, previous cesarean, fetal distress and breech presentation. Since 1974 the cesarean section rate at Aarau Gynecologic and Obstetric Clinic has fluctuated between 6% and 8% and showed an increase for the first time, to 9.3%, in 1988. Breakdown by the main indications shows fetal distress, breech presentation and history of previous cesarean. Other indications, in particular dystocia, were statistically well in the background.-The question of stabilizing and lowering the cesarean section rate is discussed. A more restrictive approach to the dystocia indication is the first priority. Precise diagnostic procedures during the labour stage, e.g. fetal blood sampling and cardiotocography, are essential. Particular attention is focused on cesarean section in relation to preterm delivery and breech presentation.
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