The Use and Abuse of Cesarean Section

Abstract

In most instances, the rising rate of cesarean sections is not justified by markedly lower maternal or fetal mortality. Fifty to 60 per cent of patients previously delivered by cesarean section subsequently may have vaginal deliveries. Judicious use of Pitocin can eliminate primary cesarean section for cephalopelvic disproportion and uterine inertia. Fetal distress, transverse presentation, diabetes mellitus and some cases of midpelvic arrest of the fetus may justify cesarean section.