Every third child is born by Caesarean section

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A third of the children in Germany are born by caesarean section

More and more mothers are planning to give birth according to time: in the meantime, every third child is born with a birth. According to the Federal Statistical Office in Wiesbaden, the number of Caesarean section deliveries has almost doubled compared to the 1990s. Doctors warn of the birth on average: It is by no means safe, as many mothers and fathers think.

In a Caesarean section (childbirth), the child is surgically removed from the mother's womb. A few decades ago, the procedure was only carried out for medical reasons. Today, however, more and more women want to give birth, for example, to determine the child's birthday or to experience less birth pain.

More and more parents opt for a caesarean section when their child is born. According to evaluations by the Federal Statistical Office in Wiesbaden, the proportion of births by means of invasive births has increased by more than 100 percent in the past twenty years. In 1991 the proportion of Caesarean sections was 15.3 percent. In 2010 the rate was already 31.9 percentage points. Compared to the same period in 2009, the statisticians were again able to determine an increase rate of 0.9 percent in 2010. This means that almost a third of the children are born by Caesarean section. The 30 percent mark was exceeded in Germany for the first time in 2008. In contrast, a decrease in the rate of obstetrics was found. 5.3 percent of the infants had to be fetched using a suction cup. Doctors only had to use forceps in 0.6 percent of the deliveries.

Saarland with the highest Caesarean section rate
The Federal Office identified differences in the individual federal states. In the Saarland, most children were delivered by Caesarean section. Here the rate was 36.6 percent. The average birth rate in Rhineland-Palatinate and Hesse was 34.8 percent and 34.2 percent, respectively, based on the total births of the individual countries. In Saxony, only every fifth child is born by Caesarean section, here the rate was 22.9 percent and was the lowest in the country comparison. In 2010, around 656,000 women decided to give birth in a clinic. A caesarean section was performed on around 210,000 mothers. According to the World Health Organization (WHO), a Caesarean section rate of 10 to 15 percent is appropriate if there are medical reasons to do so. This shows that one of the main drivers for the increase appears to be birth on schedule. According to this, it is mainly parents who decide to have a birth.

Clinics achieve higher fees with childbirth
Clinics offer the so-called desired caesarean section, although there are numerous risks for mother and child. Possible reason: The hospitals can charge higher fees from health insurance companies and also plan births better. Critics criticize the practice because, on the one hand, the health system is overburdened and, on the other hand, consequential costs can arise from complications. That being said, despite modern medicine, the health risks are still not to be underestimated. An uncomplicated spontaneous delivery costs the health insurance companies an average of 1,500 euros, while the clinics can bill about twice for a caesarean section.

Risk factors for mother and child
The birth surgery is not without risks. Complications with side effects from the anesthetic, infection from the wound, thrombosis, embolism, and bleeding are likely to occur during invasive anesthesia. Some studies also suggest that children born by caesarean section are more likely to suffer from infectious diseases, allergies, or asthma later in life. If a parent is affected by type I diabetes, the likelihood of the metabolic disorder being passed on to the child through the Caesarean section also increases. (Caesarean section increases diabetes type I risk)

Other dangers include injuries during surgery and child development, such as abrasions, cuts and breaks. In addition, the children initially have an unnatural intestinal flora because normally born children receive the intestinal flora through the involuntary absorption of the vaginal fluid. It has been observed many times that infants suffer more from adjustment disorders and an increased need for sleep. Problems with subsequent breastfeeding and binding problems between mother and baby tend to be more common than with normal births.

According to a study by the BQS Institute for Quality and Patient Safety in Düsseldorf, 50 percent of the caesarean sections are planned. Another 50 percent arise in the course of the birth process because the mother wishes it or doctors arrange the step. The most common reason for this is bad heartbeats of the unborn child. (sb)

Read on:
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Every third child is born by Caesarean section
Cesarean birth rate reaches record high
DAK: The number of caesarean sections is growing rapidly
Every third baby is born by Caesarean section
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Image: Martin Büdenbender / pixelio.de

Author and source information

Video: Having a planned caesarean section at St Michaels Hospital

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