Changing trends in the indications for caesarean section within a Health District in South Trent

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Abstract
The aim was to investigate the changing trends in the rate of caesarean section and its indications within a health district in South Trent at two defined time periods. This was a retrospective population study in two maternity hospitals serving a single health district in South Trent. A total of 1499 women undergoing caesarean section in 1993 and 3548 women undergoing CS in 1999 and 2000 (inclusive) were studied. The CS rate was 15.3% in 1993 and 19.78% during the period 1999 and 2000. The most common indications for emergency CSs over the two periods were failure to progress and ‘fetal distress’. However, while previous CS contributed to 21.9% between 1999 and 2000, in 1993 it contributed only to 12.5%. In 1993, breech presentation was an indication for CS in only 4.8% of cases but this was 11.5% in the later period. CS for maternal request (4.5%) and for poor obstetric history were significant indications for CS in the later period compared to the former.

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