The number of deliveries per Caesarean section It increases constantly in almost all developed countries, and in some cases even triples the guidelines of the World Health Organization (WHO) that recommends that this intervention be carried out, at most, in 15% of deliveries.

In Spain, where this practice has also increased significantly, reducing the rate of unnecessary cesarean sections would imply saving approximately 6,000,000 euros per year.

The cesarean section not only significantly increases the expenses of surgery and hospital admission, but also the risk that the mother will have to undergo this intervention again in future deliveries

As Eduardo Cabrillo, head of the Obstetrics and Gynecology Department of the La Moraleja Hospital (Madrid), cesarean section not only significantly increases operating expenses and hospital admission, but also the risk that the mother will have to undergo this intervention again in future deliveries, and adds that clinical experience has shown that cesarean deliveries can be harmful to the health of both the pregnant woman and her baby, in the medium and long term.

The specialists also warn that there are many cases in which the practice of cesarean is not justified and is used only for the convenience of the pregnant woman or the doctor who attends her, or for risk factors that, with adequate follow-up of the pregnancy, could be solved in time and facilitate delivery vaginally.

One of the reasons why a delivery that was initially going to be produced vaginally ends in caesarean section, is the induction of labor. However, according to Dr. Juan Luis Delgado Marín, who coordinates the Maternal-Fetal Medicine Unit of the Virgen de la Arrixaca University Hospital (Murcia), if the induction of labor is indicated by justified reasons and is properly conducted, it does not have to result in a cesarean section. To avoid this, Dr. Delgado considers it vital to improve both the care of the pregnant woman in the weeks before delivery, and the training of professionals involved in induced labor.

Experts also believe it necessary to restrict the indications of induction of labor, and eliminate this practice when it is reasons that do not justify, such as discomfort of the mother at the end of pregnancy, adjust the delivery to a convenient date for the pregnant woman or your doctor, or that the baby, apparently, has already grown enough.


Delivery of triple pregnancy.Dr Wael Elalfy (November 2019).