The rate of caesarean section (CSR) in Great Britain (GB) and the U.S.A., 12% in England in 1989 ascertained from a survey performed by the authors, and 24% according to official U.S. figures, is higher than warranted by the known and agreed obstetric indications for this operation, which suggest a rate of 6-8% would be adequate.
It is argued that the fall in perinatal mortality which has occurred over the period during which the CS rate has risen is not the main reason for this fall.
The training of obstetricians to deal with anxiety, provision of primary maternity care by appropriately trained midwives and general or family practitioners, and changes in management protocols could cut the CSR.
Mots-clés Pascal : Césarienne, Technique obstétricale, Accouchement, Statistique, Royaume Uni, Europe, Etats Unis, Amérique du Nord, Amérique, Femme, Homme, Indication, Article synthèse, Chirurgie
Mots-clés Pascal anglais : Cesarean section, Obstetrical technique, Delivery, Statistics, United Kingdom, Europe, United States, North America, America, Woman, Human, Indication, Review, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0014447
Code Inist : 002B20G02. Création : 199406.