Cesarean section rates have risen dramatically in the U.S. over the past 20 years.
Although infant mortality has declined during the same period, there is little evidence that more frequent cesarean surgery is the cause.
Cesareans save lives or benefit health in certain circumstances, but the incidence of those indications has not increased.
Cesarean section also has risks, the most significant for the infant being iatrogenic prematurity or respiratory disease.
Maternal mortality is 24 times higher and morbidity is 5-10 times higher after a cesarean compared to vaginal birth.
The four indications responsible for most of the rise in cesarean rates-previous cesarean, dystocia, breech presentation, and fetal distress-are those conferring the least clear-cut benefit.
Mots-clés Pascal : Césarienne, Technique obstétricale, Accouchement, Femme, Homme, Statistique, Complication, Indication, Nouveau né pathologie, Mère pathologie, Mortalité, Etats Unis, Amérique du Nord, Amérique, Article synthèse, Chirurgie
Mots-clés Pascal anglais : Cesarean section, Obstetrical technique, Delivery, Woman, Human, Statistics, Complication, Indication, Newborn diseases, Maternal diseases, Mortality, United States, North America, America, Review, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0014449
Code Inist : 002B20G02. Création : 199406.