Clinical reviews

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Elective Caesarean section versus vaginal delivery

Cesárea electiva versus parto vaginal

Abstract

This article reviews current aspects of Cesarean section considering increasing rate in all countries of the world, with special emphasis on Chile. Frequencies, causes and indications, as well as recent recommendations in terms of expected frequencies are analyzed. Chilean child and maternal health indicators are reminded and, in accordance to the best evidence available, the advantages and disadvantages of both delivery modes are analyzed, i.e. C-section versus vaginal delivery. Finally, general recommendations are given that could contribute to reducing the high rate of Cesarean section.