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Indikation zur Schnittentbindung (Sectio caesarea) in Deutschland - Analyse eines Geburtenkollektivs der Jahre 1998 und 1999 aus 12 deutschen Bundeslдndern

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  • There is a change underway in the indications for Caesarean sections. These are evaluated differently by different people. The numbers of primary, secondary and overall Caesarean sections has been rising in Germany and other developed countries. It has been observed that increasing importance is placed on soft medical indications such as protracted course of birth and pathologic cardiotachogram (CTG). In addition, there is a rise in the birth risks category "other" for non medical risk factors. Caesarean sections are also performed more and more upon request, without medical indications. Medical indications with preventive character from the point of view of mother and child are of increasing significance. The trend toward Caesarean sections is also favoured by nonmedical aspects such as the rise in patient autonomy and the increasingly defensive attitude of obstetricians and midwives which has arisen from forensic pressure. While this change in the indications for Caesarean sections is currently different in the various German states, on the whole it is much stronger in the western states than in the states of the former East Germany. This seems to be due to differences in the latitude the physician has in respect to the decision for or against a Caesarean section. Change, indications for Caesarean section, differences, increase, primary, secondary, overall sections, Germany, developed industrial countries, soft medical indications of protracted course of birth, pathologic CTG, birth risk, nonmedical factors, Ceasarean section upon request, birth risk "other", prevention, patient autonomy, forensic pressure, defensive attitude, decision latitude.

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Author: Manuela Roil
Title Additional (English):Indications for Caesarean Sections in Germany - Analysis of a Collection of Births in 12 German States in 1998 and 1999
Advisor:PD Dr. Dr. M. Voigt
Document Type:Doctoral Thesis
Date of Publication (online):2006/12/08
Granting Institution:Ernst-Moritz-Arndt-Universität, Medizinische Fakultät (bis 2010)
Date of final exam:2006/08/08
Release Date:2006/12/08
Tag:change; difference; increase; indications for caesarean section; primary; secondary
GND Keyword:Indikation, Geburt, Geburtshilfe, Kaiserschnitt
Faculties:Universitätsmedizin / Klinik und Poliklinik für Frauenheilkunde u. Geburtshilfe
DDC class:600 Technik, Medizin, angewandte Wissenschaften / 610 Medizin und Gesundheit