[Retrospective analysis of ocular disorders and frequency of cesarean sections for ocular indications in 2000-2008--our own experience].

UNLABELLED 1. Evaluation of frequency of cesarean sections for ocular indications. 2. Analysis of ophthalmological disorders as indications for cesarean section. MATERIAL AND METHODS 4895 cesarean sections were performed (100 due to ocular indications) in the Department of Obstetrics, Female Pathology and Oncological Gynecology between 2000 and 2008. Medical documentation was analyzed. RESULTS Among 4895 patients undergoing cesarean sections, 100 (2.04%) presented a written certification from an ophthalmologist suggesting this way of delivery. The frequency of c-sections due to ocular indications continued to increase between 2000-2005 and has been in decline since 2006. The most common ophthalmological disorders included myopia (57%), retinopathy (20%), glaucoma (5%), imminent retinal detachment (4%) and past retinal detachment (3%). In 45% of patients an eye pathology was the only reason for a cesarean section. CONCLUSION 1. The frequency of cesarean sections due to ocular reasons in our material was 0.7%- 3.44%, average 2.04%. 2. Since 2006 the number of ocular indications for cesarean section has been decreasing. Nevertheless, it remains to be twice as high as in 2000. 3. The most common eye disorders leading to cesarean section were myopia and retinopathy 4. In almost half of the patients the decision to conduct a cesarean section was based solely on ophthalmological indications.

[1]  D. Henderson-smart,et al.  Caesarean section in four South East Asian countries: reasons for, rates, associated care practices and health outcomes , 2009, BMC pregnancy and childbirth.

[2]  J. Low Operative delivery: yesterday and today. , 2009, Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC.

[3]  M. Mckee,et al.  The decision to perform Caesarean section in Russia. , 2007, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[4]  O. Oladapo,et al.  Maternal morbidity and mortality associated with elective Caesarean delivery at a university hospital in Nigeria , 2007, The Australian & New Zealand journal of obstetrics & gynaecology.

[5]  R. Schild,et al.  [Eye disease and mode of delivery]. , 2007, Zeitschrift für Geburtshilfe und Neonatologie.

[6]  F. Althabe,et al.  Cesarean section rates and maternal and neonatal mortality in low-, medium-, and high-income countries: an ecological study. , 2006, Birth.

[7]  A. Donner,et al.  Caesarean delivery rates and pregnancy outcomes: the 2005 WHO global survey on maternal and perinatal health in Latin America , 2006, The Lancet.

[8]  C. Stanton,et al.  Levels and trends in cesarean birth in the developing world. , 2006, Studies in family planning.

[9]  J. Kamińska,et al.  Analiza wskazań do cięć cesarskich na podstawie danych zawartych w dokumentacji , 2005 .

[10]  D. Landau,et al.  The effect of normal childbirth on eyes with abnormalities predisposing to rhegmatogenous retinal detachment , 1995, Graefe's Archive for Clinical and Experimental Ophthalmology.

[11]  M. Carnegie,et al.  Operative delivery during labour: trends and predictive factors. , 2002, Paediatric and perinatal epidemiology.

[12]  K. Popovski,et al.  [For and against non-obstetrical indications for cesarean section]. , 2001, Akusherstvo i ginekologiia.

[13]  N. Milchev,et al.  [Non-obstetrical indications for cesarean section at the Obstetrics-Gynecology Department of the Higher Medical Institute, Plovdiv]. , 2000, Akusherstvo i ginekologiia.

[14]  T. Todorova,et al.  [Myopia and labor]. , 1999, Akusherstvo i ginekologiia.

[15]  P. Kroll,et al.  [Labor monitoring and indications for abortion and cesarean section in eye diseases--an overview]. , 1997, Klinische Monatsblatter fur Augenheilkunde.

[16]  A. Rogoza,et al.  [Non-obstetric indications for cesarean section from five years of material]. , 1996, Ginekologia Polska.

[17]  A. Neri,et al.  The management of labor in high myopic patients. , 1985, European journal of obstetrics, gynecology, and reproductive biology.