Cesarean birth rate reaches record level in Germany
The caesarean birth rate has reached a new record: never before have so many women given birth to babies. According to the Federal Statistical Office, almost every third child in Germany was born through a medical intervention.
Every third child is born via an "Imperial Cut" The caesarean birth rate has reached a new high in Germany. According to the Federal Statistical Office in Wiesbaden, exactly 201,480 pregnant women gave birth to children by Caesarean section in 2009. A total of 644,274 hospital births, including multiple births, were performed the year before last. This increased the proportion of births carried out to 31.3 percent. Striking: The trend has been going on for years. In the previous year, 30.2 percent of pregnant women gave birth by caesarean section. The 30 percent mark was exceeded for the first time in 2008. For comparison: In 2005 the Germany-wide rate was still 28 percent. In the previous years the rate was even lower. Since 1991 there has been a steep increase of over 15 percent.
In 2009, a total of 656,265 children were born in birthing centers and clinics. The difference to the mentioned birth rate results from multiple births. Around 2,000 children were born dead. Overall, the birth rate in Germany has been declining for years. A total of 667,464 children were born in the Federal Republic. Almost 12,000 children were born in their own four walls. There were 328 stillbirths in home births.
Most Caesarean sections were performed in Saarland. Most often, Caesarean sections were performed by doctors in Saarland. Approximately 38.5 percent of hospital births were performed through childbirth. Hessen ranked 34 percent, followed by Bavaria 33.1 percent. The least caesarean sections were performed in the state of Saxony with 22.6 percent and in Thuringia with 26.1 percent. Overall, the Caesarean sections in the new federal states and in the city states of Berlin, Bremen and Hamburg were below average. A slight decline was measured in Brandenburg (minus 1 percent), Hamburg (minus 0.1) and Bremen. In Lower Saxony, however, the most significant increase compared to the previous year was measured at 2.4 percent. With the help of the "suction cup" (vacuum extraction) a total of 33,418 children were born in 2009, which is about 5.2 percent of all deliveries in the hospital. With the help of forceps delivery, there were 4,247 (0.7 percent).
Reasons for the high Caesarean section rate In the case of a Caesarean section (medical delivery or section caesarea), infants are surgically removed from the uterus. For this purpose, a lower abdomen cross-section (socket handle cut) is usually made. Medical is divided into a primary and a secondary caesarean section. The primary caesarean section is used before the bladder leap and contractions. This can be an indication of foreseeable complications, such as life-threatening situations for mother and / or child. The secondary cesarean section is performed after the bladder has ruptured or labor has started, if it is foreseeable that the birth will no longer be possible via the uterine exit. In the past, this procedure was only carried out if a medical indicator was available. Nowadays, caesarean sections are performed more and more at the mother's request.
With an increased risk of birth defects and problem pregnancies, doctors are increasingly prompting a Caesarean section. The reason for this is most likely due to liability law. If a large head circumference has been measured, the unborn child is in a transverse or breech position, so when in doubt, medical practitioners tend to have surgery. Another reason for the increasing caesarean section rate is likely to be the ever higher average birth weight in the western industrialized countries. The increase can be explained by the changing eating habits of people. People are gaining more and more body weight, which also affects birth weight. Medical interventions also generate higher fees for clinics and doctors. In this context, psychologists, naturopaths and critical doctors repeatedly warn that children after caesarean sections often suffer from restlessness or symmetry disorders. The mother's physical handicap in the first few days after birth and the unexperienced natural birth may lead to a delayed development of the mother-child relationship. For this reason, for example, alternative practitioners generally discourage the desire to give birth if there is no medical need. (sb)
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Twin 2006 / pixelio.de