U radu je prikazan povijesni osvrt na izvođenje 23 carska reza u Kraljevskom rodilištu i primaljskom učilištu u Zagrebu od 1908. do 1918. godine. Prenatalnim probirom primalje i liječnika u rodilištu, visokorizične trudnice i rodilje rađale su u rodilištima, a ne domicilno. Najčešća indikacija za carski rez bila je sužena zdjelica u 65,2 %, a nakon porođaja febrilno stanje bilo je najčešća komplikacija u babinju. Majčin mortalitet iznosio je 8,69 % nakon zahvata zbog sepse, a ukupni
perinatalni 36,3 % (4 mrtvorođenčadi i 4 neonatalno umrlih).This article presents a historical review of the performance of 23 cesarean sections at the King’s Maternity Hospital and Midwifery School in Zagreb during the 1908-1918 period. Following prenatal screening by midwives and doctors in the hospital, deliveries in high risk pregnant women were performed at maternity hospitals, not at home. The most common indication for cesarean section was narrowed pelvis in 65.2% of women, while postpartum febrile condition was the most common complication in the puerperium. Maternal mortality due to sepsis after the procedure was 8.69% and overall perinatal mortality was 36.3% (stillbirths and early neonatal deaths)