Regional differences in Caesarean section births

Regional differences in Caesarean section births

An increasing number of children in Germany are born by caesarean section, according to one of the results of the “Health facts check on the topic of caesarean section” by the Bertelsmann Stiftung. The survey published on Tuesday also shows massive regional differences in the frequency of Caesarean sections.

"In the meantime, every third child nationwide is born by caesarean section and the proportion continues to increase," reports the Bertelsmann Stiftung. According to the current results of the health fact check, in some regions almost every second birth is a Caesarean section. "However, the frequently cited reasons such as the increasing age of mothers or the (non-verifiable) trend towards the desired Caesarean section" seem to play a subordinate role in the increase in Caesarean sections, "according to the Bertelsmann Stiftung assessment.

No medical reasons for the rise in Caesarean section births According to the Bertelsmann Foundation, there were compelling medical reasons for a Caesarean section "only in ten percent of all Caesarean section births." In most cases, obstetricians would have a discretionary capacity, which obviously varies greatly from region to region are used differently. In principle, a natural birth is also possible "in risk situations such as the end of the pelvis, twin births or a previous caesarean section". Nevertheless, a caesarean section is very often performed here, with liability issues also playing a role, the Bertelsmann Foundation explained. Since fewer and fewer of these risk births are carried out in the clinics, doctors often lack "experience with more complicated natural births." However, the fact check Caesarean section also showed that the medical guidelines often do not offer doctors sufficient orientation and are being further developed at this point must, according to the Bertelsmann Foundation.

Massive regional differences in the caesarean section rate The regional differences in the caesarean section births found in the course of the current evaluation are quite remarkable. For example, some regions such as the city of Dresden (17 percent) have a caesarean section rate well below 20 percent, while in others such as the city of Landau, the rate is almost three percent, almost 51 percent. In some "parts of Rhineland-Palatinate, Bavaria and Lower Saxony, the caesarean section rate is in some cases well over 40 percent", while several areas in the new federal states have remarkably few cesarean births, emphasized the health scientist Prof. Petra Kolip, co-author of the study . The experts see the reasons for the regional variations in caesarean section births primarily in the different risk assessments of the obstetricians. According to a message from the Bertelsmann Stiftung, "there is apparently no uniform procedure in Germany when it comes to deciding whether a caesarean section is necessary or not." Expectant parents are therefore advised to take this into account and to inform themselves well beforehand. Of course, situations can arise in which a caesarean section is unavoidable to protect the life of mother and child, but not every impending complicated birth requires a cesarean section, according to the experts. (fp)

Read also about Caesarean section:
Every third baby is born by caesarean section
Cesarean section or natural birth?
Caesarean section increases the risk of being overweight
Every third child is born by Caesarean section

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