Investigation of the caesarean section casea in our clinic between 2002 and 2007
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Objective: We aimed to evaluate the annual distribution of indications and the rates of caesarean sections in all deliveries between 2002 and 2007. Material and Methods: We investigated retrospectively the hospital records of 4389 patients who had undergone caeserean section at Atatürk University, School of Medicine, Department of Obstetrics and Gynecology, between 2002-2007. The annual distrubition of rates and indications of normal birth and caesarean sections, maternal age, gestational week, fetal weight, fetal sex and the anesthesia method applied to the patient were assessed. Results: The caesarean section was performed for 609(37.7%) and 974(51%) patients in 2002 and 2007, respectively. The main indications were previous caesarean(37.8%), breech presentation(11.7%) and fetal distress(10%). There was no statistical difference in terms of cesarean indications for each year. However, cesarean rates were found to be significantly increased per year(p=0,0259). Conclusion: Over the years, rate of the caesarean sections has increased in our clinic(p=0,0259). This increase was attributed to the increased rate of previous caesarean section and breech presentation. To diminish the rate of caeserean sections, normal birth should be attempted for appropriate patients who have had uterine surgery and with breech presentation. Initial indications should also be limited selectively.