ABSTRACT
A review of 933 cesarean sections performed at Karmouz Health Insurance Organization Hospital in Alexandria in a 5-year period [1986-1990] showed that, CS rate had increased by 12.4%, the rates being 11.3% and 12.7% for 1986 and 1990 respectively. The main indications for CS responsible for this rise were a previous CS, fetal distress, and breech presentation. After the operation, 22% of cases developed complications [19.2% infections, and 2.8% non infectious complications], 4.8% of babies developed morbid conditions, and 2.4% were lost. If the CS rate is to fall, the biggest impact can be made by planning vaginal delivery in carefully screened patients with previous CS, by improving the management of non progressive labor, and by better training of obstetricians about the use and the right interpretation of fetal monitoring