scholarly journals Trends in caesarean section rates in Slovenia from 2003 to 2012: flaws and benefits of increasing caesarean delivery rate in term breech delivery

2016 ◽  
Vol 206 ◽  
pp. 254
Author(s):  
Mirjam Druskovic ◽  
Gorazd Kavsek ◽  
Ivan Verdenik ◽  
Tanja Premru-Srsen
Keyword(s):  
Caesarean Section ◽  
Caesarean Delivery ◽  
Delivery Rate ◽  
Breech Delivery ◽  
Caesarean Delivery Rate

scholarly journals Caesarean delivery rate and indications at a secondary healthcare facility in Ibadan, South Western Nigeria: a five-year review

2021 ◽  
Vol 21 (1) ◽  
pp. 320-6
Author(s):  
Waheed O Ismail ◽  
Ibrahim S Bello ◽  
Samuel A Olowookere ◽  
Azeez O Ibrahim ◽  
Tosin A Agbesanwa ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Caesarean Delivery ◽  
Care Setting ◽  
Primary Care Setting ◽  
Caesarean Section Rate ◽  
Healthcare Facility ◽  
Surgical Skill ◽  
Maternal Morbidity And Mortality ◽  
Study Population ◽  
Caesarean Delivery Rate

Background: Caesarean delivery is an essential surgical skill within the primary care setting aimed at reducing maternal morbidity and mortality. Objectives: To determine the rate and indications for caesarean deliveries with a view to improving on the service delivery in the study area. Methods: A retrospective review of all caesarean deliveries over a five-year period, January 1st, 2012 to December 31st, 2016. Results: A total of 2321 deliveries were recorded during the study duration and 481 of them were through caesarean sec- tion (CS) giving a caesarean section rate of 20.4%. The rate was higher in the multigravida 255 (53.1%). The commonest indication for caesarean section was previous caesarean section 131 (27.2%). Emergency caesarean delivery accounted for 278 (57.8%). Only 16 (3.3%) stayed more than five days postoperatively while the rest, 465 (96.7%), stayed less than five days. There was a gradual yearly increase in rate from 12.1% in 2012 to 19.5% in 2016. Conclusion: The rate of CS in this study has shown a gradual yearly increase with emergency CS having a higher percentage. Early diagnosis and referral of high-risk pregnancies from peripheral hospitals could reduce emergency CS among the study population. Keywords: Caesarean section; rate; secondary healthcare; Nigeria.

scholarly journals Teaching and performing audits on caesarean delivery reduce the caesarean delivery rate

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0202475
Author(s):  
Emmanuelle Lesieur ◽  
Julie Blanc ◽  
Anderson Loundou ◽  
Arnaud Claquin ◽  
Michele Marcot ◽  
...  
Keyword(s):  
Caesarean Delivery ◽  
Delivery Rate ◽  
Caesarean Delivery Rate

scholarly journals A sonographic assessment of previous caesarean section scar: is a reliable safeguard for trial of labour?

2020 ◽  
Vol 9 (4) ◽  
pp. 1520
Author(s):  
Vandana Dhama ◽  
Sonam Gupta ◽  
Rachna Chaudhary ◽  
Shakun Singh
Keyword(s):  
Caesarean Section ◽  
Caesarean Delivery ◽  
Prospective Observational Study ◽  
Previous Caesarean Section ◽  
Practical Application ◽  
Singleton Pregnancy ◽  
Common Indication ◽  
Sonographic Assessment ◽  
Previous Cesarean ◽  
Caesarean Delivery Rate

Background: Over the time the caesarean delivery rate has significantly increase worldwide from 18.2% in 2002 to 30.3% in 2012. In parous women, previous caesarean section has been found to be the most common indication for caesarean delivery in as high as 67% cases. Unsecure prediction of the integrity of the scarred LUS during labor appears to be one of the reasons for high repeat caesarean rates. The purpose of this study was to assess the usefulness of sonographic measurement of the lower uterine segment scar before labour for deciding whether it is a reliable safeguard for trial of labour or not in a woman having previous one caesarean delivery.Methods: This study was a prospective observational study, carried out on 108 pregnant women having previous one CS, gestational age >37, singleton pregnancy, cephalic presentation. Trans-abdominal USG was done to measure scar thickness. Trial of labour was given to each patient irrespective of scar thickness. Pregnancy outcome were noted in terms of successful VBAC or emergency LSCS and compared with scar thickness. Correlation between sonographic and intra-operative finding of scar were noted.Results: Result shows strong correlation between scar thickness and successful trial of labour. Scar thickness increases chances of successful vaginal deliveries.Conclusions: Sonographic assessment of previous scar has a practical application to predict the thickness and thinness of previous scar and can be taken as a reliable safeguard for trial of labour after previous cesarean but cut off value above which vaginal delivery could be considered safe is yet to be identified.

scholarly journals Attributable factors for the rising caesarean delivery rate over three decades: an observational cohort study

2021 ◽  
Author(s):  
Bradley de Vries ◽  
Rhett Morton ◽  
Alice Burton ◽  
Praneel Kumar ◽  
Jon Hyett ◽  
...  
Keyword(s):  
Cohort Study ◽  
Caesarean Delivery ◽  
Observational Cohort Study ◽  
Delivery Rate ◽  
Multiple Gestation ◽  
Clinical Factors ◽  
Tertiary Referral Hospital ◽  
Obstetric Management ◽  
Observational Cohort ◽  
Caesarean Delivery Rate

Objective: Caesarean delivery rates continue to rise globally the reasons for which are poorly understood. We aimed to characterize attributable factors for increasing caesarean delivery rates over a 30-year period within our health network. Design: Observational cohort study. Setting: Two hospitals (large tertiary referral hospital and metropolitan hospital) in Sydney, Australia, across two time periods: 1989-1999 and 2009-2016, between which the caesarean delivery rate increased from 19% to 30%. Participants: All women who had a caesarean delivery after 24 weeks gestation Methods: Data were analysed using multiple imputation and robust Poisson regression to estimate the changes in the caesarean delivery rate attributable to maternal and clinical factors. Main outcome measures: Caesarean delivery. Results: Fifty-six percent of the increase in the rate of caesarean delivery was attributed to changes in the distribution of maternal factors including maternal age, body mass index, parity and history of previous caesarean delivery. When changes in the obstetric management of multiple gestation, malpresentation and preterm singleton birth were considered, 66% of the increase in caesarean rate was explained. When pre-labour caesarean deliveries for maternal choice, suspected fetal compromise, previous pregnancy issues and suspected large fetus were excluded, 78% of the increase was explained. Conclusions: Most of the steep rise in the caesarean delivery rate from 19% to 30% is attributable to changes in maternal demographic and clinical factors.

scholarly journals Impact of maternal age on intrapartum caesarean delivery rate in nulliparas with spontaneous labour

2019 ◽  
Vol 48 (6) ◽  
pp. 407-411 ◽  
Author(s):  
Simon Crequit ◽  
Diane Korb ◽  
Thomas Schmitz ◽  
Cécile Morin ◽  
Olivier Sibony
Keyword(s):  
Maternal Age ◽  
Caesarean Delivery ◽  
Delivery Rate ◽  
Spontaneous Labour ◽  
Caesarean Delivery Rate

scholarly journals Induction of Labour an Audit of Indications and Obstetrical Outcome in a Tertiary Care Hospital

2016 ◽  
Vol 10 (2) ◽  
Author(s):  
G Jalil ◽  
R M. Malik ◽  
N Sohail ◽  
A Razaque
Keyword(s):  
Caesarean Delivery ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Induction Of Labour ◽  
Delivery Rate ◽  
Labour Induction ◽  
Care Hospital ◽  
Increased Risk ◽  
The Impact ◽  
Caesarean Delivery Rate

Objective: To examine the indications of induction of labour at Services Hospital Lahore, a tertiary) care hospital and to study the maternal and fetal outcomes of this obstetrical intervention. Study design:: This study involved a retrospective analysis of 100 patients with Bishop score Of ≤ 6, admitted for induction of labour, done with Prostaglandin E2 , pessary (Dinoprostone 3mg), followed by amniotomy and / or oxytocin infusion. A comparison of indications and outcomes was made among nullipara and multipara. Data was analyzed by X2’ and Student’s / test. Results: The induction rate was 8% and the commonest indication was hypertensive disorders of pregnancy 42%, followed by prolonged pregnancy 22% and pre- labour  rupture of membranes 21% . The mean induction to delivery interval was 21.2 hours for nullipara and 15. 1 hours  for parous   women,    p   =  0.00 was   statistically   significant.   The caesarean delivery rate was  higher   with   induced   labours  in nullipara 52% than in multipara 22%, the difference was statistically significant. 21% babies born with induced labours had Apgar score ≤ 4 and 8% required admission in neonatal intensive care unit. 17% patients had postnatal or post-operative complications. There were perinatal or maternal losses. Conclusion: It was concluded from  the  study  that  labour induction results in increased risk of operative delivery and longer hospital stay. Therefore,  all  obstetrical  units should monitor the frequency of labour  induction,  scrutinize  the  indications  and  assess  the  impact  of  induction  to  determine  the effect on caesarean delivery rate and perinatal  outcome.

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