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Danas čitam iz British Journal of Medicine:

The Scottish Perinatal and Infant Mortality and Morbidity Report from 2010 (SPIMMR, Healthcare Improvement Scotland 2010) demonstrated a fall in the national stillbirth rate to 4.9 per 1000 for the first time for many years. The report clearly identifies the links between smoking, obesity and social deprivation and higher rates of loss. A quick comparison of the induction and caesarean section rates between different Health Boards in Scotland shows that areas with higher rates of induction also generally have higher emergency caesarean section rates: Royal Alexandra Hospital in Paisley has the highest induction of labour rate in the country (33.5%) and the second highest caesarean section rate (31.9%) (www.Birthchoiceuk.org). The Borders General Hospital, with one of the lowest induction rates of 19% has the lowest caesarean section rate of 19.4%. The Borders’ stillbirth rate is on the national mean at 4.9%, while Lothian NHS with a low induction rate of 18.6% has a stillbirth rate below the national mean (SPIMMR 2010).


It is important to remember international statistics that demonstrate that countries with very high levels of medical intervention in the childbirth process also have high levels of perinatal and maternal mortality. Consider the situation in the USA where 22% of labours are induced, caesarean section rates are at 32.8% (Hamilton et al 2011) and the perinatal and maternal mortality rates are far higher than in the UK and many other countries (Amnesty International 2010). In 2004, Lithuania and Estonia had the lowest European rates of induction at 9%, with perinatal mortality rates of 3.9 and 3.2 per 1000 respectively, considerably lower than Scotland’s rate of 4.6 at that time (Euro-peristat project 2008). Northern Ireland, with an induction rate of 30.7%, had a very similar perinatal mortality rate of 3.8 per 1000 (Euro-peristat project 2008). A World Health Organisation study in Brazil, with caesarean section rates of 45.9% in 2004, concluded that ‘the increased medicalisation of pregnancy and childbirth led to changes that are at best wasteful, if not downright iatrogenic’ (p851 Barros et al 2005).