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Review paper

The Caesarean section epidemic: a call for a reduction in the number of Caesarean sections

By
Anis Cerovac Orcid logo ,
Anis Cerovac
Contact Anis Cerovac

General Hospital Tešanj , Tešanj , Bosnia and Herzegovina

Damir Ramić ,
Damir Ramić

Faculty of Health Studies, University of Bihać , Bihać , Bosnia and Herzegovina

Dubravko Habek ,
Dubravko Habek

Croatian Catholic University Zagreb , Zagreb , Croatia

Asmir Aldžić ,
Asmir Aldžić

Faculty of Health Studies, University of Bihać , Bihać , Bosnia and Herzegovina

Ratko Knežević
Ratko Knežević

Faculty of Health Studies, University of Bihać , Bihać , Bosnia and Herzegovina

Abstract

A caesarean section (CS) is an obstetric surgical intervention and mode of delivery which aims to finish the pregnancy surgically. CS are one of the most important surgical interventions in modern obstetrics and have lead to a significant reduction of fetal and maternal mortality. However, it is important to take into consideration that CS can have risks and lead to unwanted short-term and long-term consequences. One of the main questions of modern obstetric is the ideal CS rate, including ways to reduce an undesirably high CS rate. The ideal CS rate ranging between 10 to 20% according to various research, but some countries have reached rates exceeding 50%, while in other, less developed countries, the issue of accessibility for CS still exists and consequently leads to a high mortality rate. Significant inequality exists in CS accessibility between developed and less developed areas of countries, and countries themselves. In some cases it is even desirable to increase CS rates in order to reduce negative patient outcome.

Author Contributions

Conceptualization, A.C., D.R., A.A. and R.K.; Data curation, A.C. and D.R.; Formal Analysis, A.C., D.R., D.H., A.A. and R.K.; Investigation, A.C. and D.R.; Methodology, A.C. and D.R.; Supervision, A.C. and D.H.; Validation, A.C., D.R., D.H., A.A. and R.K.; Visualization, A.C., D.R., D.H., A.A. and R.K.; Writing – original draft, A.C. and D.R.; Writing – review & editing, A.C., D.H., A.A. and R.K.; Software, D.R. All authors have read and agreed to the published version of the manuscript.

Citation

Funding Statement

No Funding

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