Rationalizing the use of caesarean section in Egypt through implementing 10 group Classification system

In 1985, the World Health Organization (WHO) put the acceptable rate of CS as between 10 and 15 percent of all births. There is “no justification for any region to have cesarean section rates higher than 10–15 percent” (WHO. The panel’s conclusion was drawn from a review of the limited data available at the time, mainly from northern European countries that demonstrated good maternal and perinatal outcomes with this rate of caesarean section.(1)

In April 2015, WHO released a new statement summarizing the results of systematic reviews and analysis of the available data on caesarean births concluded that, at population level, caesarean section rates higher than 10% were not associated with reductions in rates of maternal and newborn mortality (6,11). The statement notes, however, that the association between caesarean section rates and other relevant outcomes such as stillbirths, maternal and perinatal morbidity, pediatric outcomes and psychological or social well-being could not be determined due to the lack of data on these outcomes .WHO emphasizes that caesarean section is effective in saving maternal and infant lives, but only when it is used for medically indicated reasons. Ultimately, every effort should be made to provide caesarean sections to women in need, rather than striving to achieve a specific rate.