THE INFLUENCE OF 21ST CENTURY SOCIETY IN CHOOSING THE MODALITY OF DELIVERY- A RETROSPECTIVE STUDY OVER DELIVERIES ASSISTED IN THE “DR. SALVATOR VUIA” CLINICAL HOSPITAL FOR OBSTETRICS- GYNECOLOGY OF ARAD BETWEEN 1984-2011
Abstract:
Delivery, a natural act nevertheless associated with high maternal and fetal mortality in the past, registered remarkable progresses in its management due to the development of obstetric art, but more important of the cesarean section. Objective: Study of the modifications seen in the modality of delivery. Method: Clinical retrospective study of the period 1984-2011 in Arad Obstetric Department, that analyzes the dynamic of women and doctors preference for cesarean section instead of natural delivery. Results: In the studied period there were 109046 deliveries registered (3894.5 deliveries/year) and 17214 cesarean sections (614.78/year), the cesarean section rate being 15.79 percent for the whole timeframe. The number of births decreased constantly from around 5000 before 1990 to less than 3000 in 2011, though cesarean section rate raised from 7.80 percent in 1984 to 50.21 percent in 2011. Conclusion: Progresses in cesarean section technique, patient’s will, doctor’s comfort and society pressure led to a major change in solving delivery.
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