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Rev Med Inst Mex Seguro Soc. 2015 Sep-Oct;53(5):608-15.

[Caesarean section: History, epidemiology, and ethics to diminish its incidence].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

Departamento de Ginecología y Obstetricia, Unidad Médica de Alta Especialidad 23, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.


in English, Spanish

Cesarean section has become the most performed surgery and it has been enhanced with the use of antibiotics and improvement in surgical techniques. The aim of this systematic review is to describe and clarify some historical and ethical characteristics of this surgery, pointing out some aspects about its epidemiological behavior, becoming a topic that should be treated globally, giving priority to the prevention and identification of factors that may increase the incidence rates. Today, this "epidemic" reported rates higher than fifty percent, so it is considered a worldwide public health problem. Consequently, in Mexico strategies aimed at its reduction have been implemented. However, sociocultural, economic, medicolegal and biomedical factors are aspects that may difficult this goal. As we decrease the percentage of cesarean section in nulliparous patients, we diminish the number of iterative cesarean and its associated complications. This aim must be achieved through the adherence to the guidelines which promote interest in monitoring and delivery care in health institutions of our country.


Cesarean section; Obstetric labor complications

[Indexed for MEDLINE]

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