European Journal of Molecular & Clinical Medicine

Abstract

In fact, the indications for cesarean section has changed in many countries, now
including psychosocial factors such as anxiety about the delivery, or even the
mother’s wish to have a cesarean section in the absence of any medical
indication.The rate of cesarean section is considered as a proxy indicator in
maternal health to monitor health services progress. The World Health
organization (WHO) has recommended 5% to 15% population-based cesarean
section rate. Changing risk profiles among increasingly older primiparae are often
cited as a reason for the rise in cesarean deliveries. An increase in maternal request
cesarean sections also plays a part. However, the rise in cesarean section rates
should not be viewed in isolation from changes in society. In recent years a number
of risks have also been described for babies delivered by elective cesarean section as
the development of bronchial asthma. Existing data are unsatisfactory, however,
and a focus of current controversy. Previous studies point to neonatal risk
associated with elective cesarean section compared with vaginal delivery, including
increased mortality, increased risk of respiratory disease, or diabetes type I. Other
studies found no difference in neonatal outcome between elective cesarean and
vaginal delivery; although they emphasize that only limited data are available. The
present study aimed to review indication and risks associated with surgical
procedure of cesarean section.