Feasibility of Conducting a Trial Assessing Benefits and Risks of Planned Caesarean Section Versus Planned Vaginal Birth: A Cross-Sectional Study

Introduction. Fear of childbirth is a specific feeling related to approaching birth that ranges from negligible to very intense. Women’s choices and doubts regarding the way of birth may be related to a lack of knowledge about the benefits and advantages of VB or a fear of this method of childbearing. Aim. The aim of the study was to assess knowledge regarding labour, its possible complications and ways to prepare for vaginal delivery among Polish women Material and Methods. A cross-sectional study was performed among 4721 women who were pregnant or who had had at least one delivery. A self-composed questionnaire was distributed via the internet in 2018. Results. It seems that 13.9% of the respondents were pregnant, 49.2% women gave birth vaginally and 30.8% had a caesarean delivery. Most of the respondents were afraid of the pain associated with the labour (75% pregnant women, 63.4% women after vaginal birth, 59.1% women after caesarean section), and 57.8% of respondents would like to avoid episiotomy, but only 27,5% of them used any methods of perineal protection for vaginal delivery. Also, 43.4 % of respondents believe that vaginal delivery may have a negative impact on satisfaction in their sexual life, 26% of respondents think that a caesarean section scar has no impact on subsequent pregnancies, and 41% claim that women who had a caesarean delivery feel discriminated against as a cesarean section is considered to be a labour failure in society. Conclusions. Women’s knowledge on the advantages and risks related to the methods of labour is insufficient, which may affect their preferences regarding vaginal or cesarean birth.

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Factors influencing decision-making to accept elective caesarean section: A descriptive cross-sectional study

Heliyon ◽

10.1016/j.heliyon.2021.e07755 ◽

2021 ◽

pp. e07755

Author(s):

Victoria Bam ◽

Alberta Yemotsoo Lomotey ◽

Abigail Kusi-Amponsah Diji ◽

Hayford Isaac Budu ◽

Dorothy Bamfo-Ennin ◽

...

Keyword(s):

Decision Making ◽

Caesarean Section ◽

Elective Caesarean Section ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Influencing

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Caesarean birth rates in public and privately funded hospitals: a cross-sectional study

Revista de Saúde Pública ◽

10.11606/s1518-8787.2017051007054 ◽

2017 ◽

Vol 51 ◽

pp. 101 ◽

Cited By ~ 9

Author(s):

Bruna Dias Alonso ◽

Flora Maria Barbosa da Silva ◽

Maria do Rosário Dias de Oliveira Latorre ◽

Carmen Simone Grilo Diniz ◽

Debra Bick

Keyword(s):

Health Care ◽

Socioeconomic Status ◽

Caesarean Section ◽

Caesarean Section Rate ◽

Cross Sectional Study ◽

University Education ◽

Southeastern Brazil ◽

Sectional Study ◽

Cross Sectional ◽

Health Care Funding

OBJECTIVE: To examine maternal and obstetric factors influencing births by cesarean section according to health care funding. METHODS: A cross-sectional study with data from Southeastern Brazil. Caesarean section births from February 2011 to July 2012 were included. Data were obtained from interviews with women whose care was publicly or privately funded, and from their obstetric and neonatal records. Univariate and multivariate analyses were conducted to generate crude and adjusted odds ratios (OR) with 95% confidence intervals (95%CI) for caesarean section births. RESULTS: The overall caesarean section rate was 53% among 9,828 women for whom data were available, with the highest rates among women whose maternity care was privately funded. Reasons for performing a c-section were infrequently documented in women’s maternity records. The variables that increased the likelihood of c-section regardless of health care funding were the following: paid employment, previous c-section, primiparity, antenatal and labor complications. Older maternal age, university education, and higher socioeconomic status were only associated with c-section in the public system. CONCLUSIONS: Higher maternal socioeconomic status was associated with greater likelihood of a caesarean section birth in publicly funded settings, but not in the private sector, where funding source alone determined the mode of birth rather than maternal or obstetric characteristics. Maternal socioeconomic status and private healthcare funding continue to drive high rates of caesarean section births in Brazil, with women who have a higher socioeconomic status more likely to have a caesarean section birth in all birth settings.

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FAILED SPINAL ANESTHESIA

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.12.1811 ◽

2016 ◽

Vol 23 (12) ◽

pp. 1527-1530

Author(s):

Mobeen Ikram ◽

Abdul Samee ◽

Muhammad Amir ◽

Muhammad Imdad

Keyword(s):

Pain Management ◽

Caesarean Section ◽

Spinal Anesthesia ◽

Teaching Hospital ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Emergency Caesarean ◽

Indirect Supervision ◽

Study Setting

Objectives: To determine the frequency of failed spinal anesthesia in patientsundergoing caesarean section in a teaching hospital in Pakistan. Study Design: It was a cross– sectional study. Setting: Department of Anesthesia and Pain Management PAF HospitalSargodha. Period: January 2015 to May 2015. Methodology: A total of 293 pregnant patientsundergoing caesarean section under spinal anesthesia were included. After prehydration andessential monitoring, all patients were given spinal anesthesia with 25 G spinal needle at L3-L4 or L4-L5 level by 2nd year resident anesthesiologist under indirect supervision using 1.5 mlof hyperbaric spinal injection. Failure to achieve adequate block was managed by differentmodalities like sedation, analgesia with ketamine, repeat spinal anesthesia or to proceed withgeneral anesthesia. Results: Out of total of 293 patients, failed spinal occurred in 9 patients(3.07%). Out of these 9 patients, 02 patients (22.22%) were elective caesarean sections while07 cases (77.77%) were emergency caesarean sections. Conclusion: The chances of failedspinal anesthesia are more in emergency caesarean sections as compared to elective casesand failure rate of spinal anesthesia in PAF teaching hospital Sargodha is 3.07% which is slightlyhigher than 3%

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Maternal near-miss and death and their association with caesarean section complications: a cross-sectional study at a university hospital and a regional hospital in Tanzania

BMC Pregnancy and Childbirth ◽

10.1186/1471-2393-14-244 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 41

Author(s):

Helena Litorp ◽

Hussein L Kidanto ◽

Mattias Rööst ◽

Muzdalifat Abeid ◽

Lennarth Nyström ◽

...

Keyword(s):

Caesarean Section ◽

Cross Sectional Study ◽

Regional Hospital ◽

Near Miss ◽

University Hospital ◽

Maternal Near Miss ◽

Sectional Study ◽

Cross Sectional

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Discrimination by parity is a prerequisite for assessing induction of labour outcome – cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03334-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Branko Denona ◽

Michael Foley ◽

Rhona Mahony ◽

Michael Robson

Keyword(s):

Caesarean Section ◽

Cross Sectional Study ◽

Induction Of Labour ◽

Previous Caesarean Section ◽

Sectional Study ◽

Cross Sectional ◽

Nulliparous Women ◽

Significant Difference ◽

Multiparous Women ◽

Group 3

Abstract Background To demonstrate that studies on induction of labour should be analyzed by parity as there is a significant difference in the labour outcome among induced nulliparous and multiparous women. Methods Obstetric outcome, specifically caesarean section rates, among induced term nulliparous and multiparous women without a previous caesarean section were analyzed in this cross-sectional study using the Robson 10 group classification for the year 2016. Results In the total number of 8851 women delivered in 2016, the caesarean section rates among nulliparous women in spontaneous and induced labour, Robson groups 1 and 2A, were 7.84% (151/1925) and 32.63% (437/1339) respectively and among multiparous (excluding those women with a previous caesarean section), Robson group 3 and 4A were 1%(24/2389) and 4.37% (44/1005), respectively. Pre labour caesarean rates for nulliparous and multiparous women, Robson groups 2B and 4B (Robson M, Fetal Matern Med Rev, 12; 23–39, 2001) were 3.91% (133/3397) and 2.86% (100/3494), of the respective single cephalic cohort at term. Conclusion The data suggests that studies on induction of labour should be analyzed by parity as there is a significant difference between nulliparous and multiparous women.

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Caesarean section trends in Catalonia between 2013 and 2017 based on the Robson classification system: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0234727 ◽

2020 ◽

Vol 15 (6) ◽

pp. e0234727

Author(s):

Garazi Carrillo-Aguirre ◽

Albert Dalmau-Bueno ◽

Carlos Campillo-Artero ◽

Anna García-Altés

Keyword(s):

Caesarean Section ◽

Classification System ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Robson Classification ◽

System A

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Interinstitutional variations in mode of birth after a previous caesarean section: a cross-sectional study in six German hospitals

Journal of Perinatal Medicine ◽

10.1515/jpm-2014-0108 ◽

2015 ◽

Vol 43 (2) ◽

Cited By ~ 10

Author(s):

Mechthild M. Gross ◽

Andrea Matterne ◽

Silvia Berlage ◽

Annette Kaiser ◽

Nicholas Lack ◽

...

Keyword(s):

Caesarean Section ◽

Cross Sectional Study ◽

Previous Caesarean Section ◽

Sectional Study ◽

Regional Data ◽

Cross Sectional ◽

Regional Patterns ◽

German States ◽

Mode Of Birth ◽

Vaginal Birth After Caesarean

AbstractRegional and interinstitutional variations have been recognized in the increasing incidence of caesarean section. Modes of birth after previous caesarean section vary widely, ranging from elective repeat caesarean section (ERCS) and unplanned repeat caesarean section (URCS) after trial of labour to vaginal birth after caesarean section (VBAC). This study describes interinstitutional variations in mode of birth after previous caesarean section in relation to regional indicators in Germany.A cross-sectional study using the birth registers of six maternity units (n=12,060) in five different German states (n=370,209). Indicators were tested by χThe percentages of women in the six units with previous caesarean section ranged from 11.9% to 15.9% (P=0.002). VBAC was planned for 36.0% to 49.8% (P=0.003) of these women, but actually completed in only 26.2% to 32.8% (P=0.66). Depending on the indicator, the units studied deviated from the regional data by up to 32% [relative risk 0.68 (0.47–0.97)] in respect of completed VBAC among all initiated VBAC.There is substantial interinstitutional variation in mode of birth following previous caesarean section. This variation is in addition to regional patterns.

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