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[Analysis of caesarian sections at county hospital (author's transl)].

Reported in this paper are 268 caesarian sections in 8,259 childbirths without electronic monitoring, between 1967 and 1976. Hence, caesarian sections were necessary in 3.34 per cent of the cases under review. The average rate of sections went up from 1.89 to 4.31 per cent over the last five years. Perinatal mortality accounted for 2.17 per cent, uncorrected. It was reduced from 2.88 to 1.13 per cent. Indications changed clearly from vital to prophylactic requirements for child-saving reasons, the shift towards the latter indication being from 16.7 to 62 per cent. Maternal section morbidity amounted to 15 per cent, while maternal mortality was zero.