WHO Statement on Caesarean Section Rates

WHO Statement on Caesarean Section Rates

Accepted 13 May 2015. Published Online 22 July 2015. | AP Betran, MR Torloni, JJ Zhang, AM Gülmezoglu
The World Health Organization (WHO) has released a statement on Caesarean Section (CS) rates, addressing the global concern over increasing CS rates. The statement, based on systematic reviews and analyses, concludes that CS rates higher than 10% at the population level are not associated with reduced maternal and newborn mortality. However, the lack of data on other outcomes such as stillbirths, morbidity, and psychological well-being limits the conclusions. The WHO emphasizes the critical role of quality care in CS, noting that it should be performed only when medically necessary. The Robson classification system is proposed as a global standard for monitoring and comparing CS rates within healthcare facilities, due to its simplicity, validity, and ease of implementation. The WHO aims to support countries in using this classification to improve data collection and informed decision-making. The statement calls for a shift from focusing on population-level CS rates to monitoring and discussing CS rates and outcomes within specific groups defined by the Robson classification.The World Health Organization (WHO) has released a statement on Caesarean Section (CS) rates, addressing the global concern over increasing CS rates. The statement, based on systematic reviews and analyses, concludes that CS rates higher than 10% at the population level are not associated with reduced maternal and newborn mortality. However, the lack of data on other outcomes such as stillbirths, morbidity, and psychological well-being limits the conclusions. The WHO emphasizes the critical role of quality care in CS, noting that it should be performed only when medically necessary. The Robson classification system is proposed as a global standard for monitoring and comparing CS rates within healthcare facilities, due to its simplicity, validity, and ease of implementation. The WHO aims to support countries in using this classification to improve data collection and informed decision-making. The statement calls for a shift from focusing on population-level CS rates to monitoring and discussing CS rates and outcomes within specific groups defined by the Robson classification.
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