INCREASING CESAREAN SECTION RATE: A GLOBAL PROBLEM AND THE SITUATION IN UZBEKISTAN
Keywords:
cesarean section, childbirth methods, maternal health, neonatal outcomes, operative deliveryAbstract
In recent decades, a significant global increase in the rate of cesarean section has been observed. Although the World Health Organization recommends performing cesarean delivery only when medically indicated, this surgical intervention is increasingly used as a primary mode of childbirth in many countries. Unjustified cesarean sections are associated with higher risks of short- and long-term complications for both mothers and newborns. This article examines the global trends and underlying medical, social, and organizational factors contributing to the rising cesarean section rates. Particular attention is given to the current situation in Uzbekistan, highlighting national practices, challenges, and strategies aimed at optimizing childbirth management and improving maternal and perinatal health outcomes.
References
1. World Health Organization. WHO Statement on Caesarean Section Rates. Geneva: WHO Press.
2. Betrán A. P., Torloni M. R., Zhang J. What is the optimal rate of caesarean section at population level? Journal of Reproductive Health.
3. Souza J. P., Gülmezoglu A. M. The increasing trend of caesarean delivery: causes and consequences. Best Practice & Research Clinical Obstetrics and Gynecology.
4. Sandall J., Tribe R. M., Avery L. Short-term and long-term effects of caesarean section on maternal and child health. The Lancet.
5. Robson M. S. Classification of caesarean sections: a systematic approach. International Journal of Gynecology & Obstetrics.
6. Visser G. H. A., Ayres-de-Campos D. FIGO consensus guidelines on intrapartum fetal monitoring. International Federation of Gynecology and Obstetrics.
7. Cunningham F. G., Leveno K. J., Bloom S. L. Williams Obstetrics. McGraw-Hill Education.
8. National Institute for Health and Care Excellence. Intrapartum care for healthy women and babies. NICE Guidelines.
9. Ministry of Health of the Republic of Uzbekistan. Clinical recommendations for improving obstetric and perinatal care. Tashkent.