Abstract
The National Sentinel Caesarean Section Audit analysed data from 99% of the total births in England and Wales during 2001. There were 32 222 births by Caesarean section out of 150 139 maternities. The Caesarean section rate for England and Wales was 21% compared with a rate of 4% in the early 1960s. The Royal College of Anaesthetists audit book suggests that fewer than 15% of emergency and fewer than 5% of elective Caesarean sections should be performed under general anaesthesia. However, published departmental audits have reported rates of 9–23%, although other journals have quoted rates of 2–10%. Of the Caesarean sections performed due to immediate threat to the life of the mother or fetus, 41% were performed with general anaesthesia.
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