[An analysis of indications for performing cesarean section from material of the Obstetric-Gynecologic Wards I and II of the District General Hospital in Radom in 1985-1993].

In 1985-1993 there were 37,046 deliveries in the Maternity and Gynaecological Ward of District General Hospital in Radom. In 4873 (13.15%) cases the caesarean section (c.s) was performed. Primiparas constituted 39.3% and the repeated c.s. was carried out on 1160 (39.2%) patients. In the analysed period the increase in percentage of the c.s. was observed from 11.79% in 1985 to 14.81% of the total number of deliveries in 1993. The most frequent indications to perform the c.s. were the imminent intrauterine asphyxia of the fetus--25.36%, the abnormal position of the fetus--17.73% and the nonprogressive labour--9.89%. In all these groups the operations were performed in over 70% of primiparas. In the case of multiparas the indications to operate were: prolapse of the loop of umbilical cord--71%, placenta previa in 85.8% and the prematurely detached placenta in 72.2% of cases. In 4.45% of cases the c.s. was performed as the result of other than obstetric indications.