Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Dystocia: is it a major indication for caesarean section?
Objective: To find out the indications for caesarean sections, the contribution of "dystocia" to the overall caesarean section rates, and to find ways to reduce dystocia-induced caesarean sections. Method: This was a retrospective study where all caesarean sections performed in 1995 at the Princess Badeea Teaching Hospital in North Jordan (the main teaching and referral hospital in the area) were reviewed. Results: The caesarean section rate for 1995 was 8.4%. Dystocia was the main indication in I 3.4% of all caesarean sections in that year. In 80.2% of patients who delivered because of dystocia labour started spontaneously. Thus if we advocate active management of labour, especially in nulliparous women who start labour spontaneously due to dystocia, we may reduce caesarean section and many repeat caesarean sections could be avoided. Conclusions: Applying a policy of active management of labour in nulliparous women may be the most useful approach to reduce caesarean section rates in modem obstetric practice.