Extraction of the FETUS by means of abdominal HYSTEROTOMY.
A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.
Extraction of the fetus by abdominal hysterotomy anytime following a previous cesarean.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
A malpresentation of the FETUS at near term or during OBSTETRIC LABOR with the fetal cephalic pole in the fundus of the UTERUS. There are three types of breech: the complete breech with flexed hips and knees; the incomplete breech with one or both hips partially or fully extended; the frank breech with flexed hips and extended knees.
Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.
Procedure in which an anesthetic is injected directly into the spinal cord.
A nonreassuring fetal status (NRFS) indicating that the FETUS is compromised (American College of Obstetricians and Gynecologists 1988). It can be identified by sub-optimal values in FETAL HEART RATE; oxygenation of FETAL BLOOD; and other parameters.
Delivery of an infant through the vagina in a female who has had a prior cesarean section.
Allowing a woman to be in LABOR, OBSTETRIC long enough to determine if vaginal birth may be anticipated.
Artificially induced UTERINE CONTRACTION. Generally, LABOR, OBSTETRIC is induced with the intent to cause delivery of the fetus and termination of pregnancy.
Medical problems associated with OBSTETRIC LABOR, such as BREECH PRESENTATION; PREMATURE OBSTETRIC LABOR; HEMORRHAGE; or others. These complications can affect the well-being of the mother, the FETUS, or both.
Procedure in which an anesthetic is injected into the epidural space.
A complete separation or tear in the wall of the UTERUS with or without expulsion of the FETUS. It may be due to injuries, multiple pregnancies, large fetus, previous scarring, or obstruction.
Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; SPONTANEOUS ABORTION; INDUCED ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO.
The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).
A method, developed by Dr. Virginia Apgar, to evaluate a newborn's adjustment to extrauterine life. Five items - heart rate, respiratory effort, muscle tone, reflex irritability, and color - are evaluated 60 seconds after birth and again five minutes later on a scale from 0-2, 0 being the lowest, 2 being normal. The five numbers are added for the Apgar score. A score of 0-3 represents severe distress, 4-7 indicates moderate distress, and a score of 7-10 predicts an absence of difficulty in adjusting to extrauterine life.
An infant during the first month after birth.
The number of offspring a female has borne. It is contrasted with GRAVIDITY, which refers to the number of pregnancies, regardless of outcome.
Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.
The co-occurrence of pregnancy and a cardiovascular disease. The disease may precede or follow FERTILIZATION and it may or may not have a deleterious effect on the pregnant woman or FETUS.
Extraction of the fetus by means of obstetrical instruments.
Drugs that stimulate contraction of the myometrium. They are used to induce LABOR, OBSTETRIC at term, to prevent or control postpartum or postabortion hemorrhage, and to assess fetal status in high risk pregnancies. They may also be used alone or with other drugs to induce abortions (ABORTIFACIENTS). Oxytocics used clinically include the neurohypophyseal hormone OXYTOCIN and certain prostaglandins and ergot alkaloids. (From AMA Drug Evaluations, 1994, p1157)
The elimination of PAIN, without the loss of CONSCIOUSNESS, during OBSTETRIC LABOR; OBSTETRIC DELIVERY; or the POSTPARTUM PERIOD, usually through the administration of ANALGESICS.
Abnormal placentation in which the PLACENTA implants in the lower segment of the UTERUS (the zone of dilation) and may cover part or all of the opening of the CERVIX. It is often associated with serious antepartum bleeding and PREMATURE LABOR.
Physiologic or biochemical monitoring of the fetus. It is usually done during LABOR, OBSTETRIC and may be performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as when the mother is undergoing surgery.
The fibrous tissue that replaces normal tissue during the process of WOUND HEALING.
The position or orientation of the FETUS at near term or during OBSTETRIC LABOR, determined by its relation to the SPINE of the mother and the birth canal. The normal position is a vertical, cephalic presentation with the fetal vertex flexed on the NECK.
Thinly cut sections of frozen tissue specimens prepared with a cryostat or freezing microtome.
A widely used local anesthetic agent.
Surgical instrument designed to extract the newborn by the head from the maternal passages without injury to it or the mother.
Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.
The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.
Excess blood loss from uterine bleeding associated with OBSTETRIC LABOR or CHILDBIRTH. It is defined as blood loss greater than 500 ml or of the amount that adversely affects the maternal physiology, such as BLOOD PRESSURE and HEMATOCRIT. Postpartum hemorrhage is divided into two categories, immediate (within first 24 hours after birth) or delayed (after 24 hours postpartum).
Disorders or diseases associated with PUERPERIUM, the six-to-eight-week period immediately after PARTURITION in humans.
A term used to describe pregnancies that exceed the upper limit of a normal gestational period. In humans, a prolonged pregnancy is defined as one that extends beyond 42 weeks (294 days) after the first day of the last menstrual period (MENSTRUATION), or birth with gestational age of 41 weeks or more.
A condition in which the HEAD of the FETUS is larger than the mother's PELVIS through which the fetal head must pass during a vaginal delivery.
Period from the onset of true OBSTETRIC LABOR to the complete dilatation of the CERVIX UTERI.
The process of giving birth to one or more offspring.
Labor and delivery without medical intervention, usually involving RELAXATION THERAPY.
The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from ANESTHESIA, EPIDURAL which refers to the state of insensitivity to sensation.
An infection occurring in PUERPERIUM, the period of 6-8 weeks after giving birth.
The age of the mother in PREGNANCY.
The beginning of true OBSTETRIC LABOR which is characterized by the cyclic uterine contractions of increasing frequency, duration, and strength causing CERVICAL DILATATION to begin (LABOR STAGE, FIRST ).
The condition of carrying TWINS simultaneously.
Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.
Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.
Inflammation of the ENDOMETRIUM, usually caused by intrauterine infections. Endometritis is the most common cause of postpartum fever.
A phenethylamine found in EPHEDRA SINICA. PSEUDOEPHEDRINE is an isomer. It is an alpha- and beta-adrenergic agonist that may also enhance release of norepinephrine. It has been used for asthma, heart failure, rhinitis, and urinary incontinence, and for its central nervous system stimulatory effects in the treatment of narcolepsy and depression. It has become less extensively used with the advent of more selective agonists.
Procedures to block or remove all or part of the genital tract for the purpose of rendering individuals sterile, incapable of reproduction. Surgical sterilization procedures are the most commonly used. There are also sterilization procedures involving chemical or physical means.
Death of the developing young in utero. BIRTH of a dead FETUS is STILLBIRTH.
A medical-surgical specialty concerned with management and care of women during pregnancy, parturition, and the puerperium.
Written or other literary works whose subject matter is medical or about the profession of medicine and related areas.
Removal of the fetus from the uterus or vagina at or near the end of pregnancy with a metal traction cup that is attached to the fetus' head. Negative pressure is applied and traction is made on a chain passed through the suction tube. (From Stedman, 26th ed & Dorland, 28th ed)
The visualization of tissues during pregnancy through recording of the echoes of ultrasonic waves directed into the body. The procedure may be applied with reference to the mother or the fetus and with reference to organs or the detection of maternal or fetal disease.
Abnormal placentation in which all or parts of the PLACENTA are attached directly to the MYOMETRIUM due to a complete or partial absence of DECIDUA. It is associated with POSTPARTUM HEMORRHAGE because of the failure of placental separation.
The period of OBSTETRIC LABOR that is from the complete dilatation of the CERVIX UTERI to the expulsion of the FETUS.
Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.
Maternal deaths resulting from complications of pregnancy and childbirth in a given population.
The mass or quantity of heaviness of an individual at BIRTH. It is expressed by units of pounds or kilograms.
A nonapeptide hormone released from the neurohypophysis (PITUITARY GLAND, POSTERIOR). It differs from VASOPRESSIN by two amino acids at residues 3 and 8. Oxytocin acts on SMOOTH MUSCLE CELLS, such as causing UTERINE CONTRACTIONS and MILK EJECTION.
Organized services to provide health care to expectant and nursing mothers.
A historical and cultural entity dispersed across a wide geographical area under the administrative, intellectual, social, and cultural domination of the Arab empire. The Arab world, under the impetus of Islam, by the eighth century A.D., extended from Arabia in the Middle East to all of northern Africa, southern Spain, Sardinia, and Sicily. Close contact was maintained with Greek and Jewish culture. While the principal service of the Arabs to medicine was the preservation of Greek culture, the Arabs themselves were the originators of algebra, chemistry, geology, and many of the refinements of civilization. (From A. Castiglioni, A History of Medicine, 2d ed, p260; from F. H. Garrison, An Introduction to the History of Medicine, 4th ed, p126)
Bleeding from blood vessels in the UTERUS, sometimes manifested as vaginal bleeding.
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
Abnormally low BLOOD PRESSURE that can result in inadequate blood flow to the brain and other vital organs. Common symptom is DIZZINESS but greater negative impacts on the body occur when there is prolonged depravation of oxygen and nutrients.
Pathological processes involving any part of the UTERUS.
Special hospitals which provide care to women during pregnancy and parturition.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
Free-standing facilities that provide prenatal, childbirth, and postnatal care and usually incorporate family-centered maternity care concepts and practices.
The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.
The last third of a human PREGNANCY, from the beginning of the 29th through the 42nd completed week (197 to 294 days) of gestation.
Hospitals controlled by various types of government, i.e., city, county, district, state or federal.
Onset of HYPERREFLEXIA; SEIZURES; or COMA in a previously diagnosed pre-eclamptic patient (PRE-ECLAMPSIA).
Insurance against loss resulting from liability for injury or damage to the persons or property of others.
Pregnancy in which the mother and/or FETUS are at greater than normal risk of MORBIDITY or MORTALITY. Causes include inadequate PRENATAL CARE, previous obstetrical history (ABORTION, SPONTANEOUS), pre-existing maternal disease, pregnancy-induced disease (GESTATIONAL HYPERTENSION), and MULTIPLE PREGNANCY, as well as advanced maternal age above 35.
A complication of PREGNANCY, characterized by a complex of symptoms including maternal HYPERTENSION and PROTEINURIA with or without pathological EDEMA. Symptoms may range between mild and severe. Pre-eclampsia usually occurs after the 20th week of gestation, but may develop before this time in the presence of trophoblastic disease.
Postnatal deaths from BIRTH to 365 days after birth in a given population. Postneonatal mortality represents deaths between 28 days and 365 days after birth (as defined by National Center for Health Statistics). Neonatal mortality represents deaths from birth to 27 days after birth.
The co-occurrence of pregnancy and NEOPLASMS. The neoplastic disease may precede or follow FERTILIZATION.
Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.
The artificial alteration of the fetal position to facilitate birth.
Pain during the period after surgery.
A homolog of ERGONOVINE containing one more CH2 group. (Merck Index, 11th ed)
CHILDBIRTH at the end of a normal duration of PREGNANCY, between 37 to 40 weeks of gestation or about 280 days from the first day of the mother's last menstrual period.
Monitoring of FETAL HEART frequency before birth in order to assess impending prematurity in relation to the pattern or intensity of antepartum UTERINE CONTRACTION.
In females, the period that is shortly after giving birth (PARTURITION).
The smooth muscle coat of the uterus, which forms the main mass of the organ.
Failure of the UTERUS to contract with normal strength, duration, and intervals during childbirth (LABOR, OBSTETRIC). It is also called uterine atony.
A plant species of the family CUCURBITACEAE that is a source of TRICHOSANTHIN (a ribosomal inhibitory protein).
Measurement of the dimensions and capacity of the pelvis. It includes cephalopelvimetry (measurement of fetal head size in relation to maternal pelvic capacity), a prognostic guide to the management of LABOR, OBSTETRIC associated with disproportion.
Emesis and queasiness occurring after anesthesia.
Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.
An opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent.
Excision of the uterus.
Diagnostic, therapeutic, and investigative procedures prescribed and performed by health professionals, the results of which do not justify the benefits or hazards and costs to the patient.
Care provided the pregnant woman in order to prevent complications, and decrease the incidence of maternal and prenatal mortality.
The unborn young of a viviparous mammal, in the postembryonic period, after the major structures have been outlined. In humans, the unborn young from the end of the eighth week after CONCEPTION until BIRTH, as distinguished from the earlier EMBRYO, MAMMALIAN.
Premature separation of the normally implanted PLACENTA from the UTERUS. Signs of varying degree of severity include UTERINE BLEEDING, uterine MUSCLE HYPERTONIA, and FETAL DISTRESS or FETAL DEATH.
Blocking of maternal circulation by AMNIOTIC FLUID that is forced into uterine VEINS by strong UTERINE CONTRACTION near the end of pregnancy. It is characterized by the sudden onset of severe respiratory distress and HYPOTENSION that can lead to maternal DEATH.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
The practice of assisting women in childbirth.
A highly vascularized mammalian fetal-maternal organ and major site of transport of oxygen, nutrients, and fetal waste products. It includes a fetal portion (CHORIONIC VILLI) derived from TROPHOBLASTS and a maternal portion (DECIDUA) derived from the uterine ENDOMETRIUM. The placenta produces an array of steroid, protein and peptide hormones (PLACENTAL HORMONES).
Pathophysiological conditions of the FETUS in the UTERUS. Some fetal diseases may be treated with FETAL THERAPIES.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Mechanical or anoxic trauma incurred by the infant during labor or delivery.
The thin layers of tissue that surround the developing embryo. There are four extra-embryonic membranes commonly found in VERTEBRATES, such as REPTILES; BIRDS; and MAMMALS. They are the YOLK SAC, the ALLANTOIS, the AMNION, and the CHORION. These membranes provide protection and means to transport nutrients and wastes.
The condition of carrying two or more FETUSES simultaneously.
Deaths occurring from the 28th week of GESTATION to the 28th day after birth in a given population.
Human females who are pregnant, as cultural, psychological, or sociological entities.
Blood of the fetus. Exchange of nutrients and waste between the fetal and maternal blood occurs via the PLACENTA. The cord blood is blood contained in the umbilical vessels (UMBILICAL CORD) at the time of delivery.
An intense itching sensation that produces the urge to rub or scratch the skin to obtain relief.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.
An incision in the uterus, performed through either the abdomen or the vagina.
Onset of OBSTETRIC LABOR before term (TERM BIRTH) but usually after the FETUS has become viable. In humans, it occurs sometime during the 29th through 38th week of PREGNANCY. TOCOLYSIS inhibits premature labor and can prevent the BIRTH of premature infants (INFANT, PREMATURE).
Contraction of the UTERINE MUSCLE.
The care of women and a fetus or newborn given before, during, and after delivery from the 28th week of gestation through the 7th day after delivery.
The hollow thick-walled muscular organ in the female PELVIS. It consists of the fundus (the body) which is the site of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus, are the FALLOPIAN TUBES.
A republic in eastern Africa bounded on the north by RWANDA and on the south by TANZANIA. Its capital is Bujumbura.
The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.
Preliminary administration of a drug preceding a diagnostic, therapeutic, or surgical procedure. The commonest types of premedication are antibiotics (ANTIBIOTIC PROPHYLAXIS) and anti-anxiety agents. It does not include PREANESTHETIC MEDICATION.
The state of PREGNANCY in women with DIABETES MELLITUS. This does not include either symptomatic diabetes or GLUCOSE INTOLERANCE induced by pregnancy (DIABETES, GESTATIONAL) which resolves at the end of pregnancy.
A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Exchange of substances between the maternal blood and the fetal blood at the PLACENTA via PLACENTAL CIRCULATION. The placental barrier excludes microbial or viral transmission.
A clear, yellowish liquid that envelopes the FETUS inside the sac of AMNION. In the first trimester, it is likely a transudate of maternal or fetal plasma. In the second trimester, amniotic fluid derives primarily from fetal lung and kidney. Cells or substances in this fluid can be removed for prenatal diagnostic tests (AMNIOCENTESIS).
Organized efforts by communities or organizations to improve the health and well-being of the mother.
A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
The event that a FETUS is born alive with heartbeats or RESPIRATION regardless of GESTATIONAL AGE. Such liveborn is called a newborn infant (INFANT, NEWBORN).
The flexible rope-like structure that connects a developing FETUS to the PLACENTA in mammals. The cord contains blood vessels which carry oxygen and nutrients from the mother to the fetus and waste products away from the fetus.
The care provided to women and their NEWBORNS for the first few months following CHILDBIRTH.
A potentially life-threatening condition in which EMBRYO IMPLANTATION occurs outside the cavity of the UTERUS. Most ectopic pregnancies (>96%) occur in the FALLOPIAN TUBES, known as TUBAL PREGNANCY. They can be in other locations, such as UTERINE CERVIX; OVARY; and abdominal cavity (PREGNANCY, ABDOMINAL).
The technique of using a microtome to cut thin or ultrathin sections of tissues embedded in a supporting substance. The microtome is an instrument that hold a steel, glass or diamond knife in clamps at an angle to the blocks of prepared tissues, which it cuts in sections of equal thickness.
Diseases of newborn infants present at birth (congenital) or developing within the first month of birth. It does not include hereditary diseases not manifesting at birth or within the first 30 days of life nor does it include inborn errors of metabolism. Both HEREDITARY DISEASES and METABOLISM, INBORN ERRORS are available as general concepts.
A condition in pregnant women with elevated systolic (>140 mm Hg) and diastolic (>90 mm Hg) blood pressure on at least two occasions 6 h apart. HYPERTENSION complicates 8-10% of all pregnancies, generally after 20 weeks of gestation. Gestational hypertension can be divided into several broad categories according to the complexity and associated symptoms, such as EDEMA; PROTEINURIA; SEIZURES; abnormalities in BLOOD COAGULATION and liver functions.
Introduction of therapeutic agents into the spinal region using a needle and syringe.
The innermost membranous sac that surrounds and protects the developing embryo which is bathed in the AMNIOTIC FLUID. Amnion cells are secretory EPITHELIAL CELLS and contribute to the amniotic fluid.
Organic compounds containing the -CO-NH2 radical. Amides are derived from acids by replacement of -OH by -NH2 or from ammonia by the replacement of H by an acyl group. (From Grant & Hackh's Chemical Dictionary, 5th ed)
The bond or lack thereof between a pregnant woman and her FETUS.
Infection occurring at the site of a surgical incision.
A narcotic analgesic that can be used for the relief of most types of moderate to severe pain, including postoperative pain and the pain of labor. Prolonged use may lead to dependence of the morphine type; withdrawal symptoms appear more rapidly than with morphine and are of shorter duration.
Elements of limited time intervals, contributing to particular results or situations.
The event that a FETUS is born dead or stillborn.
A change in the CERVIX UTERI with respect to its readiness to relax. The cervix normally becomes softer, more flexible, more distensible, and shorter in the final weeks of PREGNANCY. These cervical changes can also be chemically induced (LABOR, INDUCED).
Specialized arterial vessels in the umbilical cord. They carry waste and deoxygenated blood from the FETUS to the mother via the PLACENTA. In humans, there are usually two umbilical arteries but sometimes one.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.

Obstetric and neonatal outcome following chronic hypertension in pregnancy among different ethnic groups. (1/2040)

We retrospectively studied pre-eclampsia rate and obstetric outcome in a cohort of 436 pregnancies amongst 318 women of different ethnic backgrounds attending an antenatal hypertension clinic from 1980-1997, identifying 152 women (213 pregnancies) with chronic essential hypertension. The ethnic breakdown was: White, 64 (30.0%) pregnancies in 48 (31.5%) women; Black/Afro-Caribbean, 79 (37.1%) pregnancies in 56 (36.8%) women; and Indo-Asians, 70 (32.3%) pregnancies in 48 (31.6%) women. The prevalences of pre-eclampsia in White, Black and Indo-Asian women were 17.2%, 12.7% and 18.6%, respectively (p = 0.58). Pregnancies of Indo-Asian women were of shorter gestation, and babies in this group also had lower birth weight and ponderal index compared to those of White and Black women (all p < 0.05). The proportions of overall perinatal mortality were 1.6% for Whites (1/64), 3.8% for Blacks (3/79) and 10.0% for Indo-Asians (7/70), suggesting increased risk in the Indo-Asian group. Indo-Asian women with chronic essential hypertension need careful antenatal care and observation during pregnancy.  (+info)

Outcome of pregnancy in women with congenital shunt lesions. (2/2040)

OBJECTIVE: To evaluate the outcome of pregnancy in women with congenital shunt lesions. SETTING: Retrospective study in a tertiary care centre. METHODS: Pregnancy history was obtained by a standardised questionnaire and medical records were reviewed. PATIENTS: 175 women were identified, at a mean (SD) age of 42 (14) years. Pregnancies occurred in 126 women: 50 with an atrial septal defect, 22 with a ventricular septal defect, 22 with an atrioventricular septal defect, 19 with tetralogy of Fallot, and 13 with other complex shunt lesions. RESULTS: 309 pregnancies were reported by 126 woman (2.5 (1.6) pregnancies per woman). The shortening fraction of the systemic ventricle was 40 (8)%, and 98% were in New York Heart Association class I-II at last follow up. Spontaneous abortions occurred in 17% of pregnancies (abortion rate, 0.4 (0.9) per woman). Gestational age of the 241 newborn infants was 8.8 (0.8) months. There were no maternal deaths related to pregnancy. Pre-eclampsia and embolic events were observed in 1.3% and 0.6%, respectively of all pregnancies. Women with complex shunt lesions more often underwent caesarean section (70% v 15-30%, p = 0.005) and gave birth to smaller babies for equivalent gestation (2577 (671) g v 3016 (572) to 3207 (610) g, p < 0.05). The recurrence risk of congenital heart disease was 2.5%. CONCLUSIONS: The outcome of pregnancy is favourable in women with congenital shunt lesions if their functional class and their systolic ventricular function are good. Such patients can be reassured.  (+info)

Desensitization of oxytocin receptors in human myometrium. (3/2040)

In the present study, we investigated the possible mechanisms by which oxytocin might regulate oxytocin receptor (OTR) density. Exposure of cultured myometrial cells to oxytocin for a prolonged period caused desensitization: the steady-state level of oxytocin binding was 210 x 10(3) binding sites/cell, but this was time-dependently reduced to 20.1 x 10(3) sites/cell by exposing the cells to oxytocin for up to 20 h. In contrast, Western blotting data showed that the total amount of OTR protein was not affected by oxytocin treatment for up to 24 h. Flow cytometry experiments demonstrated that OTRs were not internalized during this treatment. However, RNase protection assays and Northern analysis showed that in cultured myometrial cells OTR mRNA was reduced by oxytocin treatment to reach a new low steady-state concentration. Analysis of this mRNA in myometrial biopsies from 17 patients undergoing emergency Caesarean section showed how it decreased with advancing labour. Samples obtained after 12 h of labour contained approximately 50 times less OTR mRNA than samples obtained from patients in labour for less than 12 h. We speculate that this decrease in OTR mRNA represents in-vivo OTR desensitization.  (+info)

Primary aldosteronism with aldosterone-producing adrenal adenoma in a pregnant woman. (4/2040)

A 30-year-old pregnant woman complained of muscle weakness at 29 weeks' gestation. She was hypertensive with severe hypokalemia. Lower plasma renin activity and higher aldosterone level than the normal values in pregnancy suggested primary aldosteronism. A cesarean delivery was performed at 31 weeks' gestation because of pulmonary congestion. The neonatal course was uncomplicated. The laparoscopic adrenalectomy for a 2.0-cm right adrenal adenoma resulted in normalizing of her blood pressure and serum potassium level. Although primary aldosteronism is rare, especially during pregnancy, it should be always considered as one of etiologies of hypertension in pregnancy.  (+info)

Fetal growth rate and adverse perinatal events. (5/2040)

OBJECTIVE: To study fetal weight gain and its association with adverse perinatal events in a serially scanned high-risk population. SUBJECTS AND METHODS: A total of 200 pregnant women considered at increased risk of uteroplacental insufficiency had a total of 1140 scans in the third trimester, with a median of six scans in each pregnancy. The average fetal growth rate was retrospectively calculated for the last 6 weeks to birth, and expressed as daily weight gain in grams per day. Adverse pregnancy outcome was defined as operative delivery for fetal distress, acidotic umbilical artery pH (< 7.15), or admission to the neonatal intensive care unit (NICU). RESULTS: Fetuses with normal outcome in this high-risk pregnancy population had an average antenatal growth rate of 24.2 g/day. Compared to pregnancies with normal outcome, the growth rate was slower in those that required operative delivery for fetal distress (20.9 g/day, p < 0.05) and those that required admission to the NICU (20.3 g/day, p < 0.05). The growth rate in pregnancies resulting in acidotic umbilical artery pH also seemed lower, but this did not reach statistical significance. CONCLUSIONS: Impaired fetal weight gain prior to birth is associated with adverse perinatal events suggestive of growth failure.  (+info)

First-trimester cord entanglement in monoamniotic twins. (6/2040)

OBJECTIVE: Monoamniotic twinning occurs in only 1% of twin pregnancies, but carries a high perinatal mortality rate. Early and reliable diagnosis is essential if attempts are to be made to reduce the complication rate. We report color Doppler demonstration of cord entanglement in the first trimester, which is diagnostic of monoamnionicity. METHODS: Two patients with twin pregnancies were examined in the first trimester with pulsed and color Doppler insonation of their umbilical arteries. RESULTS: Cord entanglement was suspected and proved by demonstrating differing fetal heart rate patterns in the same direction on umbilical artery Doppler analysis of a common mass of cord vessels. Following appropriate counselling, medical amnioreduction was induced at 20 weeks of gestation to reduce fetal movements and worsening cord entanglement. Delivery was by elective Cesarean section at 32 weeks' gestation and monoamnionicity was confirmed. CONCLUSION: We report a new sign for the demonstration of monoamnionicity in twin pregnancies in the first trimester. This should improve the reliability of early diagnosis, but further studies are required to confirm that, if cord entanglement occurs, it is usually present by the end of the first trimester.  (+info)

The mode of delivery and the risk of vertical transmission of human immunodeficiency virus type 1--a meta-analysis of 15 prospective cohort studies. The International Perinatal HIV Group. (7/2040)

BACKGROUND: To evaluate the relation between elective cesarean section and vertical transmission of human immunodeficiency virus type 1 (HIV-1), we performed a meta-analysis using data on individual patients from 15 prospective cohort studies. METHODS: North American and European studies of at least 100 mother-child pairs were included in the meta-analysis. Uniform definitions of modes of delivery were used. Elective cesarean sections were defined as those performed before onset of labor and rupture of membranes. Multivariate logistic-regression analysis was used to adjust for other factors known to be associated with vertical transmission. RESULTS: The primary analysis included data on 8533 mother-child pairs. After adjustment for receipt of antiretroviral therapy, maternal stage of disease, and infant birth weight, the likelihood of vertical transmission of HIV-1 was decreased by approximately 50 percent with elective cesarean section, as compared with other modes of delivery (adjusted odds ratio, 0.43; 95 percent confidence interval, 0.33 to 0.56). The results were similar when the study population was limited to those with rupture of membranes shortly before delivery. The likelihood of transmission was reduced by approximately 87 percent with both elective cesarean section and receipt of antiretroviral therapy during the prenatal, intrapartum, and neonatal periods, as compared with other modes of delivery and the absence of therapy (adjusted odds ratio, 0.13; 95 percent confidence interval, 0.09 to 0.19). Among mother-child pairs receiving antiretroviral therapy during the prenatal, intrapartum, and neonatal periods, rates of vertical transmission were 2.0 percent among the 196 mothers who underwent elective cesarean section and 7.3 percent among the 1255 mothers with other modes of delivery. CONCLUSIONS: The results of this meta-analysis suggest that elective cesarean section reduces the risk of transmission of HIV-1 from mother to child independently of the effects of treatment with zidovudine.  (+info)

Maternal intrapartum temperature elevation as a risk factor for cesarean delivery and assisted vaginal delivery. (8/2040)

OBJECTIVES: This study investigated the association of intrapartum temperature elevation with cesarean delivery and assisted vaginal delivery. METHODS: Participants were 1233 nulliparous women with singleton, term pregnancies in vertex presentations who had spontaneous labors and were afebrile (temperature: 99.5 degrees F [37.5 degrees C]) at admission for delivery. Rates of cesarean and assisted vaginal deliveries according to highest intrapartum temperature were examined by epidural status. RESULTS: Women with maximum intrapartum temperatures higher than 99.5 degrees F were 3 times as likely to experience cesarean (25.2% vs 7.2%) or assisted vaginal delivery (25.2% vs 8.5%). The association was present in epidural users and nonusers and persisted after birthweight, epidural use, and labor length had been controlled. In adjusted analyses, temperature elevation was associated with a doubling in the risk of cesarean delivery (odds ratio [OR] = 2.3, 95% confidence interval [CI] = 1.5, 3.4) and assisted vaginal delivery (OR = 2.1, 95% CI = 1.4, 3.1). CONCLUSIONS: Modest temperature elevation developing during labor was associated with higher rates of cesarean and assisted vaginal deliveries. More frequent temperature elevation among women with epidural analgesia may explain in part the higher rates of cesarean and assisted vaginal deliveries observed with epidural use.  (+info)

Introduction: Caesarean section rates are increasing worldwide. There are many reasons for this increasing caesarean section rate one of them is increasing requests by women for caesarean section in the absence of medical indications. Most women think that elective caesarean section is safe both for women and babies. Some clinician also considered caesarean section safe. An increasing rate of caesarean section is alarming in developed as well as underdeveloped countries.. Objective: To investigate the frequency of caesarean section on maternal request and factors leading to it in a private teaching hospital.. Materials and Methods: This was a cross-sectional descriptive study carried out at Shalamar hospital from 1st May 2018 to 30th April 2019. Women of all ages who were pregnant and were going to have caesarean delivery during the study period at Shalamar hospital.. Results: There were 3438 total births during the study period. There were 2380(69%) caesarean section and 1058(31%) were normal ...
Background Caesarean section (CS) is not an option that women in Sweden can chose themselves, although the rise in CS rate has been attributed to women. This study describes obstetricians and midwives attitudes towards CS on maternal request. Methods A qualitative descriptive study, with content analysis of 5 focus group discussions where 16 midwives and 9 obstetricians participated. Results The overarching theme was identified as Caesarean section on maternal request-a balance between resistance and respect. On the one hand, CS was viewed as a risky project; on the other hand, request for a CS was understood and respected when women had had a previous traumatic birth experience. Still, a CS was not really seen as a solution for childbirth related fear. Five categories were related to the theme. Overall, our findings indicate that caregivers blamed the women for the increase, they considered the management of CS on maternal request difficult, and they suggested preventive methods to reduce ...
U.S., May 11 -- ClinicalTrials.gov registry received information related to the study (NCT03140683) titled Predictors of Scar Dehiscence in Patients With Previous Caesarean Section on May 3. Brief Summary: In recent decades, the percentage of Cesarean section deliveries has dramatically increased in most countries. Concomitantly, the rates of vaginal birth after Cesarean have decreased steadily. The pregnant women with previous Cesarean section face a difficult choice for their next delivery between a trial of labor after Cesarean or repeat caesarean section delivery. The performance of multiple Cesarean section exposes women to greater risks of complications; furthermore, the risk of complications increases with each subsequent Cesarean section. In fact, women with previous Cesarean section are more likely to experience short and long-term maternal complications in future pregnancies, or a trial of labor after Cesarean, with the risk of [uterine dehiscence, uterine rupture, genitourinary ...
Maternal perceptions about caesarean section contribute to delayed presentation of women for emergency obstetric care. This increases the risks of perinatal and neonatal mortality and slows down the reductions needed to achieve the sustainable development goal (SDG) target of reducing neonatal mortality and ending new-born deaths. The aim of the study is to determine maternal perceptions about caesarean section deliveries and their role in reducing neonatal mortality at a regional and a district hospital in the Upper West Region of Ghana. This descriptive study was carried out at two hospitals in the Upper West Region, the most rural region in Ghana, between 15th January and 29th June, 2018. Maternal perceptions were examined among antenatal care attendants at the Upper West Regional Hospital (UWRH) and St Josephs Hospital Jirapa (SJH), a district hospital, using questionnaires administered by trained nurses. Altogether, 416 completed questionnaires were obtained, comprising 206 from expectant women
April 21, 2010. Cesarean Sections Are Overused in New York, Giving the State One of Highest C-Section Rates in the Country. Public Citizen Releases a Guide to Avoiding Unnecessary Cesareans in New York; New Online Report Provides Statistics by County and Hospital. WASHINGTON, D.C. - Nearly a third of cesarean sections in New York state may be performed unnecessarily, and rates of the procedure there are among the highest of states in the country, according to a Public Citizen report released today.. Within New York state, rates of C-sections performed vary widely. Public Citizens report and an accompanying Web site break down the data by county and hospital, so patients can see how high C-section rates are for their local hospital in comparison to other local hospitals.. There is a growing epidemic of C-sections in the United States, where the 2007 national rate of 31.8 percent was the highest it has ever been, said Dr. Sidney Wolfe, director of Public Citizens Health Research Group. We ...
Increasing rate of caesarean section in all over the world made us perform study on trial of labour in patient with one previous caesarean section in Alzahra Hospital , the center of gynecology obstetric in Najaf , We take number of patients in labour room start labour spontaneously with previous one of caesarean section, lower segment transvers, including case was selected for elective caesarean section but suddenly start labour number of them delivers by emergency caesarean section we compare this percentage with other study the result was acceptable we encourage trial of labour after one caesarean section as a safe mode of delivery that decrease rate of caesarean section and its complications we recommend farther in this evaluate field.
A retrospective study comparing maternal and neonatal outcome of singleton fetuses delivered at 37-38 weeks of completed gestation with those delivered at 39 completed weeks of gestation or longer by elective caesarean section at the University of Nigeria Teaching Hospital, Enugu between January 1, 2004 and December 31, 2008. There were 164(21.3%) elective caesarean deliveries during the study period. 117 (71.3%) were performed between 37-38 weeks of completed gestation and 47(28.7%) at 39 completed weeks of gestation. Elective caesarean births at 37-38 weeks were associated with significantly higher rates of admission to the neonatal care unit, neonatal jaundice, and a higher proportion of newborns with Apgar score
Mrs Elizabeth Martin1, Dr Michael Beckmann2, Professor Nicholas Graves1. 1Queensland University Of Technology, Kelvin Grove, Australia,. 2Mater Health Services, South Brisbane, Australia. Introduction. Surgical site infections following caesarean section are a preventable problem for women and health services. Unique best-practice infection prevention opportunities exist for the peri-operative and surgical process of caesarean section. Some variation in caesarean section peri-operative and surgical practice is justifiable and desirable when individual patients health needs or health preferences are being met. However, clinical practice that varies from the best-practice is unwarranted as it may increase surgical site infection risk. The aim of this study was to identify the extent of unwarranted variation in infection prevention at caesarean section amongst Australian Obstetricians.. Methods. Australian Obstetricians were asked in an electronic survey, whether they usually implement 34 ...
TY - JOUR. T1 - The prognosis for spontaneous labor in women with uncomplicated term pregnancies. T2 - Implications for cesarean delivery on maternal request. AU - Worley, Kevin C.. AU - McIntire, Donald D.. AU - Leveno, Kenneth J.. PY - 2009/4/1. Y1 - 2009/4/1. N2 - OBJECTIVE:: To assess the prognosis for vaginal delivery in women with entirely normal pregnancies who began spontaneous labor at term. METHODS:: Between January 1, 1988, and October 31, 2006, a total of 278,164 women delivered newborns at our hospital. A subset of women with uncomplicated pregnancies and spontaneous labor between 37 and 41 weeks of gestation then were identified for analysis of maternal and neonatal outcomes. The outcomes we studied included admission-to-delivery intervals, use of epidural analgesia, maternal perineal trauma, route of delivery, and several potential indices of neonatal condition at birth. RESULTS:: There were 103,526 (37%) women who delivered at our hospital during the study period who had normal ...
Caesarean section on maternal request (CSMR) is carried out in the absence of maternal or fetal indications. One of the main psychological causes is tokophobia, an intense fear of childbirth affecting between six to ten percent of women.. In addition, women who have had previous vaginal delivery may request caesarean section because of adverse experiences during labour known as secondary tokophobia.. The authors of the review state that rather than counselling women requesting caesarean section about the risks, a better approach would be to explore the reasons for the request.. For women with tokophobia, frequent, regular psychotherapy by trained personnel to address why they are requesting a caesarean section is recommended by the review.. Authors state health workers need to have detailed discussions with women requesting a caesarean section about the unpredictability of events surrounding labour, the lack of control and the need for a flexible birth plan. Local maternity unit statistics for ...
According to this study, the socio-demographic factors are related to the incidence of caesarean sections in Mozambique. The connection was found by carrying out cross tabulations, Pearson`s χ2- tests and logistic regression analyses. In 1994-1997 age group and parity were associated with incidence of caesarean sections when adjusted with all confounders. The older the mother was, the higher was the risk of a caesarean section. Women having their first child had caesarean section more often than women having at least their second or third child. People living in urban areas more likely receive a caesarean section than those in rural areas. In 1998-2003, in addition to age, parity and area of residence, the study found the wealth index to be the strongly associated socio-demographic factor for caesarean section. Caesarean sections were more common among women who-or whose partners-were highly educated. Socio-demographical factors, especially parity, have stronger association in incidence of ...
The study assessed the value of currently-available data on the rates of caesarean section as an indicator of safe-motherhood programmes. Data, collected through the routine health information system of the Ministry of Health, Kenya, were used for analyzing the available process indicators. The methodology of this study illustrates both usefulness and limitations of readily-available healthcare information. The rate of hospital-based caesarean section was 6.3% of all births (range 0.3-37%), whereas the rate of population-based caesarean section was 0.95% (range 0.1%-4%). The rate of population-based caesarean section indicates a significant unmet need for obstetric care in the rural areas and may be a useful tool for monitoring progress on safe-motherhood initiatives in poor settings. Rates of population-based caesarean section are low in Kenya, especially in the rural areas. The rate of caesarean section may be a valuable process indicator for identifying the gaps in obstetric care and may be ...
The increasing cesarean section rate was due to rising of elective cesarean section or patients request. Cesarean section without obstetric indication should be reconsidered to lower the cesarean section rate.
Results: A total of 525 pregnant women with one previous lower segment caesarean section scar had a trial of vaginal birth. Among the 525 women, 390 did not have a prior history of successful VBAC and the remaining 135 women had at least one successful VBAC. Among 390 pregnant women, 208 (53.3%) had successful vaginal deliveries and 182 (46.7%) women underwent emergency lower segment caesarean section as failed VBAC. Among the 182 women, there were two cases of scar dehiscence and both had emergency LSCS performed for abnormal foetal heart tracing. Both had good foetal outcome ...
Preliminary data for 2003 indicated that 27.6% of all births in the United States resulted from cesarean deliveries, an increase of 6% from 2002 and the highest percentage ever reported in the United States. After declines during 1989--1996, the total cesarean rate and the primary cesarean rate (i.e., percentage of cesareans among women with no previous cesarean delivery; 19.1% in 2003) have increased each year. In addition, the rate of VBAC, which had increased during 1989--1996, decreased by 63% to 10.6% in 2003. Among women with previous cesarean deliveries, the likelihood that subsequent deliveries would be cesarean was approximately 90% in 2003. SOURCE: National Vital Statistics System, annual files, 1989--2003. Available at http://www.cdc.gov/nchs/births.htm ...
The rate of births by caesarian section is used as a health service coverage indicator. It reflects the accessibility of basic health interventions to a given population. It is computed by dividing the number of caesarian section deliveries by the total number of live births.. The most common indications for caesarian section include fetal distress, malpresentation, failure to progress in labor, and previous caesarian section. Worldwide, the average number of CS deliveries is at 16%. In low income countries, the average is at 6%, while those in upper middle and high income countries are at 30%. The African Region has the lowest rates at 4%, while the WHO Region of the Americas has the highest rates at 36%. Countries like Ethiopia, Chad, Madagascar and Mali have CS rates of 2%. The United States, Australia and Germany have CS rates of 32%.. Both underuse and overuse of CS delivery can be dangerous, but the ideal rate for CS deliveries has not been set. The World Health Organization has advised ...
The rate of births by caesarian section is used as a health service coverage indicator. It reflects the accessibility of basic health interventions to a given population. It is computed by dividing the number of caesarian section deliveries by the total number of live births.. The most common indications for caesarian section include fetal distress, malpresentation, failure to progress in labor, and previous caesarian section. Worldwide, the average number of CS deliveries is at 16%. In low income countries, the average is at 6%, while those in upper middle and high income countries are at 30%. The African Region has the lowest rates at 4%, while the WHO Region of the Americas has the highest rates at 36%. Countries like Ethiopia, Chad, Madagascar and Mali have CS rates of 2%. The United States, Australia and Germany have CS rates of 32%.. Both underuse and overuse of CS delivery can be dangerous, but the ideal rate for CS deliveries has not been set. The World Health Organization has advised ...
All of the six studies examined were comparative cohort studies. As they were not randomised trials, there is the potential for bias. When methodological quality was assessed on the Newcastle-Ottawa Scale there was a medium risk of selection bias and a medium to high risk of bias in comparability and outcome assessment for most studies. For example, in one study,1 elective caesarean sections were exclusively carried out by doctors, whereas emergencies were carried out by both doctors and clinical officers. As elective caesarean section is associated with better outcomes than emergency caesarean section,13 this arrangement would have conferred an advantage to doctors. Furthermore, clinical officers tend to be located in rural areas,3 where access to lifesaving facilities such as blood transfusion and high dependency care may not be available. Another study8 tackled such issues by adjusting for rural setting, previous caesarean section, haemorrhage, other perioperative medical complications, and ...
TY - JOUR. T1 - Neonatal outcome following elective cesarean section of twin pregnancies beyond 35 weeks of gestation. AU - Wilmink, Freke A.. AU - Hukkelhoven, Chantal W.P.M.. AU - Mol, Ben Willem J.. AU - Van Der Post, Joris A.M.. AU - Steegers, Eric A.P.. AU - Papatsonis, Dimitri N.M.. PY - 2012/1/1. Y1 - 2012/1/1. N2 - Objective: We sought to assess neonatal morbidity and mortality of elective cesarean section (CS) of uncomplicated twin pregnancies per week of gestation ,35+0. Study Design: We performed a retrospective cohort study in our nationwide database including all elective CS of twin pregnancies. Two main composite outcome measures were defined, ie, severe adverse neonatal outcome and mild neonatal morbidity. Results: We report on 2228 neonates. More than 17% were born ,37+0 weeks of gestation. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for severe adverse neonatal outcome at 35 +0-6, 36+0-6, and 37+0-6 weeks were, OR, 9.4; 95% CI, 3.2-27.6; OR, 1.7; 95% CI, ...
INTRODUCTION: caesarean section rates have become a global public health. This study investigated obstetric and socio-demographic factors associated with caesarean section in northern Ghana. METHODS: this was a case-control study comparing 150 women who had caesarean section (cases) and 300 women who had vaginal delivery (controls). Data were collected retrospectively from delivery registers, postpartum and postnatal registers in the Bolgatanga Regional Hospital. Univariate and multivariate analysis of data were done using SPSS 22. RESULTS: the study revealed that women who had higher odds of having a caesarean section were women who; attended Antenatal care (ANC) ≥ 4 times (Adjusted OR = 2.99, 95% CI1.762-5.065), were referred from other health facilities (Adjusted OR = 1.19, 95% CI 1.108-1.337) and had a foetal weight of ≥ 4000 grams (Adjusted OR = 1.21, 95% CI 1.064-1.657). There was a slight increase in odds of having a caesarean section among women who had a gestational age > 40 weeks (Adjusted
INTRODUCTION: caesarean section rates have become a global public health. This study investigated obstetric and socio-demographic factors associated with caesarean section in northern Ghana. METHODS: this was a case-control study comparing 150 women who had caesarean section (cases) and 300 women who had vaginal delivery (controls). Data were collected retrospectively from delivery registers, postpartum and postnatal registers in the Bolgatanga Regional Hospital. Univariate and multivariate analysis of data were done using SPSS 22. RESULTS: the study revealed that women who had higher odds of having a caesarean section were women who; attended Antenatal care (ANC) ≥ 4 times (Adjusted OR = 2.99, 95% CI1.762-5.065), were referred from other health facilities (Adjusted OR = 1.19, 95% CI 1.108-1.337) and had a foetal weight of ≥ 4000 grams (Adjusted OR = 1.21, 95% CI 1.064-1.657). There was a slight increase in odds of having a caesarean section among women who had a gestational age > 40 weeks (Adjusted
Post-operative pain is the greatest fear of women who undergo Cesarean section, and despite current analgesic regimens, this pain can be severe, impeding the mothers recovery and her ability to bond with and breastfeed her new infant. Opioids are the mainstay of treatment currently, and, although effective, these drugs have significant adverse effects, including sedation, nausea, vomiting and constipation. Non-steroidal anti-inflammatory drugs (NSAIDs) can reduce opioid consumption, but also have side effects, and are contra-indicated in a significant number of patients. Therefore there remains considerable scope to improve post-Cesarean analgesia.. It has been shown that severe acute post-operative pain after Cesarean section increases the risk of developing chronic pain and post-partum depression. A recent study showed that up to 18% of women have persistent pain after Cesarean section, and that severe acute post-operative pain is a significant risk factor.. Gabapentin is used widely to treat ...
Older, primiparous mothers were much more likely to have a no indicated risk primary caesarean; almost one fifth (19.5%) of primiparous mothers aged over 34 had such a delivery in 2001. More than 5% of multiparous mothers over 34 who had had previous vaginal births also had a no indicated risk primary caesarean in 2001. Among mothers under 30 with no indicated risk, the primary caesarean rate grew by more than half (58%) between 1991 and 2001 to 4.9%.. The raw numbers of births also illustrates this trend. In 2001, 80 028 no indicated risk primary caesareans took place in the United States, an increase of 25 162 since 1996. This represented 25.8% of the total increase (97 659) in primary caesareans between 1996 and 2001.. We used multivariate logistic regression analysis (SAS version 8) to examine changes in primary caesarean rates after controlling for parity; maternal ethnicity, age, and education; birth weight; and data year (1991, 1996, or 2001) (see table on bmj.com). We ran models for all ...
AbstractIn a non-randomized cohort study, we compared continuous with interrupted sutures for the closure of the lower uterine segment at cesarean section. Eighty-two women, who underwent cesarean section at the Department of Obstetrics at the University Hospital of Vienna between January and May 20
We chat to Lisa, of BadMammy.com, about her Emergency C-section experience: Thanks Lisa for sharing your C-section journey. To start perhaps you would include how many children you have and how many were born by C-section: Ive got one child, a son named Eliott, and he was born by Emergency C Section in March 2014. Can you tell me how long ago it is since your C-section occurred and a…. ...
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The increasing rate of intrapartum cesarean sections in high resource countries is subject of attention and concern as it is associated with adverse outcomes for mother and infant [1]. Intrapartum cesarean sections that neither benefit mother nor infant should be avoided. An uncomplicated vaginal birth in nulliparous women strongly predicts uncomplicated labors and deliveries in subsequent pregnancies [2], while intrapartum cesarean sections are associated with a 50% subsequent cesarean section rate [3] and adverse outcome for the mother [4-6] and for the baby [7, 8]. The economic aspect of labor is also of importance as an intrapartum cesarean section is significantly more expensive compared to a spontaneous vaginal delivery [9]. The rate of cesarean sections for nulliparous women with a singleton fetus in a cephalic presentation and spontaneous onset of labor at term has increased from 5.7% to 9.2% in Norwegian hospitals (2000-2012) [10]. The most common indication for intrapartum cesarean ...
Results A total of 482 caesarean sections were included in the study. The overall mortality rate was 3.11 per cent, with 2.59 per cent during or after a conservative caesarean section and 4.19 per cent during or after caesarean section with ovariohysterectomy. The reason for ovariohysterectomy was the owners preference in 63 bitches (47.01 per cent); in 71 (52.98 per cent) bitches, ovariohysterectomy was performed due to a medical indication. The fertility rate after caesarean section was 100 per cent. ...
Caesarean section is a common major operation performed on women in the world. There are many possible ways of performing a caesarean section. Operation and operative techniques vary depending on the clinical situation and surgeon preferences. Safe delivery is important for mother and infant. Any potential reduction of birth trauma to the infant has to be balanced against increased ill-health for the mother [9]. This is a prospective randomized controlled study performed on a total of 120 pregnant patients with one or more previous cesarean sections. patients were randomized in to two groups, 60 patients for whom inverted T-LSCS was performed (group A), and another60 patients for whom transverse lower segment curvilinear incision of the uterus was performed (group B). All CS were elective. Statistically significant difference was found between both groups as regard to socio-demographic and clinical characteristics. In the present study the incision-delivery interval was comparable for both ...
The cesarean section, delivery of the fetus by incision through the abdominal and uterine wall (Leavitt, 1986:272), is a fascinating procedure indeed. Once a heroic gesture done to save the unborn infant from its dying mother, the cesarean section has become a common medical procedure. Between 1968 and 1977, the cesarean section rates in the United States have tripled, reaching 15.2 percent in 1978 and making the cesarean the tenth most common surgical procedure in the United States (Gleicher, 198^:3273). The cesarean rate has continued to rise from 16.5 percent of deliveries in 1980 (Placek, 1983) to 22.7 percent in 1985 (Placek and Taffel, 1987). This upward trend in cesarean delivery is evident in all types of medical facilities, in all regions of the country, and among women of all educational and income levels (Guillemin, 1981:15).
The authors studied the effects on the child of 196 caesarian sections performed in the absence of foetal distress. The following were noted for each child: the time before the first cry, the Apgar score, pH and the need or not for resuscitation techniques. Each feature was studied in terms of different factors: foetal, obstetric, anaesthetic and surgical. The conclusions were as follows: caesarian section, which remains the best means of preventing obstetric trauma, has its own direct complications which are linked to the conditions in which the operation takes place. These can be reduced to a minimum or even completely suppressed if the caesarian section is performed under ideal conditions: few or no depressant drugs before the operation (the use of diazepam for induction should be abandoned); inclined position of 15 degrees, even of the mother has never suffered from utero-caval syndrome and if possible on a heated mattress; extraction of the infant between the 5th and 15th minutes; finally, ...
In the survey, women were asked whether they had requested a caesarean delivery. Among those who had a birth during 2001 2002, 50.7% responded in the affirmative; this compares with an overall figure of 44.7% for the decade preceding the survey. Mothers who resided in urban areas and the western region, those who had senior high school education and above, and those employed in professional and service sectors were more likely to respond in the affirmative to this question (results not shown separately).. Discussion. The increase in rates of caesarean delivery observed over time in our study population was not fully explained by the increase in the rates of institutional birth alone. Instead, they were likely to be driven by the twin pressures of obstetricians favouring recourse to caesarean delivery and women s demand for the procedure. The analysis demonstrated that use of antenatal care, especially ultrasound scanning, was also associated with a greater likelihood of caesarean delivery. The ...
Cesarean delivery is one of the most common surgical procedures. In the United States, more than 1 million cesarean sections are performed each year, accounting for more than 30% of births. The majority of these procedures are performed using a regional technique; general anesthesia is reserved for patients who have a contraindication to a regional block or for emergencies, when there is not enough time for a regional block. Consequently, general anesthesia for cesarean delivery is relatively rare, and providers may be less comfortable administering it to parturients. Their discomfort is warranted. Although straightforward, general anesthetic for cesarean section is fraught with adverse events, including an increased risk of awareness, aspiration, difficult airway with hypoxia, drug-related uterine atony, and neonatal respiratory depression. ...
Objective: To evaluate the effect of chewing sugar-free gum on gastrointestinal function recovery after cesarean section. Methods: Randomized controlled trials comparing the use of chewing gum in postoperative recovery with a control group were retrieved from the databases including Pubmed, Cochrane Library, Science Direct, Web of Science, CBM, CNKI, Wanfang and VIP, et al. After screening literatures, evaluating the quality of studies, extracting data, the RevMan5.3 software was used for data analysis. Results: A total of 13 RCTs including 2233 patients were analyzed in the study. The results showed that chewing gum after cesarean delivery can effectively shorten the recovery time of bowel sounds, passage of flatus and first defecation (all P < 0.05). Conclusion: Chewing sugar-free gum after cesarean section can promote the early recovery of gastrointestinal function, but the side effects of chewing gum are still unclear, which needs more clinical, large sample and high-quality studies to
I had planned a normal birth. We were going to video tape the birth and I was going to have this perfect delivery. I never even considered that I might have to have a c-section. Now I look back and dont regret for a second that I never experienced...
How to avoid an unnecesarean? Too many women are delivered surgically without any evidence that they really needed this. The WHO recently stated that Cesarean sections should only be performed if medically necessary.. A Cesarean section is major abdominal surgery and, like everything in life, has its own risks attached. A Cesarean section influences all your subsequent pregnancies and births.. The expert appraoch of Proactive Support of Labor absolutely increases your chances of a normal birth, but sadly in countries like the USA, China and Brazil, to name a few, Cesarean rates are soaring. Quite often there is a financial incentive for the obstetrician, not to mention the convenience of scheduled surgery instead of just sitting with a woman, Supporting her.. There are too many stories of women more or less forced into Cesareans because of: an estimated large baby, a tightly closed cervix at 38 weeks, a failed induction because the dr wanted her to deliver because of his holidays, etc. The list ...
BACKGROUND: The aim of this study was to identify the appropriateness of cesarean sections, performed in Tehran hospitals using standardized Rand Appropriateness Method (RAM) criteria. METHODS: In this study we used the RAM criteria. In order to prepare the list of cesarean scenarios, clinical guidelines were selected, and the Appraisal of Guidelines for Research and Evaluation was used to choose the most appropriate. Two panels were held with the participation of related specialists. The scenarios derived through this method were compared with data existing in the medical records of 250 women who underwent cesarean sections in selected hospitals affiliated with Tehran University of Medical Sciences. The appropriateness rate of the cesarean sections was calculated.   RESULTS: Out of 250 cases of cesarean sections performed, 91 (36.4%) were inappropriate, 41 (16.4%) were equivocal and 118 (47.2%) were considered to be appropriate. Appropriateness differed between public and private hospitals,
Surgical site infections are common and a cause of major morbidity. They are also more common in obese women. Cesarean sections are the most common surgery performed in the United States, therefore pregnant women are being faced with this problem frequently. There is evidence to show that prophylactically administered antibiotics, cefazolin specifically, to obese women prior to cesarean section do not reach adequate concentrations in adipose tissue to prevent infection. The purpose of this study is to evaluate if an increased dose of cefazolin will attain adequate tissue concentration in obese women. Our hypothesis is that three grams of cefazolin given no more than 60 minutes prior to the start of a cesarean section in an obese (Body mass index (BMI) greater than or equal to 30) woman will attain adequate adipose tissue concentration compared to two grams of cefazolin.. Subjects will be selected if they are greater than 37 weeks gestation wiht a singleton pregnancy and require a cesarean ...
The average caesarean birth costs more than twice the amount of a natural, uncomplicated birth. Thats big money for cash-strapped hospitals which is exactly why they have recently banned all non-emergency caesarean births.. The ban is much different than the discouragement that hospitals have practiced in the past. Previously, moms were simply educated about the risks. The new ban makes it practically impossible for women to go ahead with a planned caesarean unless there is proof that either mother or babys life would be endangered through a vaginal birth.. Case studies have been conducted on the number of caesarean births all over the world. Rates have been rising steadily throughout almost every country, including the UK. According to the studies, one-fourth of all births in the UK are now caesareans. This is a dramatic rise from the 9 percent of caesarean births in 1980.. UK hospitals arent the first to ban non-emergent caesarean births. Major hospitals in Phoenix, Arizona also banned ...
Many countries have an increasing rate of caesarean section. Higher rates do not always give additional health gains and they can increase maternal risks and affect subsequent pregnancies. Active management of labour has been proposed to reduce the number of caesarean births. Active management includes routine amniotomy (artificial rupture of the membranes), strict rules for diagnosing slow progress, use of the intravenous drug oxytocin to increase contractions of the uterus and one-to-one care. The disadvantages of active management are that it can possibly lead to more invasive monitoring, more interventions and a more medicalised birth in which women have less control and less satisfaction. The review included seven trials involving 5390 women. These studies show that women who received active management were slightly less likely to have a caesarean section and were more likely to have shorter labours (less than 12 hours). There was no difference in the number of assisted deliveries, nor was ...
Objective: Cesarean section (C-section) is associated with various immune-mediated diseases in the offspring. We investigated the relationship between mode of delivery and celiac disease (CD) and CD autoimmunity (CDA) in a multinational birth cohort. Methods: From 2004 to 2010, infants from the general population who tested positive for HLADR3-DQ2 or DR4-DQ8 were enrolled in The Environmental Determinants for Diabetes in the Young (TEDDY) study. Children were annually screened for transglutaminase autoantibodies, if positive, they are retested after 3 to 6 months and those persistently positive defined as CDA. Associations of C-section with maternal (age, education level, parity, pre-pregnancy weight, diabetes, smoking, weight gain during pregnancy) and child characteristics (gestational age, birth weight) were examined by Fisher exact test or Wilcoxon rank-sum test. Hazard ratios (HRs) for CDA or CD were calculated by Cox proportional hazard regression models. Results: Of 6087 analyzed ...
About one birth in every four in Australia is by caesarean section, and that rate appears to be increasing. The proportionof births by caesarean vary significantly from region to region, and the most appropriate rate is a matter of some debate. A caesarean section is needed when delivery through the birth canal (vagina) is not possible or when vaginal delivery would pose a danger to the mother or baby. A caesarean section may be planned in advance as
Results: The mean age of the women participating in this study was 34.2 7.7 years, and 274 (52.4%) of them delivered a baby by cesarean section at least once. Of the participants, those whose longest place of residence was an urban area gave birth through caesarian section more than did those whose longest place of residence was a rural area.Similarly, thosewho had ahighereducation level, who were employed,who obtained information about birth before delivery gave birth through caesarian section more than did those who had a lowereducation level, who were unemployed and who did notobtain information about birth before delivery. Of the participants who obtained information about birth, those who obtained it from physicians also gave birth through caesarian section more than did those who obtained it frommidwives and nurses ...
OBJECTIVE: Preexisting diabetes in pregnancy is associated with a high risk of emergency cesarean section (CS), which is associated with increased risk of maternal and neonatal complications. Thus, the aim of this study was to identify possible predictors of emergency CS in women with preexisting diabetes.. STUDY DESIGN: This is a secondary analysis of a prospective observational study of 204 women with preexisting diabetes (118 with type 1 diabetes and 86 with type 2) with singleton pregnancies recruited at Rigshospitalet, Copenhagen, Denmark from August 2015 to February 2018. Mode of delivery (trial of labor or planned CS) was individually planned in late pregnancy based on clinical variables reflecting maternal and fetal health including glycemic control and ultrasonically estimated fetal weight. Univariate and multivariable analyses were performed to identify possible predictors of in labor emergency CS.. RESULTS: Trial of labor was planned in 79 % (n = 162) of the women of whom 65 % (n = ...
C sections are now much safer than they used to be, and with them becoming more routine, surgeons are more skilled at this than ever before.
I had a cesarean section at the The Medical City last August 15, 2014. It was a scheduled CS and I was admitted August 14. First step is that you have to go to the Admitting Section where you have to choose your room. One technique is to get a semi-private room, to have lesser charge. Usually semi-private rooms are reserved for minor OB-GYNE surgery for overnight stay like hysteroscopy. I was hesitant to get a semi-private room because rooming in of newborn is practiced at this hospital ...
By: Healtheoz , Tags: abdominal exercise after cesarean delivery, can i do exercise after cesarean delivery, exercise after c section delivery, exercise after cesarean, exercise after cesarean delivery, exercise after cesarean delivery to reduce stomach, exercise for back pain after cesarean delivery, post pregnancy exercise after cesarean, yoga after c section deliver, yoga after cesarean delivery , Comments: 0. Cesarean or C-section is a delivery method which is carried out when the vaginal delivery poses a risk to the mother. Exercising after cesarean is always an added benefit. You can go for various post pregnancy exercises after cesarean…. READ MORE ...
In many hospitals, especially in Argentina, the United States, United Kingdom, Canada, Norway, Australia, and New Zealand the mothers birth partner is encouraged to attend the surgery to support the mother and share the experience. The anaesthetist will usually lower the drape temporarily as the child is delivered so the parents can see their newborn ...
Looking for online definition of lower uterine segment cesarean section in the Medical Dictionary? lower uterine segment cesarean section explanation free. What is lower uterine segment cesarean section? Meaning of lower uterine segment cesarean section medical term. What does lower uterine segment cesarean section mean?
Looking for online definition of nonreassuring fetal status in the Medical Dictionary? nonreassuring fetal status explanation free. What is nonreassuring fetal status? Meaning of nonreassuring fetal status medical term. What does nonreassuring fetal status mean?
Endometriosis, a common gynecological condition, is defined as the presence of functioning endometrial tissue outside the uterine cavity. It often presents as a cyclic, hormonally stimulated pain in women during their reproductive years. While endometriosis is usually located within the pelvis, it may also occur at intraperitoneal, intestinal, perineal, and distant ectopic sites. Although often diffuse, a localized, focal mass of endometrial tissue is termed as an endometrioma. In rare occurrences, an endometrioma will present superficially to the peritoneum within the abdominal wall following gynecologic or obstetric surgery. The presence of an abdominal wall endometrioma within a cesarean section scar may pose a diagnostic dilemma, which is often misdiagnosed, and results in surgery referrals for treatment. The clinical symptoms and sonographic appearance of abdominal wall endometriomas occurring at cesarean section scars are highlighted in this case series.
The effect of continuous epidural analgesia on cesarean section for dystocia in nulliparous women. Am J Obstet Gynecol. 1989 Sep;161(3):670-5.
Objective. To investigate the effect of cervical dilation at the time of cesarean section due to dystocia and success in a subsequent pregnancy of attempted vaginal delivery. Design. Retrospective study. Setting. University hospital in Copenhagen capital area. Population. All women with a prior cesarean section due to dystocia who had undergone a subsequent pregnancy with a singleton delivery during 2006-2010. Methods. Medical records were reviewed for prior vaginal birth, cervical dilation reached before cesarean section and induction of labor, gestational age, use of oxytocin, epidural anesthesia and mode of birth was collected. Results. A total of 889 women were included; 373 had had a trial of labor. The success rate for vaginal birth among women with prior cesarean section for dystocia at 4-8 cm dilation was 39%, but 59% for women in whom prior cesarean section had been done at a fully or almost fully dilated cervix (9-10 cm) (p , 0.001). Among the women with a previous vaginal delivery ...
Women who have had a prior c-section have the option of a undergoing vaginal birth after c-section (VBAC) or an elective repeat c-section. A successful vaginal birth carries a lower risk to the woman than does a repeat c-section. Women undergoing a vaginal delivery will generally have an easier recovery with fewer problems after delivery and a shorter hospital stay than those who have a c-section.. However, there are certain individuals who are more likely to be successful for a VBAC than others. If your prior cesarean section had been performed for a fetal issue (I.e. baby was breech, heart rate was worrisome, etc.), the likelihood of a successful VBAC approaches 85%. If your prior cesarean section was done for a maternal reason (i.e. stopped dilating, baby didnt fit through the pelvis), the likelihood of a successful VBAC is only around 50%.. There are risks associated with undergoing a VBAC. The most serious risk is that of uterine rupture. In most cases, cesarean sections are performed with ...
Background. Informed consent consists of availing information to the patient in an understandable manner without coercion to allow the patient to make an informed decision about their health care. In the case of informed consent for caesarean section, this information must include the name, nature, intended benefits of the procedure, risks of the procedure, alternative procedures, implications on future reproductive health and anaesthetic options Little attention, in Zambia, has been paid to whether patients receive adequate consent before operation and its implications for future reproductive capacity; this study aims to explore this aspect.Methods. This was a cross sectional study in which post-caesarean section mothers were interviewed in the postnatal wards at the University Teaching Hospital (UTH), Lusaka, Zambia after under going emergency (n=l 15) and elective caesarean section (n=32). Information was obtained using a standardized questionnaire. Adequacy was determined by asking about ...
We studied 510 patients in a retrospective, nonrandomized, comparative survey of vaginal births and repeat caesarean section after one primary caesarean section at the Port Moresby General Hospital. 478 (94%) were allowed a trial of scar (TOS). The m
Vaginal birth after Caesarean Section (VBAC) carries risks of uterine rupture, with increased perinatal mortality risk. When labour is induced there may be higher uterine rupture and repeat caesarean section (CS) rates in women with previous CS, compared to when labour starts spontaneously.1 The method of induction of labour (IOL) in women with previous CS remains controversial, as there is a higher risk of uterine rupture when prostaglandins (PGs) are used compared with the use of non-prostaglandin methods.2 For women with previous CS, NICE guidance recommends PGs for routine use in IOL,3 however, obstetricians concerned about the increased uterine rupture risk may prefer to offer elective CS instead, therefore increasing CS rates.. Comparisons between the use of cervical dilator balloon catheters versus PGs in nulliparous women have shown similar efficacy in establishing labour, without the risks of uterine hyperstimulation or rupture.4 5 IOL with Cook cervical dilator balloon was introduced ...
Free Online Library: Emergency caesarean section in a patient with myotonic dystrophy: a case of failed postoperative extubation in a patient with mild disease.(Report) by Anaesthesia and Intensive Care; Health, general Anesthesia Methods Patient outcomes Cesarean section Myotonic dystrophy Care and treatment Complications and side effects
Retrospective study on outcome of trial of vaginal birth after Previous Caesarean Section and indications for emergency repeat caesarean section in tertiary care hospital-IJOGR-Print ISSN No:-2394-2746 Online ISSN No:-2394-2754Article DOI No:-10.18231,Indian Journal of Obstetrics and Gynecology Research-IP Innovative P
we had unprotected sex for the first time on 13th, 14th and 15th. Moreover, if second pregnancy after emergency c-section is, there second pregnancy after emergency c-section aafter way of knowing if you will require stitches. Its usually light spotting and does not last second pregnancy after emergency c-section. Lysteda works by stabilizing a protein that helps blood to clot. Its released from the ovary and travels down the fallopian tube where hopefully sperm are second pregnancy after emergency c-section to meet it. In the first few weeks following conception, your hormone levels change very early pregnancy signs breasts. Home pregnancy tests work by detecting hCG (human chorionic gonadotropin). Antibiotics and various about the counter drugs are accessible for the therapy of this effectively known medical problem. At the mark of the second trimester, an increase in appetite may or may not occur. And hopefully whatever your body is doing in the absence of xfter possible lack of awareness - ...
The risks of VBAC. The most serious but rare risk of women attempting a VBAC is uterine rupture. A uterine rupture is a tear or hole in the uterus. There is an increased risk of uterine rupture with VBAC compared to ERCS. The rates of uterine rupture are approximately one in every 200 women who labour and have previously had a caesarean section, and one in every 5000 women who choose ERCS.. A uterine rupture can be very small or large. In most circumstances this is quickly identified and we are able to make plans for the safe delivery of your baby. While very rare, uterine rupture can be associated with significant bleeding for you (including the potential need for a blood transfusion or even hysterectomy (removal of the uterus)), and the need for urgent delivery of your baby who can be deprived of oxygen. The evidence tells us that in most cases, when an emergency caesarean section is performed, no serious harm comes to the mother or baby.. In some situations the risk of rupture is increased. ...
MONDAY, Feb. 10, 2020 (HealthDay News) -- Women who receive general anesthesia during a cesarean section delivery are at higher risk of severe postpartum depression that requires hospitalization, as well as self-inflicted harm and suicidal thoughts, a new study finds.. Researchers from Columbia University analyzed more than 428,000 discharge records of women who delivered by C-section in New York state hospitals between 2006 and 2013. Eight percent had general anesthesia.. In all, 1,158 women (3%) had to be hospitalized for severe postpartum depression. Of those, 60% were diagnosed at readmission, about 164 days after their initial discharge.. Compared with local anesthesia, general anesthesia was associated with a 54% increased odds of postpartum depression, and a 91% higher risk of suicidal thoughts or self-inflicted injury. The study only found an observation rather than a cause-and-effect link.. General anesthesia for cesarean delivery may increase the risk of postpartum depression because ...
MONDAY, Feb. 10, 2020 (HealthDay News) -- Women who receive general anesthesia during a cesarean section delivery are at higher risk of severe postpartum depression that requires hospitalization, as well as self-inflicted harm and suicidal thoughts, a new study finds.. Researchers from Columbia University analyzed more than 428,000 discharge records of women who delivered by C-section in New York state hospitals between 2006 and 2013. Eight percent had general anesthesia.. In all, 1,158 women (3%) had to be hospitalized for severe postpartum depression. Of those, 60% were diagnosed at readmission, about 164 days after their initial discharge.. Compared with local anesthesia, general anesthesia was associated with a 54% increased odds of postpartum depression, and a 91% higher risk of suicidal thoughts or self-inflicted injury. The study only found an observation rather than a cause-and-effect link.. General anesthesia for cesarean delivery may increase the risk of postpartum depression because ...
TY - JOUR. T1 - Blood transfusion during cesarean section. A 12 years retrospective analysis.. AU - Imberti, R.. AU - Preseglio, I.. AU - Trotta, V.. AU - Filisetti, P.. AU - Mapelli, A.. PY - 1990. Y1 - 1990. N2 - Transfusional practice over the last 12 years was investigated retrospectively in 1618 women submitted to lower-segment cesarean section. The overall percentage of transfused patients was low (2.4%) and it has become lower in the last four years (1.1%), in concomitance with the development of better knowledge of tissue oxygenation and with the fear of transmitting infectious diseases, factors which have led anesthesiologists to employ blood only when strictly required. Three conditions greatly increased the risk of bleeding: placenta previa, abruptio placentae and coagulation disorders. Previous cesarean section, fetal distress, dystocias and hypertensive disorders of pregnancy did not increase the risk of bleeding and no difference was found between elective and non-elective ...
Student Health Services covers inpatient maternity care at Barnes-Jewish Hospital, Barnes Jewish West County Hospital, or Missouri Baptist Medical Center. Covered Persons must notify Student Health Services either three business days prior for planned admissions or two business days following emergency admissions. The student is responsible for a $250 deductible for the first delivery and a $1,000 deductible for any additional deliveries. Student Health Services will pay 100% of the remaining covered expenses for up to 96 hours following a caesarean section delivery and up to 48 hours following any other delivery.. Student Health Services also covers all routine nursery care for newborn infant for up to 96 hours following a caesarean section delivery and for up to 48 hours following any other delivery. Newborn infant means any child birthed by a student or covered dependent. The right to continue such coverage for the newborn infant beyond the first 48 or 96 hours is determined by the Eligible ...
Objective To estimate the incidence of incisional hernias requiring surgical repair after cesarean delivery over a 10-year period. Methods This population- and register-based cohort study identified all women in Denmark with no history of previous abdominal surgery who had a cesarean delivery between 1991 and 2000. The cohort was followed from their first until 10 years after their last cesarean delivery within the inclusion period or until the first of the following events: hernia repair, death, emigration, abdominal surgery, or cesarean delivery after the inclusion period. For women who had a hernia repair, hospital records regarding the surgery and previous cesarean deliveries were tracked and manually analyzed to validate the relationship between hernia repair and cesarean delivery. Data were analyzed with a competing risk analysis that included each cesarean delivery. Results We identified 57,564 women who had had 68,271 cesarean deliveries during the inclusion period. During follow-up, 134 of
Cesarean section (CS) rate has risen dramatically and stayed at a very high level in China over the past two to three decades. Given the short- and long-term adverse effects of CS, effective strategies are needed to reduce unnecessary CS. We aimed to evaluate whether a multifaceted intervention would decrease the CS rate in China. We carried out a cluster-randomized field trial with a multifaceted intervention in Shanghai, China, from 2015 to 2017. A total of 20 hospitals were randomly allocated into an intervention or a control group. The intervention consisted of more targeted health education to pregnant women, improved hospital CS policy, and training of midwives/doulas for 8 months. The study included a baseline survey, the intervention, and an evaluation survey. The primary outcome was the changes of overall CS rate from the pre-intervention to the post-intervention period. A subgroup analysis stratified by the Robson classification was also conducted to examine the CS change among women with
Cesarean section (CS) rate has risen dramatically and stayed at a very high level in China over the past two to three decades. Given the short- and long-term adverse effects of CS, effective strategies are needed to reduce unnecessary CS. We aimed to evaluate whether a multifaceted intervention would decrease the CS rate in China. We carried out a cluster-randomized field trial with a multifaceted intervention in Shanghai, China, from 2015 to 2017. A total of 20 hospitals were randomly allocated into an intervention or a control group. The intervention consisted of more targeted health education to pregnant women, improved hospital CS policy, and training of midwives/doulas for 8 months. The study included a baseline survey, the intervention, and an evaluation survey. The primary outcome was the changes of overall CS rate from the pre-intervention to the post-intervention period. A subgroup analysis stratified by the Robson classification was also conducted to examine the CS change among women with
TY - JOUR. T1 - Practices to Reduce Surgical Site Infections among Women Undergoing Cesarean Section. T2 - A Review. AU - McKibben, Rebeccah A.. AU - Pitts, Samantha I.. AU - Suarez-Cuervo, Catalina. AU - Perl, Trish M.. AU - Bass, Eric B.. PY - 2015/1/1. Y1 - 2015/1/1. N2 - OBJECTIVE Surgical site infections (SSIs) are a leading cause of morbidity and mortality among women undergoing cesarean section (C-section), a common procedure in North America. While risk factors for SSI are often modifiable, wide variation in clinical practice exists. With this review, we provide a comprehensive overview of the results and quality of systematic reviews and meta-analyses on interventions to reduce surgical site infections among women undergoing C-section. METHODS We searched PubMed and the Cochrane Database of Systematic Reviews for systematic reviews and meta-analyses published between January 2000 and May 2014 on interventions to reduce the occurrence of SSIs (incisional infections and endometritis), ...
Background-This study was designed to evaluate effect of adding 25 μg of fentanyl to 0.5% intrathecal bupivacaine for elective caesarean section. Methods- The study was conducted on 40 ASA I & II women posted for elective caesarean section. Patients were randomized into two groups and lumbar subarachnoid block performed with bupivacaine and fentanyl, or bupivacaine alone. The time of onset , upper level of block, duration of sensory and motor block, systolic blood pressure, heart rate and respiratory rate were recorded and analysed. Results- It was observed that fall in blood pressure and sedation showed significant differences between the groups. None of the other variables differed. Conclusion- Addition of fentanyl to bupivacaine resulted in faster onset of action and effective spinal anaesthesia with a lower dose of bupivacaine. The duration of block was similar in both groups. The most striking feature was the greater hemodynamic stability with the addition of fentanyl.. ...
Some women who have delivered previous babies by c-section would like to have their next baby vaginally. This is called vaginal delivery after c-section or VBAC. Women have various reasons for wanting a vaginal delivery after c-section. Some want to avoid the risks and long recovery of surgery while others want to experience a vaginal delivery.. Studies show that vaginal delivery after c-sections are more risky for the woman and baby than a repeat c-section. The most serious danger of vaginal delivery after c-sections is the chance that the c-section scar on the uterus will open up during labor and delivery, or uterine rupture. While very rare, uterine rupture is very dangerous for the mother and baby. Uterine rupture can lead to life-threatening bleeding for the mother and brain damage or even death for the baby.. The biggest and best study on vaginal delivery after c-section was published in the New England Journal of Medicine in 2004. The researchers studied more than 30,000 women who had had ...
-How to Help Yourself or Your Friends/Family to Avoid an Unnecessary C-section The United States cesarean section rate, which skyrocketed during the 1980s, has plateaued and begun a very slow reversal of this earlier dangerous trend. It appears that increased use of vaginal birth after cesarean section (VBAC) has been a major factor in bringing…
Background The increase prices of cesarean section (CS) occurred at the same period as the dramatic increase of child years overweight/obesity. we divided cesarean delivery into elective or non-elective. The mode of delivery and additional parental information were self-reported by parents. Multivariate logistic regression analysis was used to examine the associations. Results In our cross-sectional study of 8900 preschool children aged 3C6 years, 67.3?% were given birth to via CS, of whom 15.7?% were obese. Cesarean delivery was significantly associated with the risk of obese [OR 1.24; (95?% CI 1.07C1.44); test for continuous characteristics in relation to delivery mode. Categorical variables were presented as rate of recurrence with percentage while continuous variables were Telmisartan indicated as the mean??standard deviation. In our analysis, we 1st dichotomized delivery mode as cesarean section and vaginal delivery. Multinomial logistic regression was used to assess the associations of CS ...
Comment on Increased caesarean section rate over time (1994-2006) is not associated with improved outcomes in very low birth weight infants ...
TY - JOUR. T1 - An international survey of practice variation in the use of antibiotic prophylaxis in cesarean section. AU - Huskins, W. C.. AU - Ba-Thike, K.. AU - Festin, M. R.. AU - Limpongsanurak, S.. AU - Lumbiganon, P.. AU - Peedicayil, A.. AU - Purwar, M.. AU - Shenoy, S.. AU - Goldmann, D. A.. AU - Tolosa, Jorge. PY - 2001. Y1 - 2001. N2 - Objective: To examine the use of antibiotic prophylaxis in cesarean section in different countries and in relation to a reference regimen. Method: Fifty consecutive cesarean sections performed in eight centers in five countries were surveyed. Data from each center were compared to a regimen recommended by the Cochrane Collaboration (one dose of ampicillin or cefazolin administered to all women shortly before the procedure or immediately after cord clamping) using logistic regression with adjustment for procedure type. Result: Prophylaxis was used widely, but only four centers administered prophylaxis to all women. Ampicillin and cefazolin were the ...
Last year, when Weldon began as chair of the obstetrician/gynecology department at PeaceHealth Southwest Medical Center - a role that rotates among physicians - she worked to promote quick skin-to-skin contact following C-section deliveries.. Once delivered, babies remain attached to the umbilical cord for one minute to allow more blood to get to the baby, then the surgeon dries the baby so a receiving nurse can put the infant on a mothers chest after the cord is cut, Weldon explained. The mother can hold her child as her incision is closed.. At PeaceHealth Southwest, representatives from labor and delivery nursing, neonatal nursing, anesthesia, midwifery and obstetrics/gynecology met to determine the changes theyd need to make in order to facilitate skin-to-skin contact following C-section births. They worked out how to move the baby without compromising the sterile surgical field and how to position monitors to ensure there was room between a womans head and chest for the baby to ...
Research in the latest edition of the European Journal of Anaesthesiology (the official journal of the European Society of Anaesthesiology) reports the potential dangers of allowing skin-to-skin contact for mother and baby in the operating room, following a cesarean section birth.
Thank you for visiting our blog. In the future we continue to seek better in presenting good information. Dont forget to share the article Nursing Care Plan for Cesarean Section (C-section) this in social media.. advertise. Frequently searched keywords:. Nanda Nursing Diagnosis, nanda nursing diagnosis pdf, nanda nursing diagnosis for renal failure, nanda nursing diagnosis for diabetes mellitus, nanda nursing diagnosis for respiratory problems, nanda nursing diagnosis book+free download, nanda nursing diagnosis for respiratory failure, nanda nursing diagnosis list 2015 pdf, nanda nursing diagnosis for atrial septal defect, nanda nursing diagnosis 2015, nanda nursing diagnosis 2015 pdf, nanda nursing diagnosis 2015 to 2017, nanda nursing diagnosis free download, nanda nursing diagnosis list 2015 free download, nanda nursing diagnosis impaired gas exchange, nanda nursing diagnosis ppt, nanda nursing diagnosis classification, nanda nursing diagnosis care plans examples, nanda nursing diagnosis for ...
During my moms pregnancy with me, she was diagnosed with placenta previa, a condition in which the placenta lies very low in the uterus and covers all or part of the cervix. The cervix is the opening to the uterus that sits on the top of the vagina. If you have placenta previa, when your labor starts, your cervix begins to thin out and dilate (open up), and the blood vessels connecting the placenta to your uterus may tear. This can cause severe bleeding.. My mom remembers the day I was born, like it was yesterday. She remembers my Aunt running down the hall to get towels for her while she stood in the bathroom bleeding during her third trimester. She was rushed to the hospital and had an emergency Cesarean section (C-section) performed. My mom says she can still remember what the pressure felt like on her lower abdomen during the procedure.. We dont know what causes placenta previa, which happens in about 1 in 200 pregnancies. If you have placenta previa early in pregnancy, it usually isnt a ...
The patient was taken for an emergency CS in view of twin pregnancy with first twin in breech presentation and leaking PV. The option of myomectomy at CS had been previously discussed in the antenatal period and in fact the patient had requested the same; she was counseled again when she presented with leaking PV and her consent was obtained preoperatively. Two units of blood were cross matched and kept ready. During the cesarean section, a subserous penduculated fibroid of size 10 x 12 cm was noticed on the right anterior fundal wall of the uterus. Lower segment cesarean section was performed, both live male neonates with a weight of 1.95 kg and 2.4 kg were delivered. Both neonates had an Apgar score of 8 and 10 at 1 and 5 minutes respectively. Placenta with membranes was also delivered completely. After closing the lower segment, a decision was taken to perform myomectomy. The fibroid was removed using electrocautery and the pedicle was clamped and sutured without difficulty in 2 layers using ...
A 37-year-old woman (gravida 2, para 1, abortus 0), following an uncomplicated pregnancy except for a history of insulin-dependent gestational diabetes with good glycaemic control and a local Varicella-Zoster infection which treated successfully, underwent elective caesarean section under spinal anaesthesia with bupivacaine hydrochloride (10mg). Surgery was uneventful and two healthy twin-girls were delivered. Corticosteroids were at no point given. Antibiotics were given intraoperatively. Four days after the caesarean section the patient experienced a sudden decrease of visual acuity combined with a central scotoma and metamorphopsia in her right eye. At presentation, best-corrected visual acuity of the right eye was 8/20 with metamorphopsia, a central scotoma in Amslers grid and blurred vision. Funduscopy of the right eye revealed a serous elevation of the macula (Figure 1). Fluorescein angiography (FA) disclosed three expanding points of fluorescein leakage at the foveolar avascular zone. ...
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Eisenmenger syndrome belongs to the 0.4-4.1% (incidence) rarely encountered congenital cardiac lesions in pregnancy. Management of a pregnant patient with Eisenmenger syndrome is a challenging task for the anesthesiologist. Here, we report the successful outcome with the use of low-dose sequential combined spinal-epidural (CSE) anesthesia in a patient with Eisenmenger syndrome posted for cesarean section. Low-dose sequential CSE anesthesia was adequate for the performance of cesarean section with minimal hemodynamic changes and good fetal outcome. Low-dose sequential CSE can be a safe alternative to achieve good anesthesia with hemodynamic stability in such case.
Labor and delivery can quickly transform from what should be one of the happiest moments of your life into a life-threatening emergency for both mother and baby. However, when Labor and Delivery Nurses or Obstetricians do not follow the standard of care in an emergency situation, their negligence can cause devastating injuries, or even death, to both the mother and baby. Some of the more common delivery room errors include: Delayed Cesarean Section Delivery: Delay in performing a C-Section is, by far, the leading cause of malpractice-related birth injuries because negligent delay in performing an emergency C-Section is known to.... read more ...
Louise Kenny and colleagues conduct a population-based cohort study in Denmark to assess the likelihood of stillbirth, miscarriage, and ectopic pregnancy following cesarean section compared to women who gave birth by vaginal delivery. Please see later in the article for the Editors Summary
What is a vaginal birth after cesarean delivery (VBAC)? If you have had a previous cesarean delivery, you have two choices about how to give birth again: 1. You can have a scheduled cesarean delivery. 2. You can give birth vaginally. This is called a VBAC. What is a vaginal birth after cesarean delivery (VBAC)? If you have had a previous cesarean delivery, you have two choices about how to give birth again: You can have a scheduled cesarean delivery; You can give birth vaginally. This is called a vaginal birth after cesarean delivery (VBAC). ...
This is the first study of its kind to show that one vaginal delivery influences the long-term risk of developimg urinary incontinence, prolapse and faecal incontinence compared to one caesarean section. The results of this study provide important new information for women who are concerned that a vaginal delivery will lead to long-term pelvic floor damage.. However it is important to note that when choosing the most suitable form of delivery it is necessary to consider numerous medical issues that can potentially influence the health of the mother and child.. The thesis Long-term consequences of vaginal delivery on the pelvic floor. A comparison with caesarean section in one-para women was defended by Maira Gyhagen on January 25, 2013.. Link to thesis: https://gupea.ub.gu.se/handle/2077/31701. For more information please contact: ...
The aim of the study was to assess the value of the todays appropriate approach, preterm delivery in the 34th week of gestation by Caesarean section and subsequent surgical intervention at the perinatal center, in daily practice of pediatric surgery with regard to early postoperative and mid-term outcome. Material and methods. Over the time period of 9 years, all consecutive cases diagnosed with gastroschisis at the perinatal center, University Hospital of Magdeburg, were born by Caesarean section within the 34th week of gestation followed by surgical intervention. The registered data were compared with those published by other groups. Results. Overall, there were 19 cases through the investigation period from 01/01/2006 to 12/31/2014. The mean duration of gestation was 237.9 days. The mean birth weight was 2,276 g. In all individuals, a primary closure with no artificial material was achieved. The duration of postoperative artificial respiration was 2.3 days. Oral uptake could be initiated on ...
One of the areas of medicine where this process of informed consent has historically been lacking is in obstetrics. In the past, women have often been told that they are not allowed to choose caesarean section unless it was, in the doctors opinion, medically necessary. This practice, however, is slowly changing. In July 2018, the Society of Gynecologists and Obstetricians of Canada (SOGC), the professional body that sets guidelines for practicing obstetricians, published a Committee Opinion making it clear that informed consent must be obtained for childbirth as well.. The first step required of the medical team (doctors, nurses, midwives) is to have a clear understanding of the risks and benefits of both planned caesarean section (for non-medical reasons) and of attempted vaginal delivery. The discussion of risks should include both common risks (like pain after delivery) and rarer, long term consequences (brain damage, death, complications in future pregnancies, etc.).. There are currently no ...
Published in J Clin Anesth. 2014 May;26(3):235-7. Authors: Samanta S et al. Abstract. Valvular heart disease in a parturient presenting for Cesarean section is challenging. A 25 year old primigravida parturient with severe mitral stenosis, mild mitral regurgitation, mild aortic regurgitation, and mild pulmonary arterial hypertension required Cesarean delivery after developing pulmonary edema.. Low-dose spinal with hyperbaric bupivacine 0.5% 1.8 mL plus 25 μg of fentanyl was used for anesthesia.. Chest ultrasonography (US) and transthoracic echocardiography (TTE) were used for monitoring purposes.. Spinal-induced preload reduction improved the pulmonary edema, as evidenced by chest US. Chest US and TTE helped in fluid management.. ...
Within the past month, I have heard more than a handful of stories where planned vaginal births ended up in emergency cesareans, and mom was given a diagnosis of either FTP or CPD. More horrifying, I keep hearing of *ELECTIVE* cesarean surgery, to avoid the pain or possible injury of a vaginal birth, because a woman is led to believe that a VBAC is just too risky, or because she cannot find a care provider to support her in one. I continue to be utterly baffled by the mentality in our society, surrounding cesarean sections, ie, major abdominal surgery. The risks are pasted all over the internet, warning women about choosing such a dangerous mode of delivery, and yet...we have the highest cesarean rate that weve ever had as a country. Theres absolutely no excuse for a 31.1% ( and that was 2006, we dont know 2007s rates yet! ) cesarean rate. The WHO has recommended a national cesarean rate of NO MORE than 10-15%, which means that roughly 1/2-2/3 of *all* cesareans done are unnecessary ...
Methods This cohort study was performed on all the healthy mothers with a term pregnancy who underwent caesarean section in the obstetrics emergency department of an educational hospital affiliated with Tehran University of Medical Sciences from December 2013 to December 2014. We divided this 12-month period into two consecutive 6 months. Povidone-iodine 10% (PVP-I) and chlorhexidine gluconate 4% (CHX) were used in the first and second 6 months, respectively, for skin preparation before caesarean section and also for umbilical cord disinfection. Cord blood thyroid stimulating hormone (TSH) and thyroxine (T4) were assayed by the ELISA method. ...
While Barry applied Western surgical techniques, nineteenth-century travelers in Africa reported instances of indigenous people successfully carrying out the procedure with their own medical practices. In 1879, for example, one British traveller, R.W. Felkin, witnessed cesarean section performed by Ugandans. The healer used banana wine to semi-intoxicate the woman and to cleanse his hands and her abdomen prior to surgery. He used a midline incision and applied cautery to minimize hemorrhaging. He massaged the uterus to make it contract but did not suture it; the abdominal wound was pinned with iron needles and dressed with a paste prepared from roots. The patient recovered well, and Felkin concluded that this technique was well-developed and had clearly been employed for a long time. Similar reports come from Rwanda, where botanical preparations were also used to anesthetize the patient and promote wound healing. In Western society women for the most part were barred from carrying out cesarean sections
Now Im 26 weeks with Baby #2. The hernia isnt bothering me, but it is very noticeable. I am scheduled for a second c-section due to the hernia (dont give me any grief!). My OBGYN consulted with the surgeon and they feel it should not be repaired during the c-section, but 6 weeks after. My uterus needs to shrink first ...
Hi mummies, just after some advice from mums who have had a high number C-section (more then 3) and had their tubes tied at the same time? We are hoping for a 4th bub and thinking of trying soon, it would be my 4th C-section and Im - page 3
Caesarean Section[edit]. Women are less likely to start breastfeeding after caesarean delivery compared with vaginal delivery.[ ... Zhao, Jian; Zhao, Yun; Du, Mengran; Binns, Colin W.; Lee, Andy H. (10 October 2017). "Does Caesarean Section Affect ... "Breastfeeding After Cesarean Birth". La Leche League International. Retrieved 22 March 2018.. ... Current research strongly supports immediate skin-to-skin mother-baby contact even if the baby is born by Cesarean surgery. The ...
"Why Is It Called A 'Cesarean Section' Anyway?". HuffPost. 2018-04-05. Retrieved 2019-11-23. Depierri, Kate P. "One Way of ... "cesarean section , Description, History, & Risks". Encyclopedia Britannica. Retrieved 2019-11-23. Boss, Jeffrey. "Caesarian ... In early Christian Rome, C-sections were almost non-existent. Loss of skill is a possibility for the lack of C-sections. Infant ... Thus, C-sections could have potentially occurred on a fairly regular basis, and accounts were simply not recorded. Mortality ...
Cesarean section or vaginal deliveryEdit. A study in 2013 involving 106 participating centers in 25 countries came to the ... Fetal position (the way the babies are lying in the womb) usually determines if they are delivered by caesarean section or ... There is also insufficient evidence around whether to deliver the babies early by caesarean section or to wait for labour to ... In comparison, it has been estimated that 75% of twin pregnancies in the United States were delivered by Cesarean section in ...
Clemetson CA, Hassan R, Mallikarjuneswara VR, Wallace G (August 1973). "Tilt-bend cesarean section". Obstetrics and Gynecology ... "Tilt caesarean section". The Journal of Obstetrics and Gynaecology of the British Commonwealth. 77 (8): 713-21. doi:10.1111/j. ... he showed an improved oxygen saturation in the umbilical cord of blood of babies delivered by Caesarean Section under spinal ...
"Cesarean Section Under Difficulties", which documented a caesarean section he performed in a remote ranch-house lit by an oil ... Harrison, Tillson (1912). "Cesarean Section Under Difficulties". Journal of the American Medical Association. 59 (1): 37. doi: ...
"Healthcare Bluebook: Cesarean Section". CAREOperative. Archived from the original on 2014-03-20. Retrieved February 11, 2014. ... The cost of a cesarean section, the recommended mode of delivery for brain dead pregnant women, is roughly $4,500 for ... a viable child was delivered via cesarean section after extended somatic support. However, according to Esmaelilzadeh, et al. ... child delivered from a somatically supported brain dead mother focused on the case of a child delivered via cesarean section in ...
... and lowest total cesarean section rate, by the American College of Nurse Midwives. On April 9, 2014, a Eurocopter AS350B3E ... lowest primary cesarean section rate; highest rate of 6 week post partum visit attendance; highest breast-feeding continuation ...
Bracha J.; Lotan M.; Zakut H. (1988). "Ovarian abscess following cesarean section. A case report and review of the literature ...
Cesarean sections are not recommended. Breastfeeding is considered safe if the nipples are not damaged. Infection around the ...
"Video of Cow Caesarean Section". VetPulse TV in Practice. YouTube. Retrieved 30 December 2013. Hoflack, G.; Van den Broeck, W ... The breed's increased need to have Caesarean sections when calving means increased cost and added work, and can become a ... The neonatal calf is so large that Caesarean sections are routinely scheduled for breeders.:256 The bull's testicular weight ...
For example, a large baby or a small pelvis often lead to death unless a caesarean section is performed. It is also used by ... ISBN 0-8036-1207-9. "Encyclopedia of Medicine: Cesarean Section". eNotes. Archived from the original on 2006-11-28. Retrieved ...
Yutzy SH, Wolfson JK, Resnick PJ (1993). "Child stealing by cesarean section: a psychiatric case report and review of the child ... Burgess AW, Baker T, Nahirny C, Rabun JB (2002). "Newborn kidnapping by cesarean section". J Forensic Sci. 47 (4): 827-30. doi: ... The definition of the subject does not include compulsory cesarean sections for medical reasons nor child removal from parents ... Dalley, Marlene (2005). "Abductions from the womb : Caesarean section murder a new category of homicide" (PDF). Royal Canadian ...
Caesarean Section. 1925. The History of British Midwifery from 1650 to 1800. Bale & Danielsson, London, 1927. (Fitzpatrick ... In 1905, he was president of the Obstetric and Gynaecology section of the British Medical Association (BMA). Two years later, ... He was active amongst various medical societies and was president of the Obstetric and Gynaecology section of the British ... when Spencer became the president of the Obstetrics and Gynaecology section at the RSM. In 1923, he presided over the Medical ...
A fear of cesarean section in Benin may be the cause of rumor, but it may also be justified based on the outcomes. One in 20 ... Cesarean section has been described in Benin as an act against nature, and women cite that their mothers and grandmothers were ... Approximately 4% deliver by cesarean section. Birth position is greatly influenced by place of birth in Benin. A Bariba woman ... As of April 2009, the government of Benin made cesarean sections free to those needing emergent operative delivery in 43 ...
One observer noted a "surgical skill which had reached a high standard". Caesarean sections and other abdominal and thoracic ... ISBN 978-0-85255-431-9. Cesarean Section - A Brief History(2008). National Library of Medicine, part 2 https://sfamjournals. ...
Cesarean section may result in less painful sex during the first 3 months, or there may be no difference, and there is no ... Barrett, G; Peacock J; Victor CR; Manyonda I (2005). "Cesarean section and postnatal sexual health". Birth. Wiley Periodicals, ... difference in sexual function or symptoms by six months, although women who delivered by cesarean report greater sexual ...
... and obstructed labor at full cervical dilation when there is no option of a caesarean section. In some Irish cases, caesarean ... She thought she was being brought to theatre for a caesarean section. No one told her the plan was to do the 'new procedure,' a ... Since this procedure does not scar the uterus, the concern of future uterine rupture that exists with cesarean section is not a ... Symphysiotomy in combination with vacuum extraction can be a life-saving procedure in areas of the world where caesarean section ...
A resuscitative hysterotomy, also referred to as a perimortem Caesarean section (PMCS) or perimortem Caesarean delivery (PMCD ... Potential structures that may be damaged during the procedure are as for Caesarean section, including the fetus itself and the ... Combined with a laparotomy, the procedure results in a Caesarean section that removes the fetus, thereby abolishing the ... Parry R, Asmussen T, Smith JE (March 2015). "Perimortem caesarean section". Emergency Medicine Journal. BMJ Group (published 24 ...
II: Studies at cesarean section". Anesthesiology. 54 (6): 474-80. doi:10.1097/00000542-198106000-00006. PMID 7235275.. ... II: Studies at cesarean section". Anesthesiology. 54 (6): 474-80. doi:10.1097/00000542-198106000-00006. PMID 7235275.. ... A normal dose of sodium thiopental (usually 4-6 mg/kg) given to a pregnant woman for operative delivery (caesarian section) ...
Court-Ordered Cesarean Section, "poor, minority women are affected most often by court-ordered c-section [...] which include: ... For example, a cesarean section could save the baby and mother's life, but the mother wants a natural birth that will kill both ... In another example, a woman can receive a court-ordered cesarean section to save a fetus, but this is usually viewed as ... Even in the case where court-ordered cesarean sections seem necessary, most physicians and law-makers avoid it altogether as ...
Abi's baby is delivered via cesarean section. Max is hopeful that Abi will recover and does not tell Lauren the truth, but she ...
Britney Spears actually had a caesarean section. In an Associated Press interview, Edwards asserted that he incorporates ...
The child was born via cesarean section. In April 2014, a team of scientists led by Anthony Atala reported that they had ...
The routine use of caesarean section for early delivery of infants expected to have very low birth weight is controversial, and ... During pregnancy their mother had pre-eclampsia, requiring birth by caesarean section. The larger twin left the hospital at the ... The same recommendation applies to cesarean section. Medical reasons for early delivery include preeclampsia. Preterm birth may ... Alfirevic, Zarko; Milan, Stephen J.; Livio, Stefania (12 September 2013). "Caesarean section versus vaginal delivery for ...
Thus, the incidence is 0.2% in general surgery, about 0.4% during caesarean section, between 1 and 2% during cardiac surgery ... For certain operations, such as Caesarean section, or in hypovolemic patients or patients with minimal cardiac reserve, the ... Bogod DG, Orton JK, Yau HM, Oh TE (April 1990). "Detecting awareness during general anaesthetic caesarean section. An ... Lyons G, Macdonald R (January 1991). "Awareness during caesarean section". Anaesthesia. 46 (1): 62-4. doi:10.1111/j.1365- ...
Most women give birth vaginally, but the incidence of cesarean section, or C-section, is rising. In 1986, the rate of C-section ... Asia-Pacific Population Journal, 16(2), 45-62 Fernando, L. and Abeywardena, M. (1999). Trends in caesarean section. Sri Lanka ... During C-sections, 80% of women receive spinal anesthesia, 15% epidural and 5% general anesthesia. Non-pharmacologic pain ... It is hypothesized that the increase in C-sections is due to a variety of factors, including increased use of epidural ...
Women who have had a caesarean section for a previous pregnancy are at risk of having a uterine rupture, when their caesarean ... "Elective repeat caesarean section versus induction of labour for women with a previous caesarean birth". The Cochrane Database ... There is not yet enough research to determine which method of induction is safest for a woman who has had a caesarean section ... There is also no research to say whether it is better for these women and their babies to have an elective caesarean section ...
She appeared to have two cesarean section scars. She was found wearing a short-sleeved, white pullover blouse with a gold ...
Fistulas are sometimes found after a cesarean section. Providers can also inadvertently cause a fistula when performing ...
... injury to the cervix or bladder bleeding Cervical Dystocia with failure to dilate requiring Cesarean Section displacement of ... A c-section is required for women giving birth with a TAC. A transabdominal cerclage can also be placed pre-pregnancy if a ... Shirodkar procedure sometimes involves a permanent stitch around the cervix which will not be removed and therefore a Caesarean section ...
... cesarean section, or induced abortion. On October 2, 2003, with a vote of 281-142, the House approved the Partial-Birth ... This section needs additional citations for verification. Please help improve this article by adding citations to reliable ... "Women's History section of About.com. About.com. Retrieved 2006-07-07.. ...
Having placenta previa is an economic stress as well because it requires having a caesarean section delivery, which require a ... These conditions can result in heavy bleeding during delivery that can endanger mother and baby, although cesarean delivery can ...
"A meta-analysis of the association between Caesarean section and childhood asthma". Clinical and Experimental Allergy. 38 (4): ...
While making the longitudinal inscision for a classical caesarean section, the pyramidalis is used to determine midline and ... 7283 at the SUNY Downstate Medical Center Cross section image: pelvis/pelvis-female-17-Plastination Laboratory at the Medical ...
If the patient delivers via Cesarean section, the surgeon will remove part or all of the fallopian tubes after the infant has ... Anesthesia for the tubal ligation will be the same as that being used for the Cesarean section itself, usually regional or ... This method uses electric current to cauterize sections of the fallopian tube, with or without subsequent division of the tube. ...
... abortion abruption breech birth cephalo-pelvic disproportion caesarean section, cesarean section, C-section dermatoses of ...
... a delivery requiring either the use of instruments or an emergency Caesarean section, birth asphyxia, seizures just after birth ...
If the cystic hygroma is large, a cesarean section may be performed. After birth, infants with a persistent cystic hygroma must ...
During childbirth (unless by Cesarean section) the fetus passes through the maternal pelvic opening. Hip fractures often affect ... Each hip bone consists of 3 sections, ilium, ischium, and pubis. During childhood, these sections are separate bones, joined by ... The gap enclosed by the bony pelvis, called the pelvic cavity, is the section of the body underneath the abdomen and mainly ... Section of Obstetrics and Gynaecology)". Proceedings of the Royal Society of Medicine. 32 (1): 1-30. PMC 1997320 . PMID ...
If complications arise that demand cesareans, then cesareans are performed. However, cesarean birth has a negative image in ... The rate of c-sections in Japan in 2005 was, according to one estimate, 17.4%. Other reports suggest the rate is as low as 10% ... and about 10 days after cesarean. This period is a time for ansei, or peace and quiet with pampering. Rest is considered very ... requesting a cesarean without medical reason is perceived as unacceptable. The care provided by independent midwives at ...
The litter was delivered by caesarean section, and the surviving pups were refined with French and English bassets. The first ...
... with an ancestor who was born by Caesarean section (from the Latin verb "to cut", caedere, caes-).[11] The Historia Augusta ... The misconception that Julius Caesar himself was born by Caesarian section dates back at least to the 10th century (Suda kappa ...
Thavagnanam S, Fleming J, Bromley A, Shields MD, Cardwell, CR (2007). "A meta-analysis of the association between Caesarean section ...
While pregnant with Luca in 1969, Hepburn was more careful, resting for months before delivering the baby via caesarean section ...
II: Studies at cesarean section. Anesthesiology. 1981 Jun;54(6):474-80. PMID 7235275 ...
Cervical cancer may require birth by Caesarean section. Radiation to the breast reduces the ability of that breast to produce ...
Entanglement of cord in twin pregnancy at the time of Caesarean Section ... Except so far as otherwise provided by this section or as may be prescribed, the provisions of this Part of this Act shall, so ... Section 56(1) of the Registration of Births, Deaths and Marriages (Scotland) Act 1965 (as amended) contains the definition that ... Caesarean birth is not recommended unless complications develop during vaginal birth. How the diagnosis of stillbirth is ...
Su, Min; Hannah, Walter J.; Willan, Andrew; Ross, Susan; Hannah, Mary E. (Oct 2004). "Planned caesarean section decreases the ... or Caesarean section should be used in childbirth.[28]. Cervical incompetence is a condition in which shortening of the cervix ... a b NICE (2007). Section 1.7, Normal labour: second stage. *^ ACOG (2012). "Obstetric Data Definitions Issues and Rationale for ... a b ,NICE (2007). Section 1.6, Normal labour: first stage. *^ ... and the posterior section of the cervix drains to the obturator ...
Caesarean sectio, C-section එසේත් නැතිනම් caesarean delivery දරුවන් බිහිකිරීම සඳහා සිදුකරන සැත්කමකි. ... "Caesarean section photography". WikiJournal of Medicine. 1 (2). doi:10.15347/wjm/2014.006.. .mw-parser-output cite.citation{ ...
The population-based caesarean section rate is around 4.6%, but varies greatly depending on the region. Higher cesarean rates ... As mentioned previously, the C-section rate is 4.6% as of 2012. According to one study, the zonal hospital was equipped with 75 ... small out-building near the main house or lower section of the main house for animals). Similarly, losing a child was an ... cesarean delivery, vaginal birth, and satisfaction with a traditional birth attendant or other health professional. As for ...
It appears that at this hospital physicians who performed emergency cesarean sections sometimes used the opportunity to ... "Physicians preferred to perform cesarean sections and tubal ligations in tandem to minimize risks associated with infection and ...
Another method of extracting caviar is by performing a caesarean section, which allows the female to continue producing roe.[45 ...
... via emergency Caesarean section at nearby Otis Air Force Base. The infant's lungs were not fully developed, and he was ... Burial Detail: Onassis, Jacqueline K (Section 45, Grave S-45 - at ANC Explorer ... Kennedy had remained at Otis Air Force Base to recuperate after the Caesarean delivery; her husband went to Boston to be with ...
Caesarean section. *Elective. *On maternal request. *EXIT procedure. *Resuscitative hysterotomy. Postpartum hemorrhage. * ...
In Shahnameh, his national epic poem, Ferdowsi described a caesarean section performed on Rudaba.[citation needed] A special ... This section needs expansion. You can help by adding to it. (February 2015) ...
Whelping sometimes presents difficulties and require caesarean section for successful delivery of the puppies.[7] ...
Weiner, S; Monge, J; Mann, A (September 2008). "Bipedalism and parturition: an evolutionary imperative for cesarean delivery ... "perimeter of the brain delineated on two-dimensional coronal sections"[54]). FreeSurfer, a surface reconstruction Software is ...
DoneWound drainage for caesarean section PMID 24338262 https://doi.org/10.1002/14651858.CD004549.pub3 ... Subcutaneous closure versus no subcutaneous closure after non-caesarean surgical procedures PMID 24446384 https://doi.org/ ...
Terminal meconium occurs when the fetus passes the meconium a short enough time before birth/cesarean section that the amniotic ...
Caesarean section, also known as C-section or caesarean delivery, is the use of surgery to deliver one or more babies.[2] A ... Global rates of caesarean section rates are increasing.[22] In the United Kingdom, in 2008, the Caesarean section rate was 24%. ... In rare cases, caesarean sections can be used to remove a dead fetus. A late-term abortion using Caesarean section procedures ... Elective repeat Caesarean section (ERCS). Both have higher risks than a vaginal birth with no previous caesarean section. There ...
C-section), surgery to deliver a baby through the mothers abdomen. It is done when a vaginal birth is not safe. ... Cesarean Sections (Nemours Foundation) Also in Spanish * Delivery by Cesarean Section (American Academy of Pediatrics) Also in ... Cesarean section (Medical Encyclopedia) Also in Spanish * Cesarean Section: Recovering After Surgery (March of Dimes Birth ... A Cesarean section (C-section) is surgery to deliver a baby. The baby is taken out through the mothers abdomen. In the United ...
Health Information on Cesarean Section: MedlinePlus Multiple Languages Collection ... Cesarean Section: MedlinePlus Health Topic - English Cesárea: Tema de salud de MedlinePlus - español (Spanish) ... Your Recovery After Cesarean Birth - 简体中文 (Chinese, Simplified (Mandarin dialect)) Bilingual PDF ... Your Recovery After Cesarean Birth - 繁體中文 (Chinese, Traditional (Cantonese dialect)) Bilingual PDF ...
cesarean section cesarean section. cesarean section sĭzâr´ēən [key], delivery of an infant by surgical removal from the uterus ... Cesarean section is performed nowadays when factors exist that make natural childbirth hazardous, such as an abnormally narrow ... In the last few decades there has been a significant increase in the number of cesarean sections performed among the factors ... Subsequent deliveries are largely also by cesarean section. ...
In the USA, about a third of all mothers deliver their babies via a C-section. ... often called a C-section, is a surgery performed to deliver a baby. ... A Cesarean section, often called a C-section, is a surgery performed to deliver a baby. In the USA, about a third of all ... mothers deliver their babies via a C-section.. Cesarean section operation in process. Image Credit: Elis Blanca / Shutterstock ...
Yet, the early history of cesarean section remains shrouded in myth and is of dubious accuracy. Even the origin of "cesarean" ... "section" replaced "operation.". One of the earliest printed illustrations of Cesarean section. Purportedly the birth of Julius ... Cesarean section has been part of human culture since ancient times and there are tales in both Western and non-Western ... The history of cesarean section can be understood best in the broader context of the history of childbirth and general medicine ...
Cesarean delivery is defined as the delivery of a fetus through surgical incisions made through the abdominal wall (laparotomy ... encoded search term (What is cesarean delivery (C-section)?) and What is cesarean delivery (C-section)? What to Read Next on ... cesarean on the interval time between first cesarean section and the next pregnancy and significant adhesion at second cesarean ... What is cesarean delivery (C-section)?. Updated: Dec 14, 2018 * Author: Hedwige Saint Louis, MD, MPH, FACOG; Chief Editor: ...
International Cesarean Awareness Network The International Cesarean Awareness Network (ICAN), founded in 1982, is a network of ... ICAN has developed an educational program on cesarean prevention and vaginal birth after cesarean. ICAN is supported by ... ICAN provides current information on cesarean prevention and vaginal birth after cesarean. Chapters are active across the ... It aims to reduce the rate of cesarean deliveries, to provide a forum for discussion, and to provide a support network for ...
... at least half of all deliveries are C-sections. Growing popularity is often a sign of something new. But the C-section is ... More and more women are giving birth by cesarean section, not just in the U.S. but also abroad: In some Brazilian cities, ... More and more women are giving birth by cesarean section, not just in the U.S. but also abroad: In some Brazilian cities, at ... But C-sections didnt fade as rickets had. Accounting for a very small percent of deliveries for much of the 20th century, by ...
Learn why and how C-sections are done. ... Cesarean Sections (C-Sections). Whats in this article?. *What ... Some babies need to be delivered via cesarean section (C-section).. Even if youre hoping for a traditional vaginal birth, it ... Why Are C-Sections Needed?. Scheduled C-Sections. Some C-sections are scheduled if the doctor knows that a vaginal birth would ... Emergency C-Sections. Some C-sections are unexpected emergency deliveries done when complications arise with the mother and/or ...
... Jonathan Gruber, Maria Owings. NBER Working Paper No. 4933. ... w6744 Physician Fees and Procedure Intensity: The Case of Cesarean Delivery. Barro and Beaulieu. w10017 Selection and ... cesarean delivery. Using a nationally representative micro-data set for this period, we show that there is a strong correlation ... between within state declines in fertility and within state increases in cesarean utilization. This correlation is robust to ...
Caesarean Section Br Med J 1963; 2 :624 doi:10.1136/bmj.2.5357.624 ... Caesarean Section. Br Med J 1963; 2 doi: https://doi.org/10.1136/bmj.2.5357.624 (Published 07 September 1963) Cite this as: Br ...
Cesarean Section. About Cesarean section. Nomenclature: Cesarean section, Classical Cesarean section, Lower Segment Cesarean ... 2. Why do they call it a cesarean section?. The procedure is known as a cesarean section as it is thought that the Roman ... Health tips for Smooth Recovery after Cesarean Section. Here are a few tips to help you recover after a cesarean section:. * ... Elective Cesarean Section (Planned C-Section): The Cesarean is planned and done on a specific date chosen by the patient and ...
... also called c-section, refers to the delivery of a baby by means of a surgical procedure carried out in the operation theatre. ... A cesarean section may be decided upon in the following cases:. *If the mother has already had a cesarean delivery before. *If ... Cesarean section, also called c-section, refers to the delivery of a baby by means of a surgical procedure carried out in the ... A cesarean delivery may also be required in the following emergencies:. *If labor does not progress normally. *If the baby does ...
... , C-Section, Cesarean Section Postoperative Management, C-Section Postoperative Management. ... C Section (OB), C-Section (OB), C-Sections (OB), Caesarean Sections, Caesarean Section, Cesarean section, Cesarean section and ... Caesarean section, CS - Cesarean section, Caesarean section, Cesarean section (procedure), Cesarean section, NOS, Caesarean ... C-Section, C section, caesarian section, cesarean section, cesarean section (treatment), C-section, caesarean section (C- ...
... , C-Section, Cesarean Section Postoperative Management, C-Section Postoperative Management. ... C Section (OB), C-Section (OB), C-Sections (OB), Caesarean Sections, Caesarean Section, Cesarean section, Cesarean section and ... Caesarean section, CS - Cesarean section, Caesarean section, Cesarean section (procedure), Cesarean section, NOS, Caesarean ... Cesarean Section. Cesarean Section Aka: Cesarean Section, C-Section, Cesarean Section Postoperative Management, C-Section ...
How to use cesarean section in a sentence. ... Cesarean section definition is - a surgical procedure involving ... Share cesarean section Post the Definition of cesarean section to Facebook Share the Definition of cesarean section on Twitter ... Encyclopedia article about cesarean section. Comments on cesarean section What made you want to look up cesarean section? ... Dictionary Entries near cesarean section. Cervulus Cervus cesarean cesarean section cesarevich cesarolite Cesena ...
A C-section can be part of the original birth plans but can also be necessary if complications arise. Read on to learn more ... or C-section - is the surgical delivery of a baby. It involves one incision in the mothers abdomen and another in the uterus. ... about whether a C-section is right for you. ... A cesarean delivery - also known as a C-section or cesarean ... A post-cesarean wound infection is an infection that occurs after a C-section, which is also referred to as an abdominal or ...
Lower-Segment Caesarean Section Br Med J 1948; 1 :1234 doi:10.1136/bmj.1.4564.1234 ... Lower-Segment Caesarean Section. Br Med J 1948; 1 doi: https://doi.org/10.1136/bmj.1.4564.1234 (Published 26 June 1948) Cite ...
Successful Cesarean section performed by indigenous healers in Kahura, Uganda. As observed by R. W. Felkin in 1879 from his ... In Western society women for the most part were barred from carrying out cesarean sections until the late nineteenth century, ... In 1879, for example, one British traveller, R.W. Felkin, witnessed cesarean section performed by Ugandans. The healer used ... The first recorded successful cesarean in the British Empire, however, was conducted by a woman. Sometime between 1815 and 1821 ...
Should a cesarean be necessary, a doula can help facilitate the methods of a natural cesarean. Lastly, although cesareans most ... Cesarean Inter-Section. by Terah R. Lara , September 1, 2013 Editors note: This article first appeared in Midwifery Today. , ... The Essential C-Section Guide. recommends that clients seek support from family and friends who have also experienced cesareans ... Cesarean section is the most commonly performed surgical procedure among women in the US (Trimble 2009). The World Health ...
A cesarean section, also called a C-section, is surgery to deliver a baby through the abdomen. Its used when it is impossible ... In some cases, cesarean delivery is clearly appropriate. The use of C-sections sections in these circumstances has made ... thats another case when a C-section would be recommended. In some women with HIV, for example, cesarean delivery may be ... A C-section may be done for reasons related to the mothers or the babys health, or conditions related to the pregnancy or ...
Babies delivered by C-section were 64 per cent more likely to grow up to be obese than were their brothers and sisters ... Cesarean Section C-Section Birth Mother and Newborn. Credit:Getty Images. In their initial calculations, the researchers found ... Babies delivered via cesarean section were 15 per cent more likely to be obese as kids, teens and young adults than were babies ... than C-section babies. Some scientists believe this birth canal bacteria is so valuable that theyve swabbed C-section newborns ...
... arrives via c-section. Find out what to expect during a planned c-section and an emergency c-section. ... What Happens During a C-Section?. Articles OnCesarean Section (C-Section). Cesarean Section (C-Section) Cesarean Section (C- ... Next In Cesarean Section (C-Section). Why You Might Have a C-Section ... Vaginal Birth After a C-Section? When youre ready to have your baby, will you have to deliver via cesarean section? Its hard ...
Further investigation continues to evaluate which patients should undergo a trial of labor after having a cesarean delivery. ... Finally, more research evaluating the link between cesarean birth and obesity (in those born by cesarean section) will be ... cesarean on the interval time between first cesarean section and the next pregnancy and significant adhesion at second cesarean ... C-section)?) and What are the current controversies surrounding cesarean delivery (C-section)? What to Read Next on Medscape. ...
A cesarean birth can sometimes be safer than vaginal birth. ... A cesarean section is the delivery of a baby through an ... Why is a cesarean section performed? Your doctor may recommend a C-section if it is the safest method of delivery for you, your ... Who performs a cesarean section?. An obstetrician-gynecologist (Ob/Gyn) performs C-sections. An obstetrician-gynecologist is a ... How is a cesarean section performed?. Your C-section will be performed in a hospital. It is an open surgery involving an ...
Cesarean sections are often performed when a baby is going to be born early. Likewise, sometimes labor is induced when a woman& ... Cesarean section, induced labor not always best choice, studies say. Shari Roan, Los Angeles Times / For the Booster Shots blog ... Cesarean sections are often performed when a baby is going to be born early. Likewise, sometimes labor is induced when a ... Although in many instances, a C-section is medically necessary for the health of the baby or the mother, this research shows ...
The rates of cesarean section have significantly increased worldwide over the past three decades. The choice of anesthetic ... Armstrong S. (2017) Spinal Anesthesia for Cesarean Section. In: Capogna G. (eds) Anesthesia for Cesarean Section. Springer, ... Cesarean Section Cesarean Delivery Spinal Anesthesia Intrathecal Morphine Continuous Spinal Anesthesia These keywords were ... Garry M, Davies S. Failure of regional blockade for caesarean section. Int J Obstet Anesth. 2002;11(1):9-12.PubMedCrossRef ...
... babies are born via Cesarean section. Even if you dont have a scheduled C-section, you should know what to expect if your ... Cesarean Section (C-Section). Our team will involve you in the decision to have a C-section, prepare you for the procedure and ... A Cesarean birth, most often called a Cesarean section or C-section, is the delivery of your baby through an incision in your ... Why Do I Need a C-Section?. Your doctor will recommend a C-section if its a safer delivery for you, your baby or both. Doctors ...
... many women are having c-sections rather than vaginal births and get the answers to your questions about how a cesarean section ... C section within 12 months of each other May 27 5:22pm. by Mumof3BBG 11 ... Please does anyone know Can I opt to C section in Canada Apr 19 1:06pm. by Dizzylizzy2018 14 ... OB GYN who agree to perform elective C section in Toronto Apr 24 10:43am. by Dizzylizzy2018 1 ...
  • [8] In the United States about 33% of deliveries are by C-section. (wikipedia.org)
  • Subsequent deliveries are largely also by cesarean section. (factmonster.com)
  • In the last few decades there has been a significant increase in the number of cesarean sections performed among the factors encouraging the rise are the increase in malpractice litigation arising from problems attendant to vaginal deliveries and the information provided by the many new devices that monitor the well-being of the fetus in the uterus. (factmonster.com)
  • It aims to reduce the rate of cesarean deliveries, to provide a forum for discussion, and to provide a support network for women recovering from cesarean deliveries. (healthfinder.gov)
  • More and more women are giving birth by cesarean section, not just in the U.S. but also abroad: In some Brazilian cities, at least half of all deliveries are C-sections. (latimes.com)
  • Some C-sections are unexpected emergency deliveries done when complications arise with the mother and/or baby during pregnancy or labor. (kidshealth.org)
  • Called Frida Mom, the line includes soothing items like instant ice maxi pads, healing foam (as opposed to spray), witch hazel cooling pad liners, mesh underwear for vaginal and cesarean section deliveries and more. (merriam-webster.com)
  • Cesarean deliveries are generally avoided before 39 weeks of pregnancy so the child has proper time to develop in the womb. (healthline.com)
  • Sometimes cesarean deliveries are planned early in the pregnancy, but they're most often performed when complications arise during labor. (healthline.com)
  • Overall, research has shown that mothers are more satisfied with their cesarean deliveries when the surgery is family-centered (Plaat and Smith 2010). (midwiferytoday.com)
  • Doula support helps to shorten labors and decreases the use of epidurals and Pitocin as well as decreasing the risk of instrumental deliveries and cesareans. (midwiferytoday.com)
  • Recently ACOG, and SMFM issued joint guidelines providing a framework for individual organizations and key players at the state and federal level to work with local hospitals to set the agenda to decrease the rate of primary cesarean deliveries. (medscape.com)
  • Decreasing the rate of primary cesarean deliveries will result in a decreased number of repeat cesarean deliveries. (medscape.com)
  • Though cesarean deliveries should not be chosen instead of normal birth, for those with no choice, cesareans can be a friendlier experience for both the parents and the baby. (pregnancy-info.net)
  • The total number of cesarean deliveries in New York State in 2007 in the subset we analyzed was 85,244 (34.0 percent of the 250,780 deliveries for which the method of birth is known in the state that year [1] . (citizen.org)
  • The weighted average for all deliveries of the 10 hospitals with the lowest overall cesarean rates is 20.8 percent. (citizen.org)
  • The primary cesarean rate is computed by dividing the number of women having a cesarean for the first time by the total number of deliveries by women who have never had a cesarean section. (citizen.org)
  • Between 2017 and 2018, over 100 000 emergency cesarean deliveries were carried out in England, 21% of which were undertaken with epidural anesthesia alone [ 1 ]. (hindawi.com)
  • At that time, 52% of deliveries in Brazil were cesarean sections. (scielo.br)
  • Given the WHO recommendation that cesarean sections shouldn't exceed 15% of all deliveries, the Brazilian numbers are absurd. (scielo.br)
  • In the past 40 years, the rate of cesarean deliveries has jumped from about 1 out of 20 births to about 1 out of 3 births. (peacehealth.org)
  • The United States has one of the highest rates of cesarean sections performed in the world, with elective repeat cesarean sections (ERCS) accounting for 38% of operative deliveries. (aappublications.org)
  • In 2003, about 27% of U.S. deliveries were cesarean, up 6% from 2002. (thefreedictionary.com)
  • Comparison of Intermittent Intravenous Boluses of Phenylephrine and Norepinephrine to Prevent and Treat Spinal-Induced Hypotension in Cesarean Deliveries: Randomized Controlled Trial. (harvard.edu)
  • In the U.S. the number of cesarean section deliveries continues to rise each decade. (healthstatus.com)
  • During this time, 1,284 (13%) elective cesarean section deliveries occurred at or after 37 wks of gestation. (greenmedinfo.com)
  • Umbilical cord blood gas, the Apgar score of each neonate, the interval between skin incision and delivery and the interval between hysterotomy and fetal extraction of 71 cesarean deliveries were assessed in our level III University Hospital. (biomedsearch.com)
  • In the U.S., C-sections account for one-third of deliveries - an all-time high. (chicagotribune.com)
  • Analyses show small increases in the clinical indicators of risk for Caesarean section driven by significant change in maternal characteristics (age of mothers and number of previous deliveries) and possible changes in obstetric practice. (repec.org)
  • Number of prior C-sections-A higher number of prior C-section deliveries decreases the likelihood for a successful VBAC, because the uterine wall has been weakened. (medicalcityhospital.com)
  • Despite the increased risks associated with cesarean deliveries, no mothers or babies in the study died after an elected cesarean before hospital release. (scientificamerican.com)
  • We assessed the effect of preoperative warming during cesarean delivery under spinal anesthesia for prevention of hypothermia and shivering. (nih.gov)
  • A review looking at planned caesarean section for singleton breech presentation with planned vaginal birth, concludes that in the short term, births with a planned caesarean were safer for babies than vaginal births. (wikipedia.org)
  • Cesarean section is performed nowadays when factors exist that make natural childbirth hazardous, such as an abnormally narrow pelvis, pelvic tumors, hemorrhage, active infection with herpes simplex , multiple births, or an abnormal position of the fetus within the uterus. (factmonster.com)
  • Hannah concludes that cesarean section is more dangerous in current and future pregnancies, but then discusses pelvic floor issues, reporting that the risk of urinary incontinence is higher for vaginal births. (cmaj.ca)
  • Hannah's own study of post-term pregnancy 12 is the bedrock upon which our current epidemic of post-term inductions is based, leading in my institution to a rate of cesarean sections among first births in excess of 40% (the rate is about 8% for women in spontaneous labour). (cmaj.ca)
  • Generally considered safe, C-sections do have more risks than vaginal births. (kidshealth.org)
  • Another report found that STS after cesarean can restore the healthy bacterial colonization that normally occurs with vaginal births. (midwiferytoday.com)
  • In the United stated, about 32% of all births are delivered by C-section. (womenshealthmag.com)
  • For example, about 15% of births are delivered via C-sections in the Netherlands, and 25% are delivered that way in England, Wales and Canada. (womenshealthmag.com)
  • In fact, almost 30% of all births in the United States are now done via cesarean section. (pregnancy-info.net)
  • These 36 women represented 0.34 percent of all nulliparous births and 1.09 percent of all nulliparous cesarean births. (ingentaconnect.com)
  • Overall, the prevalence of nulliparous women judged to have had a patient‐initiated elective cesarean was found to be low and is not likely to be substantially contributing to the rising proportion of cesarean births. (ingentaconnect.com)
  • About 30% of births in South Australia are by Caesarean section. (cyh.com)
  • Taking involvement a step further, a doctor in Australia has begun "assisted cesareans" in which the mother births her baby. (pregnancy-info.net)
  • Controversial issues are covered in the last part of the book including ethics of unindicted cesarean delivery, vaginal births after cesareans delivery and the preferred timing for elective cesarean delivery. (novapublishers.com)
  • More than 17% of all births in Sweden in 2008 were cesarean sections, compared to 5% at the beginning of the 1970s. (nih.gov)
  • Cesarean section rates were studied for all births and for first births only. (biomedsearch.com)
  • The rising rate of multiple births has played a role, because twins and multiples often need to be delivered by C-section. (chicagotribune.com)
  • Over this period the Caesarean section rate for singleton births in Ireland increased by over one quarter. (repec.org)
  • A new report from the survey, which was published online today in the medical journal The Lancet , found that in Asia-in both developed and developing nations- cesarean section births only reduced risks of major complications for mother and child if they were medically recommended. (scientificamerican.com)
  • Most cesarean sections (15.8 percent of births) were begun during labor, as opposed to before it starts. (scientificamerican.com)
  • After a steady decline from the mid-80s to the mid-90s, there's been a rise in the rate of C-sections in Canada , from 19 percent of all births in 1997 to 27.5 percent in 2014 and if you live in some provinces, the rate is even higher: as of 2014, 30 percent of births in PEI are C-sections, as are almost 34 percent in BC. (todaysparent.com)
  • Cesarean section , also called C-section, cesarean also spelled caesarian , surgical removal of a fetus from the uterus through an abdominal incision. (britannica.com)
  • cesarean section sĭzâr´ēən [ key ] , delivery of an infant by surgical removal from the uterus through an abdominal incision. (factmonster.com)
  • A C-section is the surgical delivery of a baby that involves making incisions in the mother's abdominal wall and uterus. (kidshealth.org)
  • Cesarean Hysterectomy - It is a life-saving procedure in which the uterus is removed after delivering the baby through a cesarean section. (medindia.net)
  • a surgical procedure involving incision of the walls of the abdomen and uterus for delivery of offspring Even a history of multiple cesarean sections need not exclude a pregnant woman from attempting a vaginal delivery, new research indicates. (merriam-webster.com)
  • You may feel the doctors pushing or pulling on your middle section as they work to remove your baby from your uterus. (webmd.com)
  • The aim was to examine the most accurate ultrasonic method for assessing thickness scar on the uterus after previous cesarean delivery and determine the threshold thickness of scar that would allow the completion of birth vaginally. (nih.gov)
  • The study showed that ultrasound measurement of 3D ultrasound thick scar on the uterus after previous cesarean section has practical application in determining the mode of delivery among pregnant women who have previously given birth by Caesarean section. (nih.gov)
  • During a caesarean section, your baby is delivered by cutting through your abdomen and then into your uterus. (nidirect.gov.uk)
  • A cesarean section is a surgical procedure in which incisions are made through a woman's abdomen and uterus to deliver her baby. (thefreedictionary.com)
  • Uterine rupture-This rare but life-threatening condition occurs when the uterus tears along the prior C-section scar. (medicalcityhospital.com)
  • What never was said though, that just being pregnant again increases the chances for uterine rupture after a C-section, because of the baby growing and stretching the uterus. (ecochildsplay.com)
  • Caesarean section , also known as C-section or caesarean delivery , is the use of surgery to deliver one or more babies . (wikipedia.org)
  • [2] A caesarean section is often necessary when a vaginal delivery would put the baby or mother at risk. (wikipedia.org)
  • [2] The World Health Organization recommends that Caesarean section be performed when there is a medical need as in many cases it is lifesaving for the mother and baby. (wikipedia.org)
  • A 7-week old Caesarean section scar and linea nigra visible on a 31-year-old mother. (wikipedia.org)
  • Caesarean section is recommended when vaginal delivery might pose a risk to the mother or baby. (wikipedia.org)
  • A prospective study of awareness and recall associated with general anaesthesia for caesarean section. (springer.com)
  • Purva M, Russell IF, Kinsella M. Caesarean section anaesthesia: a technique and failure rate. (springer.com)
  • Garry M, Davies S. Failure of regional blockade for caesarean section. (springer.com)
  • Women in labour for whom a caesarean section is being considered for suspected fetal compromise are offered fetal blood sampling to inform decision-making. (nice.org.uk)
  • Fetal blood sampling is recommended if delivery by caesarean section is contemplated because of an abnormal fetal heart rate pattern or in cases of suspected fetal acidosis. (nice.org.uk)
  • Fetal blood sampling helps the maternity team to make a more informed judgement about whether to recommend a caesarean section or to continue with a vaginal delivery. (nice.org.uk)
  • Unplanned caesarean section rates. (nice.org.uk)
  • Women in labour for whom a caesarean section is being considered because of concerns about the baby are offered a blood test from the baby's scalp (called fetal blood sampling) to help decide whether a caesarean section is needed. (nice.org.uk)
  • The National Sentinel Caesarean Section Audit defines 'technically possible' as cervical dilation of 4 cm or more. (nice.org.uk)
  • Here we report the disrupted transmission of maternal Bacteroides strains, and high-level colonization by opportunistic pathogens associated with the hospital environment (including Enterococcus , Enterobacter and Klebsiella species), in babies delivered by caesarean section. (nature.com)
  • Fig. 2: Perturbed composition and development of the neonatal gut microbiota associated with delivery by caesarean section. (nature.com)
  • Fig. 3: Disrupted transmission of maternal microbial strains in babies delivered by caesarean section. (nature.com)
  • Fig. 4: Extensive and frequent colonization of babies delivered by caesarean section with diverse opportunistic pathogens. (nature.com)
  • A caesarean may also be called a Caesarean operation, Caesarean section, C-section, LSCS or just a section. (cyh.com)
  • Not all babies need to be delivered by Caesarean section if a previous baby was delivered by Caesarean, but you will need to discuss this with your doctor. (cyh.com)
  • Have a look at the topic 'Next birth after Caesarean section' . (cyh.com)
  • Caesarean/ Cesarean - section pack Tech Standard & Application The c- section pack is designed specifically for caesarean section .The main product is c- section drape, which is made up of liquid collecting pouch, incison film,sponge bar,Clamp. (opencroquet.org)
  • Conducted is prospective study of 108 pregnant women aged 20-42 years, who had previously had a Caesarean section. (nih.gov)
  • Diagnostic accuracy in assessing the success of scar scale by evaluation of delivery (spontaneous or caesarean section). (nih.gov)
  • Caesarean section, also known as C-section, or caesarean delivery, is the surgical procedure by which a baby is delivered through an incision in the mother's abdomen, often performed because vaginal delivery would put the baby or mother at risk. (wikipedia.org)
  • The World Health Organization recommends that caesarean section be performed only when medically necessary. (wikipedia.org)
  • Descriptions of mothers surviving date back to 1500, with earlier attests to ancient times (including the apocryphal account of Julius Caesar being born by Caesarean section, a commonly stated origin of the term). (wikipedia.org)
  • There are situations where the safest option for you or your baby is to have a caesarean section. (nidirect.gov.uk)
  • As a caesarean section involves major surgery, it will only be performed where there is a real clinical need for this type of delivery. (nidirect.gov.uk)
  • If you are expecting twins, triplets or more, it is more likely that you will be advised to have a caesarean section. (nidirect.gov.uk)
  • Sometimes your doctor or midwife might suggest a caesarean section if your cervix does not fully dilate. (nidirect.gov.uk)
  • After a caesarean section, you will be uncomfortable and will be offered painkillers. (nidirect.gov.uk)
  • If you have your first baby by caesarean section, this does not necessarily mean any future baby will have to be delivered this way. (nidirect.gov.uk)
  • Using cell salvage, the reinfusion of red blood cells lost during surgery, did not lead on average to a statistically significant reduction in the rates of blood transfusion needed by all women undergoing caesarean section, according to a study published this week in PLOS Medicine by Khalid Khan from Queen Mary University of London, UK, and colleagues. (eurekalert.org)
  • In the new study, aiming to determine whether cell salvage could minimize the use of donor blood, researchers randomly assigned 3,028 women at risk of hemorrhage during caesarean section from 26 obstetric units to routine use of cell salvage (intervention group) or current standard of care without routine salvage use (control group). (eurekalert.org)
  • Is caesarean section linked to postnatal depression? (innovations-report.com)
  • Elective caesarean section does not protect women from postnatal depression, according to a study published on bmj.com today. (innovations-report.com)
  • Furthermore, neither emergency caesarean section nor assisted vaginal delivery (use of forceps or vacuum extraction) is associated with an increased risk of postnatal depression. (innovations-report.com)
  • There was no evidence that elective caesarean section altered the odds of postnatal depression compared with planned vaginal delivery. (innovations-report.com)
  • Even if emergency caesarean section or assisted vaginal delivery is required, women can be reassured that there is no reason to believe that they are more likely to experience postnatal depression. (innovations-report.com)
  • On the contrary, the pregnant woman is immersed in a social and cultural context in which vaginal delivery and caesarean section can be imagined, reported, portrayed and experienced quite differently. (scielo.br)
  • Most women in both the public and private sectors start their pregnancies wanting a vaginal delivery, but at the end of it, they opt for or accept a caesarean section. (scielo.br)
  • We outline what happens when you have a caesarean section. (medibank.com.au)
  • Caesarean section delivery may double the risk of subsequent childhood obesity, finds research published online in the Archives of Disease in Childhood . (eurekalert.org)
  • Caesarean section delivery has already been linked to an increased risk of subsequent childhood asthma and allergic rhinitis, and around one in three babies born in the US is delivered this way. (eurekalert.org)
  • But irrespective of birth weight, and after taking account of maternal weight (BMI) and several other influential factors, a caesarean section delivery was associated with a doubling in the odds of obesity by the time the child was 3 years old. (eurekalert.org)
  • An association between caesarean birth and increased risk of childhood obesity would provide an important rationale to avoid non-medically indicated caesarean section," write the authors. (eurekalert.org)
  • Step-by-step caesarean section. (mja.com.au)
  • Caesarean section is a must for any doctor considering obstetrics. (mja.com.au)
  • Is it safe to conceive soon after a Caesarean section? (netdoctor.co.uk)
  • I recently had a Caesarean section (eight weeks ago) and we are discussing when to have our next child. (netdoctor.co.uk)
  • A self-performed caesarean section is a form of self-surgery where a woman attempts to perform a caesarean section on herself. (wikipedia.org)
  • Cases of self-inflicted caesarean section have been reported since the 18th and 19th century. (wikipedia.org)
  • In March 2000, Inés Ramírez Pérez, a Mexican woman from the state of Oaxaca, gained media attention after performing a Caesarean section on herself. (wikipedia.org)
  • In the science fiction film Prometheus, by Ridley Scott, the character Elizabeth Shaw gives herself a caesarean section. (wikipedia.org)
  • We report a case of post spinal bacterial meningitis in a post partum lady who underwent spinal anaesthesia for emergency lower segment caesarean section. (scirp.org)
  • However, after eight hours of induction of labour, her cardiotocography showed variable deceleration and an emergency lower segment caesarean section (LSCS) was performed. (scirp.org)
  • She was given intravenous cefuroxime 1.5 g as empirical antibiotic before her caesarean section. (scirp.org)
  • The use of national guidelines can decrease mortality, as shown by the reduction in the number of deaths from pulmonary embolus and sepsis after caesarean section. (scribd.com)
  • Caesarean section: a matter of choice? (mja.com.au)
  • Caesarean section--etymology and early history. (thefreelibrary.com)
  • This may be considered the first description of a caesarean section (CS), even though it was performed post mortem. (thefreelibrary.com)
  • Caesarean section and asthma: alternative explanations? (bmj.com)
  • In their detailed analysis of almost 3000 children followed from birth until the age of 8 years, Roduit et al 1 showed that children born by caesarean section have a higher risk of asthma than those born by vaginal delivery. (bmj.com)
  • This hypothesis is supported by studies showing that immunological parameters in cord blood are different between children born by vaginal delivery and those born by caesarean section. (bmj.com)
  • 2 One such factor could be head circumference which has been repeatedly found to be related to increased IgE and the development of asthma and related disorders, 3 4 5 and babies born by caesarean section probably have relatively high values. (bmj.com)
  • Asthma at 8 years of age in children born by caesarean section. (bmj.com)
  • Caesarean section and gastrointestinal symptoms, atopic dermatitis, and sensitisation during the first year of life. (bmj.com)
  • This study was conducted to determine the value of computed tomography [‎CT]‎ pelvimetry in patients with previous caesarean section. (who.int)
  • Of 219 pregnant women with one previous caesarean section, 100 had antenatal CT pelvimetry and a control group of 119 women had no CT pelvimetry. (who.int)
  • In the CT pelvimetry group, 51.0% delivered by caesarean section, 28.0% underwent elective caesarean section for contracted pelvis based on the findings of CT pelvimetry and 23% underwent emergency caesarean section after a trial labour. (who.int)
  • In the control group, 21.8% underwent emergency caesarean section. (who.int)
  • This paper explores levels and trends in the prevalence of Caesarean section delivery in Ireland between 1999 and 2007. (repec.org)
  • Using data from the Irish National Perinatal Reporting System and the Hospital In-Patient Enquiry scheme we examine the contribution of maternal, delivery and clinical characteristics to the rise in the Caesarean section rate over the period. (repec.org)
  • Exploring Trends in the Rate of Caesarean Section in Ireland 1999-2007 ," The Economic and Social Review , Economic and Social Studies, vol. 42(4), pages 383-406. (repec.org)
  • What will happen if I need a caesarean section? (bounty.com)
  • A C-section or caesarean section involves making an incision in the abdomen and womb to allow your baby to be born. (bounty.com)
  • They're common in the UK with nearly 1 in 4 pregnant women having a baby via caesarean section. (bounty.com)
  • Vaginal birth after caesarean section versus elective repeat caesarean section: assessment of maternal downstream health outcomes. (greenmedinfo.com)
  • OBJECTIVE: To compare the maternal implications of strategies of vaginal birth after caesarean section (VBAC) attempt versus elective repeat caesarean section in women with one previous lower segment caesarean section. (greenmedinfo.com)
  • POPULATION: Women with one prior low transverse caesarean section who are eligible for trial of labour. (greenmedinfo.com)
  • RESULTS: In the first model VBAC attempt led to a higher hysterectomy rate (267/100,000) compared with repeat caesarean section (187/100,000). (greenmedinfo.com)
  • However, in the second model a policy of elective repeat caesarean section led to higher cumulative hysterectomy rate: 1465/100,000 versus 907/100,000 for VBAC. (greenmedinfo.com)
  • But C-sections can help women who are at risk for complications avoid dangerous delivery-room situations and can be a lifesaver in an emergency. (kidshealth.org)
  • Sometimes, however, complications arise and a cesarean delivery must be performed prior to 39 weeks. (healthline.com)
  • A cesarean delivery is typically performed when complications from pregnancy make traditional vaginal birth difficult, or put the mother or child at risk. (healthline.com)
  • Your doctor will also be able to determine if you or your baby are showing any signs of complications that would require a cesarean delivery. (healthline.com)
  • If you and your doctor decide that a cesarean delivery is the best option for delivery, your doctor will give you complete instructions about what you can do to lower your risk of complications and have a successful cesarean delivery. (healthline.com)
  • Blood transfusions are rarely needed during a cesarean delivery, but your doctor will be prepared for any complications. (healthline.com)
  • Vaginal birth is preferred over cesarean when labor and the delivery are proceeding without complications. (womenshealthmag.com)
  • A C-section is a major surgery with significant risks and potential complications. (healthgrades.com)
  • Your doctor may only consider a C-section if other delivery options with less risk of complications are not appropriate or have failed. (healthgrades.com)
  • Spinal versus epidural anesthesia for cesarean section: a comparison of time efficiency, costs, charges, and complications. (springer.com)
  • You might also want to check out Cesarean Complications so you can be fully aware of the risks and benefits to you and your child. (pregnancy-info.net)
  • Adhesions, which can be quite painful and cause complications in future pregnancies, are just one complication of c-sections. (pregnancy-info.net)
  • Cesarean delivery is associated with significantly increased risk of maternal death from complications of anesthesia, puerperal infection and venous thromboembolism. (greenmedinfo.com)
  • Cesarean section scar diverticulum (CSD) lead to many long-term complications. (bioportfolio.com)
  • This book focuses on essential aspects of cesarean delivery: procedures, complications and recovery in a straightforward manner. (novapublishers.com)
  • Urgent (emergency) caesarean sections are necessary when complications develop and delivery needs to be quick. (nidirect.gov.uk)
  • In addition, medical students seem to lack adequate training in the management of vaginal delivery, which will lead them to indicate a cesarean section for fear of more imagined than real complications. (scielo.br)
  • On the seventh post-operative day, she underwent a second surgery to repair complications resulting from damage to her intestines incurred during her C-section. (wikipedia.org)
  • In his article, "A Simple Checklist for Preventing Major Complications Associated with Cesarean Delivery," Duff outlines steps that OB/GYNs should take in order to reduce complications during and after a cesarean section. (getbetterhealth.com)
  • Awareness of this fact could give the surgeon more tranquility and help to prevent part of the iatrogenic complications associated with cesarean delivery. (biomedsearch.com)
  • Many women who have had a C-section in the past can deliver future babies vaginally with a low risk of complications. (medicalcityhospital.com)
  • Doctors are so quick to point out the risks with VBAC, but at the same time, C-sections are major surgery, and with any surgery complications can and do arise too. (ecochildsplay.com)
  • Still, many women are able to have a vaginal birth after cesarean (VBAC). (medlineplus.gov)
  • What is vaginal birth after cesarean (VBAC)? (medlineplus.gov)
  • Increased implementation of VBAC is part of a larger movement towards decreasing the cesarean delivery rate in the United States. (medscape.com)
  • Women who have had prior cesareans or a VBAC are thus subtracted from the denominator in computing the rate. (citizen.org)
  • The International Cesarean Awareness Network is a non-profit organization whose mission is to improve maternal-child health by reducing preventable cesareans through education, supporting cesarean recovery, and advocating for vaginal birth after cesarean (VBAC). (ican-online.org)
  • If you have had a previous C-section, ask your doctor if VBAC might be an option this time. (peacehealth.org)
  • This kind of incision allows many women to have a vaginal birth after a cesarean (VBAC). (thefreedictionary.com)
  • Vaginal birth after cesarean section (VBAC) is giving birth vaginally after having a baby in an earlier pregnancy by cesarean section (C-section). (medicalcityhospital.com)
  • Unsuccessful VBAC-Some women attempting VBAC require a repeat C-section. (medicalcityhospital.com)
  • Reason for prior C-section-The chances of having a successful VBAC are lower for women who had a prior C-section for a reason that could recur with their next labor and delivery. (medicalcityhospital.com)
  • Fortunately, the hospital where I had the C-section, in the next town over, did allow mothers the option of giving birth by VBAC, IF I could find a doctor willing to support that choice. (ecochildsplay.com)
  • She said I was an excellent candidate for VBAC, since the only reason for the previous C-section was a breech baby. (ecochildsplay.com)
  • I felt the odds were a lot better for me trying a VBAC, than the aftermath of another C-section. (ecochildsplay.com)
  • I told them, minus a medical emergency, I wanted to see the VBAC through, and did not want them to try to change my mind, or talk me into a C-section, while I was in labor. (ecochildsplay.com)
  • CONCLUSIONS: These results indicate that long term reproductive consequences of multiple caesarean sections should be considered when making policy decisions regarding the risk-benefit ratio of VBAC. (greenmedinfo.com)
  • In New York, VBACs and repeat cesarean sections may be undercounted. (citizen.org)
  • Using ICD-9 codes to identify indications for primary and repeat cesarean sections: Agreement with clinical records ," American Journal of Public Health , American Public Health Association, vol. 85(8), pages 1143-1146. (repec.org)
  • External cephalic version after previous cesarean section: A cohort study of 100 consecutive attempts. (bioportfolio.com)
  • External cephalic version is commonly not performed in women with a previous cesarean section. (bioportfolio.com)
  • All mothers who underwent previous cesarean section and delivered singleton infants at term gestation were identified during a 1-year period. (aappublications.org)
  • The American College of Obstetricians and Gynecologists (ACOG) has recommended a trial of labor (TOL) after a previous cesarean section to decrease the maternal morbidity associated with ERCS. (aappublications.org)
  • The population included all 1007 mothers with a history of previous cesarean section and their singleton infants delivered at ≥37 weeks of gestation, by obstetric estimate, at three hospitals in Cleveland, OH, between April 1, 1992 and March 31, 1993. (aappublications.org)
  • Common reasons for a recommendation for cesarean delivery included a previous cesarean section, cephalopelvic disproportion (when the baby's head cannot fit through the mother's pelvic opening) and fetal distress. (scientificamerican.com)
  • Putting a halt to medically unnecessary cesarean sections could save more than $2 billion a year worldwide, a study finds. (chicagotribune.com)
  • Taking the two reports together, the authors concluded, lends 'strong multiregional support for the recommendation of avoiding unnecessary cesarean sections. (scientificamerican.com)
  • Delivery of a baby through an incision in the mother s abdomen is known as cesarean section or a C-section. (medindia.net)
  • Cesarean sections are classified according to the technique and incision used in the procedure. (medindia.net)
  • This is the most common type of C-section because the surgical incision heals better with less bleeding. (healthgrades.com)
  • Factors that can affect whether a cesarean is needed include the type of uterine incision used in the previous cesarean and the risk of uterine rupture. (clevelandclinic.org)
  • For comparison: a typical C-section incision is 10 centimetres (3.9 in) long, horizontal and well below the navel, the Pfannenstiel incision. (wikipedia.org)
  • Incision-to-delivery interval and neonatal wellbeing during cesarean section. (biomedsearch.com)
  • AIM: The aim of this study was to investigate the effect of variation of the incision-to-delivery interval on neonatal wellbeing during cesarean delivery. (biomedsearch.com)
  • CONCLUSION: A longer skin incision-to-delivery interval in cesarean birth does not compromise neonatal acid-base balance. (biomedsearch.com)
  • Common indications for cesarean section include obstructed labour, failure of labour to progress, placenta praevia (development of the placenta in an abnormally low position near the cervix), fetal distress, gestational diabetes mellitus , and improper positioning of the fetus for delivery. (britannica.com)
  • The most common indications for primary cesarean delivery include labor dystocia, abnormal or indeterminate fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia. (medscape.com)
  • Safe reduction of the primary cesarean delivery rate will require different approaches for these indications, as well as others. (medscape.com)
  • Robson classification of Cesarean section rates and indications allows evaluation and comparison of the contributors to the Cesarean section rate and their impact. (bioportfolio.com)
  • C-sections -- along with most operations -- remained rare and often dreaded in the days before anesthesia, which came along in the mid-1800s. (latimes.com)
  • Preparation for a C-section varies depending on whether it is scheduled or is being done as an emergency, and depending on whether regional or general anesthesia is used. (womenshealthmag.com)
  • Doctors usually prefer to use regional anesthesia for C-sections. (womenshealthmag.com)
  • Regional anesthesia for a C- section can be done a few different ways. (womenshealthmag.com)
  • Most women who have planned C-sections receive local anesthesia -- either an epidural or a spinal block. (webmd.com)
  • It's possible your doctor may offer you general anesthesia, which will put you to sleep , but it's unlikely for most planned C-sections. (webmd.com)
  • Bupivacaine disposition in mother, fetus, and neonate after spinal anesthesia for cesarean section. (springer.com)
  • Effect of preoperative warming during cesarean section under spinal anesthesia. (nih.gov)
  • Postoperative hypothermia and shivering is a frequent event in patients during cesarean section under spinal anesthesia. (nih.gov)
  • Preoperative forced air-warming and warmed fluid prevents hypothermia and shivering in patients undergoing elective cesarean delivery with spinal anesthesia. (nih.gov)
  • Previously, the investigators found that epidural and spinal anesthesia during cesarean section possesses different responsiveness to fluid (including crystalloid and colloid) management given prior or posterior to anesthesia. (bioportfolio.com)
  • The investigators hypothesized that fluid management during CSEA would produce different effect on hemodynamics in cesarean section compared with epidural and spinal anesthesia. (bioportfolio.com)
  • Spinal anesthesia is the anesthetic technique of choice for elective cesarean section. (clinicaltrials.gov)
  • Spinal anesthesia for cesarean section (CS) has gained popularity over epidural techniques because of its easy placement and rapid onset [ 1 ]. (hindawi.com)
  • If conversion of labor epidural analgesia to cesarean delivery anesthesia fails, the anesthesiologist can be confronted with a challenging clinical dilemma. (hindawi.com)
  • If a cesarean delivery is needed in a parturient with an existing labor epidural, it is common practice to convert or "top up" the epidural catheter [ 2 ], with the aim of initiating surgical anesthesia by injecting more concentrated local anesthetic, usually combined with a lipid soluble opioid. (hindawi.com)
  • In an effort to raise the clinical standard, guidelines from the Royal College of Anaesthetists state that the rate of conversion from neuraxial to general anesthesia should be less than 15% and 5%, respectively, for category-one cesarean section and for category-one to -three cesarean section overall [ 6 ]. (hindawi.com)
  • If your C-section is planned and requires general, spinal, or epidural anesthesia, you will be asked to not eat or drink anything for 8 hours before the procedure. (ahealthyme.com)
  • Included in the study will be all healthy (ASA I or II) woman having elective Cesarean sections who are candidates for regional anesthesia. (clinicaltrials.gov)
  • This study aimed at comparing racemic bupivacaine and levobupivacaine in epidural anesthesia for elective cesarean section. (scielo.br)
  • Epidural local anesthetics associated to opioids are often used for cesarean section anesthesia. (scielo.br)
  • External cephalic version for breech presentation and a trial of labor for women with twin gestations when the first twin is in cephalic presentation are examples of interventions that can help to safely lower the primary cesarean delivery rate. (medscape.com)
  • [ 2 ] A practice bulletin from the American College of Obstetricians and Gynecologists (ACOG) recommends that all eligible women with breech presentations who are near term should be offered external cephalic version (ECV) to decrease the overall rate of cesarean delivery. (medscape.com)
  • Hannah uses her Term Breech Trial 13 to make the point that cesarean section is safer. (cmaj.ca)
  • The recommendation that all breech presentations should be delivered by a cesarean delivery is currently a subject of active debate. (medscape.com)
  • However, a c-section is safer than a vaginal delivery when the baby is 8 lbs (3.6 kg) or larger, in a breech position with the feet crossed, or in a breech position with the head hyperextended. (thefreedictionary.com)
  • I had a C-section with the birth of my first son, Ryan, in 2004, only because he was a breech baby, and refused to turn. (ecochildsplay.com)
  • I wasn't very informed on other alternatives for turning breech babies at the time, other than the external version , and accepted having a C-section was the only way to give birth to my baby. (ecochildsplay.com)
  • Eventually, however, improvements in surgical techniques, antibiotics , and blood transfusion and antiseptic procedures so reduced the mortality that cesarean section came to be frequently performed as an alternative to normal childbirth. (britannica.com)
  • Cesarean delivery is defined as the delivery of a fetus through surgical incisions made through the abdominal wall (laparotomy) and the uterine wall (hysterotomy). (medscape.com)
  • Your labor coach, wearing a surgical mask and gown, can be right by your side during the entire delivery (although partners might not be allowed to stay during emergency C-sections). (kidshealth.org)
  • Cesarean section, also called c-section, refers to the delivery of a baby by means of a surgical procedure carried out in the operation theatre. (greatdad.com)
  • Recent Examples on the Web Mothers believed to have the coronavirus are treated as if positive until tested, and everyone wears surgical masks during labor, then dons N95 masks for pushing or cesarean section , says Dr. Yuan-Da Fan, chairman of obstetrics and gynecology. (merriam-webster.com)
  • A cesarean delivery - also known as a C-section or cesarean section - is the surgical delivery of a baby. (healthline.com)
  • Cesarean section is the most commonly performed surgical procedure among women in the US (Trimble 2009). (midwiferytoday.com)
  • Anesthesiologist Felicia Plaat and Jenny Smith, CNM, co-created a "natural" cesarean in which women can have greater participation in the birth of their child regardless of the surgical route of delivery (Jentle Childbirth Foundation 2011). (midwiferytoday.com)
  • Providers at Rush Copley Medical Center offer gentle C-sections during which the curtain separating you from your surgical area is replaced with a clear plastic drape so you can see your baby being born. (rush.edu)
  • The aim of this video is to present a case report and to provide a tutorial on the surgical technique of delayed transvaginal repair of a high vesicouterine fistula that developed after cesarean section with manual removal of a morbidly adherent placenta. (springer.com)
  • Alkatib M, Franco AV, Fynes MM. Vesicouterine fistula following cesarean delivery: ultrasound diagnosis and surgical management. (springer.com)
  • Cesarean section is a surgical procedure used to deliver one or more babies. (bioportfolio.com)
  • Cesarean section is the most common surgical procedure performed on women. (bioportfolio.com)
  • Over the years minor variations of each surgical step have been introduced, and cesarean sections are not standar. (bioportfolio.com)
  • A cesarean birth is a surgical procedure used to deliver a baby when a vaginal delivery cannot be safely done. (clevelandclinic.org)
  • A cesarean section, also called a C-section, is a surgical procedure performed when a vaginal delivery is not possible or safe, or when the health of the mother or the baby is at risk. (clevelandclinic.org)
  • Cesarean section (Sectio Caesarea) is a surgical method for the completion of delivery. (nih.gov)
  • Surgical history included an uncomplicated, low transverse C-section three years prior. (scirp.org)
  • A cesarean section is a surgical procedure used to deliver a baby when a vaginal delivery poses too much danger to the health of the baby or the mother. (healthstatus.com)
  • The risks of cesarean section are low but real. (britannica.com)
  • The recommendation comes in the wake of increasing rates of Cesarean sections and despite the safety of the procedure, it poses certain risks to the mother and baby alike. (medindia.net)
  • The doctor may decide upon a cesarean in cases where a natural birth might involve risks to either mother or child. (greatdad.com)
  • A cesarean delivery is becoming a more common delivery type worldwide , but it's still a major surgery that carries risks for both mother and child. (healthline.com)
  • In general, obstetricians/gynecologists associate more risks with cesarean delivery and attribute fewer benefits to it. (medscape.com)
  • Particularly if you plan to have more children, multiple C-sections can cause risks to your placenta and heavy bleeding. (rush.edu)
  • What are C-Section Risks? (rush.edu)
  • Because of the risks, experts feel that C-section should only be done for medical reasons. (peacehealth.org)
  • When deciding whether to perform an elective cesarean section, the obstetrician must emphasize the long- and short-term health consequences for the mother and her baby, as well as weigh the risks associated with the procedure itself against not performing the procedure. (nih.gov)
  • Researchers estimate that in over 50% of instances when C-sections are performed in the U.S.A. the babies could be safely delivered vaginally. (medindia.net)
  • Babies who are born via cesarean do not experience this bacterial colonization to the extent that babies who are born vaginally do. (midwiferytoday.com)
  • However, many women can try to deliver a baby vaginally after a previous C-section. (womenshealthmag.com)
  • In these cases, babies delivered by C-section were 64 per cent more likely to grow up to be obese than were their brothers and sisters who shared the same womb but were delivered vaginally. (smh.com.au)
  • And among the 2815 mothers who gave birth via C-section and then had another baby, the younger sibling was 31 per cent less likely to be obese if he or she was delivered vaginally instead of having another C-section. (smh.com.au)
  • The study found that those delivered by C-section before 34 weeks of pregnancy had 30% higher odds of developing respiratory distress compared with similar babies delivered vaginally. (latimes.com)
  • Some C-section patients may not be able to deliver vaginally for future pregnancies. (rush.edu)
  • Giving birth by cesarean, or c-section, is on the rise in hospitals as well as among women who are choosing to give birth via cesarean rather than vaginally. (pregnancy-info.net)
  • Not all women can give birth vaginally and having a c-section may be a life saving option. (pregnancy-info.net)
  • If you have already had a cesarean and are pregnant again, you might be wondering whether you will need another cesarean or if you can deliver vaginally. (pregnancy-info.net)
  • If you are hoping to deliver vaginally, then you will want to read Vaginal Birth After Cesarean . (pregnancy-info.net)
  • A new study finds that babies born by c-section are twice as likely to be obese by age 3 as those delivered vaginally. (time.com)
  • In a study published in the journal Archives of Disease in Childhood , researchers found that babies born by cesarean section were more than twice as likely to be obese by age 3 as those born vaginally. (time.com)
  • Infants born vaginally are exposed to their mother's vaginal microbes, while those born by c-section are not. (time.com)
  • For example, babies born by cesarean section have a higher risk of asthma than vaginally delivered kids, also because of the different microbes that these babies acquire during birth and in their first year of life. (time.com)
  • Although twins can often be delivered vaginally, two or more babies might require a cesarean delivery. (clevelandclinic.org)
  • Exposing babies delivered by C-section to fluids from the mother's birth canal enriched the babies' microbes to levels more typical of babies born vaginally. (nih.gov)
  • Researchers enriched the microbes of babies delivered by C-section to levels more typical of babies born vaginally. (nih.gov)
  • The researchers found that the microbiomes (all of the DNA, or genomes, of all of the microbes) of the C-section-delivered infants exposed to vaginal fluids resembled those of vaginally delivered infants, especially during the first week of life. (nih.gov)
  • Mums who delivered by c-section tended to weigh more than those delivering vaginally, and the birthweight for gestational age of their babies also tended to be higher. (eurekalert.org)
  • Just under 16% of children delivered via c-section were obese by the age of 3 compared with 7.5% of those born vaginally. (eurekalert.org)
  • If you can't deliver vaginally, C-section allows the fetus to be delivered surgically. (ahealthyme.com)
  • SUBJECTS: All pregnant women who delivered by elective cesarean section at term during a 3-yr period were identified from a perinatal database and compared retrospectively with pregnant women who delivered vaginally and matched for week of gestation. (greenmedinfo.com)
  • Forty-four (3.4%) newborns delivered by elective cesarean section and 18 (1.4%) newborns vaginally delivered needed positive pressure ventilation resuscitation by laryngeal mask airway or tracheal tube. (greenmedinfo.com)
  • The goal of this procedure is to give birth vaginally, rather than through an elective C-section. (medicalcityhospital.com)
  • Even if you aren't planning to have a cesarean delivery, you should always prepare for the unexpected. (healthline.com)
  • Cesarean section has been part of human culture since ancient times and there are tales in both Western and non-Western cultures of this procedure resulting in live mothers and offspring. (nih.gov)
  • Until the sixteenth and seventeenth centuries the procedure was known as cesarean operation. (nih.gov)
  • Before the procedure begins, an anesthesiologist will discuss what will be done so that you don't feel pain during the C-section. (kidshealth.org)
  • The risk associated with a C-section was even greater for babies whose mothers had no apparent medical need for the procedure. (smh.com.au)
  • If you have an emergency C-section, your anesthesiologist may be able to quickly give you medicine through your epidural to make you numb, so you still may be able to be awake during the procedure. (webmd.com)
  • Our team will involve you in the decision to have a C-section, prepare you for the procedure and help you feel safe and connected during your birth experience. (rush.edu)
  • If your doctor recommends a C-section, knowing what to expect can make you more comfortable before and during the procedure. (rush.edu)
  • If you have decided to have an elective cesarean, read about the procedure and the recovery so you can know what to expect. (pregnancy-info.net)
  • It has been suggested that this increase is partially the result of women requesting the procedure, although the prevalence of patient‐initiated elective cesarean section is unclear. (ingentaconnect.com)
  • This procedure is also known as a C-section, and can happen quickly based on the emergency situation. (clevelandclinic.org)
  • For the procedure, a sterile gauze pad was incubated in the mother's birth canal an hour before the C-section. (nih.gov)
  • Excessive hemorrhage during caesarean sections, one risk of the procedure, requires treatment by transfusion of donated blood components. (eurekalert.org)
  • The procedure is often used in cases where the mother has had a previous c-section. (thefreedictionary.com)
  • As more and more women are undergoing this procedure to deliver their baby they are also faced with their own body challenges after a cesarean birth. (healthstatus.com)
  • [3] Established guidelines recommend that caesarean sections not be used before 39 weeks of pregnancy without a medical reason. (wikipedia.org)
  • A C-section may be done for reasons related to the mother's or the baby's health, or conditions related to the pregnancy or process of labor. (womenshealthmag.com)
  • Doctors sometimes decide during pregnancy that a C-section will be necessary and they schedule it ahead of time. (healthgrades.com)
  • Last August, the Legislative Assembly of the State of São Paulo approved Bill No. 435, authored by Mrs Janaina Paschoal, whose purpose would be to guarantee the pregnant woman the possibility to opt for cesarean section, from the thirty-ninth week of pregnancy, independently of indication for normal delivery. (scielo.br)
  • After a C-section, a woman may not be able to have a vaginal birth in a future pregnancy. (ahealthyme.com)
  • Not because the cesarean section caused permanent damage to the organs and skin but rather because pregnancy itself changes the bodies of women in such a way that they are never really the same. (healthstatus.com)
  • Heather blogs at A Mama's Blog , where she has written other posts on C-sections, VBACs, breastfeeding, pregnancy, and birth issues, as well as her two boys. (ecochildsplay.com)
  • Go to Vaginal Birth After Cesarean Delivery for complete information on this topic. (medscape.com)
  • Vaginal birth after cesarean delivery rates. (medscape.com)
  • Many of the earliest successful cesarean sections took place in remote rural areas lacking in medical staff and facilities. (nih.gov)
  • The first recorded successful cesarean in the British Empire, however, was conducted by a woman. (lifeboat.com)
  • Successful Cesarean section performed by indigenous healers in Kahura, Uganda. (lifeboat.com)
  • This meant that cesareans could be undertaken at an earlier stage in failing labor when the mother was not near death and the fetus was less distressed. (nih.gov)
  • [2] [3] A caesarean delivery may be performed based upon the shape of the mother's pelvis or history of a previous C-section. (wikipedia.org)
  • When there is suspected danger to the mother's or baby s condition an emergency section is resorted to. (medindia.net)
  • All of the newborns, who were delivered via cesarean section , tested negative for the coronavirus, and there were no traces of the virus in the mother's amniotic fluid, cord blood or breast milk. (merriam-webster.com)
  • Although more research is needed to understand exactly how a mother's microbiome influences her child's risk of obesity, the new findings should prompt doctors and pregnant women to think twice about C-sections that aren't medically necessary, the study authors concluded. (smh.com.au)
  • Babies born by cesarean section tend to acquire a microbial community that more closely resembles that of their mother's skin. (nih.gov)
  • Before a C-section, a needle called an IV is put in one of the mother's veins to give fluids and medicine (if needed) during the surgery. (peacehealth.org)
  • The aim was to find scientific evidence and, based on this, to develop national medical guidelines in Sweden for cesarean section on mother's request. (nih.gov)
  • About 8% of the cesarean sections were performed at mother's request. (nih.gov)
  • Obstetric care consensus no. 1: safe prevention of the primary cesarean delivery. (medscape.com)
  • Safe prevention of the primary cesarean delivery. (medscape.com)
  • The primary cesarean rate may therefore have a larger denominator than is warranted, thus yielding a lower rate than the "true" one. (citizen.org)
  • Our numbers may therefore err on the conservative side, understating the primary cesarean rate. (citizen.org)
  • The primary cesarean rate in New York is 21.1 percent and varies more than 3.5-fold by county. (citizen.org)
  • In the nineteenth century, European travellers have described Cesarean section being performed by African tribes, using alcohol to anaesthetize the mother and herbs for wound healing. (medindia.net)
  • Table 3 summarizes the overall cesarean section rate by level of perinatal care in the hospital. (citizen.org)
  • The International Cesarean Awareness Network (ICAN), founded in 1982, is a network of people concerned about the incidence of cesarean birth. (healthfinder.gov)
  • 3-5 More recently, severe persistent pulmonary hypertension requiring extracorporeal membrane oxygenation therapy has been noted in infants delivered by elective cesarean section. (aappublications.org)
  • [ 1 ] The rapid increase in cesarean birth rates from 1996 to 2014 without clear evidence of concomitant decreases in maternal or neonatal morbidity or mortality raises significant concern that cesarean delivery is overused. (medscape.com)
  • Cesarean section changes neonatal gut colonization. (nature.com)
  • While elective C-section has improved neonatal outcomes there is still a good number of women who attempt vaginal birth. (omicsonline.org)
  • To evaluate neonatal outcomes after an elective repeat cesarean section (ERCS) compared with a trial of labor (TOL). (aappublications.org)
  • Compared with a successful TOL, the infants delivered by cesarean section after a failed TOL had more neonatal morbidity and had a longer hospital stay (4.8 ± 2 vs 3.1 ± 2 days). (aappublications.org)
  • The objective of this study was to examine the association between the timing of delivery between 37 and 42 wks gestation and neonatal resuscitation risk in elective cesarean section. (greenmedinfo.com)
  • A significant reduction in neonatal resuscitation risk would be obtained by waiting until week 39(+0) before performing elective cesarean section. (greenmedinfo.com)
  • Some recent controversial issues related to CS like the development of uterine nitche (isthmocele) at the CS scar site, placenta accrete and the role of cesarean myomectomy are discussed in details. (intechopen.com)
  • Vaginal Repair of Cesarean Section Scar Diverticula Diagnosed in Nonpregnant Women. (bioportfolio.com)
  • Ultrasound evaluation of uterine scar after Cesarean section and next birth. (nih.gov)
  • Ultrasound images of uterine muscle scar after prior cesarean section are better by 3D methods. (nih.gov)
  • The presence of an abdominal wall endometrioma within a cesarean section scar may pose a diagnostic dilemma, which is often misdiagnosed, and results in surgery referrals for treatment. (scirp.org)
  • The rare presence of an abdominal wall endometrioma within a cesarean section scar may pose a diagnostic dilemma both clinically and with diagnostic imaging. (scirp.org)
  • You had a C-section before, and you have the same problems this time or your doctor thinks labor might cause your scar to tear (uterine rupture). (peacehealth.org)
  • If she gets pregnant again, a woman with a C-section scar has a small risk of the scar tearing open during labor (uterine rupture). (peacehealth.org)
  • Researchers have also identified a correlation between infant birth by cesarean section and increased risk of childhood obesity . (britannica.com)
  • Yet, the early history of cesarean section remains shrouded in myth and is of dubious accuracy. (nih.gov)
  • The history of cesarean section can be understood best in the broader context of the history of childbirth and general medicine þ histories that also have been characterized by dramatic changes. (nih.gov)
  • Stomach acids can, in very rare cases, can leak into a woman's lungs during a C-section. (womenshealthmag.com)
  • Also learn more about the benefits and cons to a cesearean section and about what a c-section means for a woman's postpartum recovery time. (pregnancy-info.net)
  • The survey brings the results of research that shows the medical preference (and not the pregnant woman's) for cesarean section. (scielo.br)
  • The guidelines suggest that it is appropriate to comply with a woman's request for cesarean section if the reason for her request is deemed sufficiently serious and if, after participating in a counseling program, the woman persists in her request for cesarean section. (nih.gov)
  • While I'm not a childbirth expert, I believe that the reason why most Cesarean Sections are performed is because unborn child is in unnatural position inside woman's birth which could make birth-giving the natural way difficult or impossible. (bestgore.com)
  • Despite this, babies born by cesarean sections are normally taken away for medical procedures. (pregnancy-info.net)
  • A Cesarean section (C-section) is surgery to deliver a baby. (medlineplus.gov)
  • Having a support group to help adjust to the first few months after a C-section, especially accepting individual differences in recovery after a major surgery. (news-medical.net)
  • The Mischnagoth and Talmud prohibited primogeniture when twins were born by cesarean section and waived the purification rituals for women delivered by surgery. (nih.gov)
  • C-section is the most commonly performed surgery in the U.S.A. and approximately about 1.3 million children each year or one of every three babies are being delivered by Cesarean section. (medindia.net)
  • The most common such surgery is a past C-section. (womenshealthmag.com)
  • Recently, some experts have questioned whether a C- section should be done when a mother requests it absent any medical justification for the surgery. (womenshealthmag.com)
  • C-sections are generally safe, but the risk of major complication and death during the surgery is three to five times higher than with vaginal birth. (womenshealthmag.com)
  • Usually, women undergoing a scheduled C-section are not allowed to have anything to eat or drink 6 to 8 hours before surgery. (womenshealthmag.com)
  • During an emergency C-section, a few of the details are different, including the speed and urgency of the surgery. (webmd.com)
  • Although in many instances, a C-section is medically necessary for the health of the baby or the mother, this research shows that in some cases the surgery may not be beneficial for some infants,' said Dr. Diane Ashton, deputy medical director of the March of Dimes. (latimes.com)
  • If it's not an emergency situation, your doctor will schedule your C-section surgery in advance of your delivery. (rush.edu)
  • Worldwide, not only is cesarean section (CS) the most commonly performed major surgery, but it is also the commonest obstetric operation. (intechopen.com)
  • Worldwide, cesarean delivery (CD) is the most frequent major operation performed, and of course, the commonest surgery performed in obstetrics. (intechopen.com)
  • Guidelines for intraoperative care in Cesarean Delivery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations. (bioportfolio.com)
  • It often takes longer for your milk to come in after a C-section than after a traditional delivery, especially if you weren't labouring before surgery, but your mature milk should be in by about day three or four (prior to this, the baby will get colostrum). (todaysparent.com)
  • You might need some help positioning your baby correctly to breastfeed after a C-section - see our C-section recovery section for tips and advice on this, and looking after yourself after your surgery. (bounty.com)
  • A 43-year-old woman was referred to our unit for continuous urinary leakage 3 months after undergoing a cesarean section with manual removal of a morbidly adherent placenta. (springer.com)
  • Why is Emergency Cesarean Section performed? (medindia.net)
  • Maverick arrived almost a month early, Graf shared on Instagram, and her arrival was not without some drama - the new mom was forced to undergo an emergency cesarean section after suffering extremely high blood pressure. (merriam-webster.com)
  • Doctors were able to deliver her baby via an emergency cesarean section , police said. (merriam-webster.com)
  • CBS News , "Pregnant mother of five shot and killed but fetus survives," 3 Feb. 2020 An emergency cesarean section was performed, and Soriano's son, Walter, was transferred to a children's hospital in New York City while his mother remained in the intensive care unit. (merriam-webster.com)
  • Cesarean delivery on maternal request. (medscape.com)
  • Cesarean delivery on maternal request (CDMR) also continues to be an area of debate. (medscape.com)
  • C-sections are also carried out for personal and social reasons on maternal request in some countries. (wikipedia.org)
  • Maternal request: a reason for rising rates of cesarean section? (nih.gov)
  • The rising rate of cesarean sections (CS), especially those on maternal request, is an important obstetric care issue. (nih.gov)
  • A literature review was conducted to identify factors that were relevant as an argument to meet the request for cesarean section on maternal request. (nih.gov)
  • Actual versus instructed fasting times and associated discomforts in women having scheduled cesarean birth. (medscape.com)
  • We test this model by exploiting an exogenous change in the financial environment facing obstetrician/gynecologists during the 1970s: declining fertility in the U.S. We argue that the 13.5% fall in fertility over the 1970-1982 period increased the income pressure on ob/gyns, and led them to substitute from normal childbirth towards a more highly reimbursed alternative, cesarean delivery. (nber.org)
  • Even if your spouse has been expecting a normal delivery, a complication at the time of childbirth may require the doctor to carry out a cesarean. (greatdad.com)
  • 2000). Evidence shows that the majority of women who have a cesarean have a less-than-satisfactory childbirth experience (Smith, Plaat and Fisk 2008). (midwiferytoday.com)
  • It can be used for natural childbirth, cesarean section , gynecological examination and other operations. (opencroquet.org)
  • A research conducted by Fiocruz between 2011 and 2012 investigated 23,894 women with the aim of knowing the determinants, magnitude and effects of obstetric interventions in childbirth and to estimate the prevalence of caesarean sections in institutions of the Brazilian health system. (scielo.br)
  • The second most common reason that a c-section is performed (in 30% of all cases) is difficult childbirth due to nonprogressive labor (dystocia). (thefreedictionary.com)
  • The gore of childbirth topic is not complete without a Cesarean Section Video . (bestgore.com)
  • The findings confirm a previous WHO report published in 2006 in The Lancet , analyzing the rates and safety of various childbirth approaches in Latin America, where the investigators found that 'increasing rates of cesarean section do not necessarily lead to improved outcomes and could be associated with harm. (scientificamerican.com)
  • Elective cesarean section at term, in an obstetric population without prenatally identified risk factors, remains associated with increased resuscitation risk with related implications for the neonate compared with vaginal delivery. (greenmedinfo.com)
  • Cesarean Section" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (harvard.edu)
  • Inventories of infants' microbiomes show that babies exposed to the birth canal have a greater variety of bacteria - including more bifidobacteria and fewer staphylococci - than C-section babies. (smh.com.au)
  • [ 124 , 125 ] Another study by Cai et al that included data from 727 infants reported that elective cesarean delivery was associated with high body mass index-for-age z score at 12 months. (medscape.com)
  • A condition of the newborn marked by DYSPNEA with CYANOSIS, heralded by such prodromal signs as dilatation of the alae nasi, expiratory grunt, and retraction of the suprasternal notch or costal margins, mostly frequently occurring in premature infants, children of diabetic mothers, and infants delivered by cesarean section, and sometimes with no apparent predisposing cause. (bioportfolio.com)
  • During their first year of life, infants born by c-section tend to have higher quantities of Firmicutes bacteria in their guts. (time.com)
  • Further, it's possible that the antibiotics used during Cesarean delivery also influences the population of infants' gut bugs, which can in turn impact babies' weight. (time.com)
  • Huh acknowledges that further study is needed to understand the mechanisms that underlie the association between c-section and obesity, but she says expectant mothers who are considering elective c-sections over vaginal delivery may want to think about whether their birth plan will have long-lasting implications for their infants' health. (time.com)
  • These bacteria were underrepresented in the C-section-delivered infants that weren't swabbed with vaginal fluids. (nih.gov)
  • Partial restoration of the microbiota of cesarean-born infants via vaginal microbial transfer. (nih.gov)
  • This appears to be limited to infants delivered by cesarean section after a failed TOL. (aappublications.org)
  • Despite the recommendations set forth by WHO, by the late 20th century the incidence of cesarean section in the United States had risen dramatically, largely as a result of an increase in the number of malpractice suits brought against obstetricians for failing to operate if there was an indication of trouble in delivery. (britannica.com)
  • To suggest, as Hannah does, the equivalence of maternal and newborn outcomes for cesarean and vaginal birth in the face of confusing science is to contribute to fear and an increase in cesarean procedures. (cmaj.ca)
  • However, they also acknowledge that more research is needed to strengthen this relationship as well as to evaluate its generalizability to minorities and the strength of the relationship between cesarean birth, obesity and increased risk of advanced cardiometabolic outcomes in these individuals. (medscape.com)
  • In fact, when the scientists looked at the mothers according to their BMI, the relationship between cesarean delivery and higher child obesity rates remained even among mothers who were of normal weight, suggesting that maternal weight was not influencing children's obesity at age 3. (time.com)
  • If the baby is delivered by cesarean section planned in advance of labour, the infant can be premature, and it has been suggested that elective cesarean section may rob the infant of hormones and other substances released by the mother during labour. (britannica.com)
  • Case 33-2019: A Woman with Cardiopulmonary Arrest during Cesarean Section. (harvard.edu)
  • In the USA, about a third of all mothers deliver their babies via a C-section. (news-medical.net)
  • Some scientists believe this birth canal bacteria is so valuable that they've swabbed C-section newborns with their mothers' vaginal fluids shortly after birth. (smh.com.au)
  • C-sections are safe for mothers and babies. (webmd.com)
  • Mothers need to be aware that our study suggests that children delivered by cesarean section may be at higher risk of obesity. (time.com)
  • Mothers considering cesarean delivery in the absence of any medical indication should be counseled that their children could be at higher risk of obesity," says Huh. (time.com)
  • Most mothers and babies do well after C-section. (peacehealth.org)
  • In 2014, 32.2% of women who gave birth in the United States did so by cesarean delivery. (medscape.com)
  • Planned elective cesarean section: A reasonable choice for some women? (cmaj.ca)
  • In the British Empire, the first known successful C-section was performed by Dr. James Barry, an eccentric army doctor who championed humane treatment of, among others, women. (latimes.com)
  • C-sections are done by obstetricians (doctors who care for pregnant women before, during, and after birth) and some family physicians. (kidshealth.org)
  • Although more and more women are choosing midwives to deliver their babies, midwives of any licensing degree cannot perform C-sections. (kidshealth.org)
  • In Western society women for the most part were barred from carrying out cesarean sections until the late nineteenth century, because they were largely denied admission to medical schools. (lifeboat.com)
  • Women served by certified professional midwives are attempting to avoid the high cesarean figure by electively choosing an out-of-hospital natural birth. (midwiferytoday.com)
  • There are also tactics to help women recover postoperatively, especially in circumstances where a cesarean could be considered traumatic. (midwiferytoday.com)
  • In some women with HIV, for example, cesarean delivery may be recommended to minimize the risk of the baby being infected during the course of labor and delivery. (womenshealthmag.com)
  • In some cases, women may request cesarean delivery when there is no medical need for it-though this is still quite unusual. (womenshealthmag.com)
  • Some women request cesarean delivery out of concern that vaginal delivery may lead to later problems such as incontinence. (womenshealthmag.com)
  • Though many women are certain ahead of time that they'll have a C-section for different reasons, you may plan to have a vaginal birth only to find that your plan has to change. (webmd.com)
  • Urogynecologists suggest that all women should consider outright cesarean delivery to prevent pelvic floor dysfunction. (medscape.com)
  • There are different reasons for women needing to have a cesarean. (pregnancy-info.net)
  • Other times women will need a cesarean section if their labor fails to progress after a certain amount of time or if their baby is in destress, like if the baby's heart rate drops. (pregnancy-info.net)
  • And, it's good to know that most women who have had a c-section can, and are encouraged, to have a vaginal delivery the second time around so if this is what you want you should be able to have the birth experience you desire. (pregnancy-info.net)
  • The objective of this study was to examine the prevalence of probable elective cesarean and physician‐suggested elective cesarean section among nulliparous women who had a cesarean section in British Columbia, Canada. (ingentaconnect.com)
  • An electronic search of patient charts from seven British Columbia hospitals between June 1, 2002, and May 31, 2004, was completed and potential nulliparous women seeking elective cesarean were identified. (ingentaconnect.com)
  • Any women with medical factors predisposing them to a cesarean section were excluded. (ingentaconnect.com)
  • Identified charts were then subjected to individual chart review by two independent researchers to ensure accuracy of classification into a cohort of women with probable patient‐initiated elective cesarean section. (ingentaconnect.com)
  • For the study period, 10,546 nulliparous women gave birth at the seven study hospitals and 3,301 delivered by means of cesarean section. (ingentaconnect.com)
  • Of these 3,301 women, 36 were judged to have had a patient‐initiated elective cesarean. (ingentaconnect.com)
  • Those judged to have selected an elective cesarean were significantly older and had babies with a lower gestational age than women with a nonelective cesarean section. (ingentaconnect.com)
  • Women having cesarean section will be divided into two groups - cesarean section alone or cesarean section with appendectomy. (bioportfolio.com)
  • This prospective, controlled, clinical, intervention study measures the number of uterine Cesarean section scars and median myometrial thickness of women who underwent two Cesarean section. (bioportfolio.com)
  • Although it is possible to have a vaginal birth after a previous Cesarean, it is not an option for all women. (clevelandclinic.org)
  • 46 women with ASA physical status 1 undergoing cesarean section were randomly allocated to 2 groups. (hindawi.com)
  • only 52,162 women out of the 250,780 who delivered with method of birth was known would have delivered via cesarean section. (citizen.org)
  • Primary cesareans - defined as cesarean delivery among women who have not had a previous cesarean - are considered a more accurate indicator of current practice than overall cesareans because the overall cesareans also reflect the now almost automatic repeat cesarean in women who have had one previously. (citizen.org)
  • However, there is nothing in the article by Riscado, Janotti and Barbosa (2016) to justify a defense of the option for cesarean section, much less the argument used by the congresswoman that the decision (by cesarean section) is respected when it comes to middle class women. (scielo.br)
  • Most women go home 3 to 5 days after a C-section, but it may take 4 weeks or longer to fully recover. (peacehealth.org)
  • The purpose of this paper is to establish whether health professionals in Finland have cesarean sections more or less often than other women of a similar educational background. (biomedsearch.com)
  • Maybe there are women who opt for Cesarean Section because they are too chicken to give birth the natural way so they go under the scalpel. (bestgore.com)
  • One implication is that a "better distribution" of resources could allow more women in poorer countries to get medically needed C-sections, said Belizan and Althabe, of the Institute for Clinical Effectiveness and Health Policy in Buenos Aires, Argentina. (chicagotribune.com)
  • A large prospective randomized study is needed to look at single-layer versus double-layer closure and risk of future uterine rupture when a trial of labor is attempted after previous low-transverse cesarean section. (medscape.com)
  • Fear of uterine rupture and cesarean section in labor are prominent. (bioportfolio.com)
  • However, the chances for uterine rupture was 0.05% higher than having a repeat C-section. (ecochildsplay.com)
  • [8] The international healthcare community has previously considered the rate of 10% and 15% to be ideal for caesarean sections. (wikipedia.org)
  • In the first decade of the 21st century, the rate of cesarean section far exceeded WHO's recommendation in many other countries as well, including the United Kingdom, Australia , Germany, France, and Italy . (britannica.com)
  • Population-based studies report either no difference in urinary incontinence by route of birth 6 or a baseline rate that is high and only somewhat improved by cesarean section. (cmaj.ca)
  • The World Health Organization (WHO) recommended an optimal rate of cesareans between 10 and 15% while the US cesarean rate as of 2010 is 32.8% (Gibbons 2010). (midwiferytoday.com)
  • The rate of vaginal birth after cesarean section was significantly reduced from year to year, and the rate of repeated cesarean section is increased during the past 10 years. (nih.gov)
  • As indicated above, the average cesarean rate in the 10 hospitals with the highest rates is 48.3 percent. (citizen.org)
  • As expected, the average cesarean section rate rises with level of perinatal care: The highest rate (35.4 percent) is found among the Regional Perinatal Center and the lowest rate (32.0 percent) is among Level 1 hospitals, which provide routine care and do not operate NICUs. (citizen.org)
  • Nevertheless, the rise is not consistent: Level 2 hospitals have a slightly higher overall cesarean rate (34.3 percent vs. 34.0 percent) than Level 3 hospitals, which are designed to care for higher-risk patients and are more technology-intensive. (citizen.org)
  • If the heart rate doesn't improve, he or she may do a Cesarean delivery. (ahealthyme.com)
  • There is no agreement on what the C-section rate should be. (chicagotribune.com)
  • Should a cesarean be necessary, a doula can help facilitate the methods of a natural cesarean. (midwiferytoday.com)
  • This section is for allowing more advanced sorting methods. (greenmedinfo.com)