World Health Organization Appeal: Discourage Unnecessary Caesarean Section Worldwide

2015 ◽  
Vol s3 ◽  
Author(s):  
Saurabh Ram Bihari Lal
Author(s):  
Harpreet Kaur ◽  
Veena Shukla ◽  
Sharda Mathur ◽  
Arun Mathur

In clinical practice, various obstetrical indications lead to the need to perform caesarean section deliveries in order to ensure maternal safety and favourable neonatal out comes. World Health Organization (WHO), in accordance with scientific evidence has stated that maximum safe limit of caesarean sections in any region throughout the globe is 10-15%. However, many countries including India have shown much higher rates during researches. Socio cultural factors like auspicious dates and time of deliveries also have a hidden role to play in these rising caesarean trends, in which the babies are delivered at the desired day and time for bright future as predicted by astrologers. This practice may be full of hazards and complications for mother, baby, as well as the medical and paramedical personnel. In addition, the resource crunch created in society by unnecessary surgeries may also hamper treatment of deserving patients.


2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Keisuke Tanaka ◽  
Kassam Mahomed

Caesarean section (CS) rates have been increasing worldwide and have caused concerns. For meaningful comparisons to be made World Health Organization recommends the use of the Ten-Group Robson classification as the global standard for assessing CS rates. 2625 women who birthed over a 12-month period were analysed using this classification. Women with previous CS (group 5) comprised 10.9% of the overall 23.5% CS rate. Women with one previous CS who did not attempt VBAC contributed 5.3% of the overall 23.5% CS rate. Second largest contributor was singleton nulliparous women with cephalic presentation at term (5.1% of the total 23.5%). Induction of labour was associated with higher CS rate (groups 1 and 3) (24.5% versus 11.9% and 6.2% versus 2.6%, resp.). For postdates IOL we recommend a gatekeeper booking system to minimise these being performed <41 weeks. We suggest setting up dedicated VBAC clinic to support for women with one previous CS. Furthermore review of definition of failure to progress in labour not only may lower CS rates in groups 1 and 2a but also would reduce the size of group 5 in the future.


2018 ◽  
Author(s):  
Tesfit Brhane Netsereab ◽  
Meron Mehari Kifle ◽  
Robel Berhane Tesfagiorgis ◽  
Sara Ghebremichael Habteab ◽  
Yosan Kahsay Weldeabzgi ◽  
...  

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