The contribution of dystocia to the cesarean section rate

摘要: OBJECTIVE: Our purpose was to examine the indications for performing cesarean sections in current obstetric practice and define measure true contribution of dystocia (“difficult labor”) overall section rate. STUDY DESIGN: A prospective audit done all performed during 1991 at The Queen Mother's Hospital, Glasgow, a teaching hospital tertiary referral center. RESULTS: rate 16.3%. Dystocia primary indication 16% but actually contributing factor, directly or indirectly, decision operate up 38% that year. Seventy-eight percent patients delivered because were spontaneous labor. We advocate more widespread use policy active management nulliparous women who labor spontaneously. If is addressed successfully, then many repeat may also be avoided. CONCLUSIONS: Improved women, such as labor, most useful approach reducing modern practice.