Delivery mode after previous caesarean section

2013 ◽  
Vol 217 (S 01) ◽  
Author(s):  
MM Gross ◽  
A Matterne ◽  
S Berlage ◽  
A Kaiser ◽  
N Lack ◽  
...  
2020 ◽  
Vol 6 (4) ◽  
pp. 439-448
Author(s):  
EJ Enabudoso ◽  
LE Ajakaiye ◽  
CEM Okoror

Background: The indication for Caesarean delivery is one of the most important information required in the antenatal care and delivery mode for women with previous Caesarean section(s). Objective: To assess the level of agreement/disparity between mothers’ report and the actual medical indication for Caesarean delivery and to explore factors associated with it. Methods: This cross-sectional study was carried out among 248 women who were delivered by Caesarean section. A comparison was done between the patient's report of the indication for the Caesarean section and the physician's record and the level of similarity was recorded. Results: More than half (126; 50.7%) of the respondents reported indications that were classified as complete similarity [Group A] while Groups B to E had 54 (21.8%), 21 (8.5%), 26 (10.5%) and 21 (8.5%) responses respectively. Of the group with “non-similar” responses, foetal indication accounted for 36.1% of them. Parity was the only predictor of “similarity”. Compared to para 0, para 1-4 were more likely to report “similarity” in the indications for the Caesarean section (AOR = 3.370; 95% CI = 1.277-8.888). Conclusion: While the past obstetric history is an important aspect of the evaluation of the pregnant woman, it is important to attempt greater verification of facts at history taking for the indications for previous Caesarean section, especially when it has to do with foetal health as the indication, and in the nulliparae.


2019 ◽  
Vol 12 (2) ◽  
pp. 68-74
Author(s):  
Robina Mirza ◽  
◽  
Manjula Salgotra ◽  
InduKoul , ◽  
Mona Vats4 ◽  
...  

2020 ◽  
Vol 33 (4) ◽  
pp. e339-e347 ◽  
Author(s):  
Ingela Lundgren ◽  
Sandra Morano ◽  
Christina Nilsson ◽  
Marlene Sinclair ◽  
Cecily Begley

1970 ◽  
Vol 7 (1) ◽  
pp. 25-28 ◽  
Author(s):  
M Jha

Background: The main aim of this study is to determine the maternal and fetal outcome of pregnancy among women with one previous caesarean section at term in relation to vaginal delivery, post partum complication, neonatal complication like low Apgar score, fetal weight and admission in special baby unit. Methods: This is a prospective and descriptive study done in a sample size of 100. Inclusion criteria were term pregnancy, single live fetus with cephalic presentation with one previous caesarean section. During study period total number of obstetric admissions was 3546 and 115 cases were admitted with previous one caesarean section. Result: Out of 100 cases, 31 cases had vaginal delivery and 69 cases had caesarean section. Among 31 vaginal deliveries, 24 cases had spontaneous vaginal delivery and 7 had assisted delivery with vacuum, main indication of vacuum delivery was to cut short the second stage of labor that was in 5(71.43%) cases. Among 69 caesarean section cases, 51 had emergency caesarean section and 18 had elective caesarean section and cephalopelvic disproportion was the main indication in both the groups. Most common complication was scar dehiscence and postpartum hemorrhage. There were two still births in each group and one minute APGAR score was slightly better in caesarean section. Conclusions: Patients with previous caesarean section are at high risk of repeat emergency or elective caesarean section. About one in three patients with previous caesarean section delivered vaginally. In the present study postpartum hemorrhage was the commonest complication, which was found in caesarean section, and only  one puerperal pyrexia was seen in case of vaginal delivery. Key words: Cephalopelvic disproportion, Premature rupture of membrane, Septicemia, Vacuum delivery   DOI: 10.3126/jnhrc.v7i1.2275 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 25-28


1988 ◽  
Vol 243 (4) ◽  
pp. 221-224 ◽  
Author(s):  
M. Fukuda ◽  
Kiyomi Fukuda ◽  
M. Mochizuki

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Roy Somers ◽  
Yves Jacquemyn ◽  
Luc Sermeus ◽  
Marcel Vercauteren

We describe a patient with severe scoliosis for which corrective surgery was performed at the age of 12. During a previous caesarean section under general anaesthesia pseudocholinesterase deficiency was discovered. Ultrasound guided spinal anaesthesia was performed enabling a second caesarean section under loco-regional anaesthesia.


2016 ◽  
Vol 26 (1) ◽  
pp. 61 ◽  
Author(s):  
Andrea E Cassidy-Bushrow ◽  
Ganesa Wegienka ◽  
Suzanne Havstad ◽  
Albert M. Levin ◽  
Susan V. Lynch ◽  
...  

<p><span style="font-family: Times New Roman;"><strong><span style="font-size: medium;">Objectives:</span></strong><span style="font-size: medium;"> African American children are at higher risk of obesity than White children and African American women are more likely to undergo caesarean-section (CS) delivery than White women.</span><span style="font-size: medium;">  </span><span style="font-size: medium;">CS is associated with childhood obesity, however, little is known whether this relationship varies by race.</span><span style="font-size: medium;">We examined if the association of CS with obesity at age 2 years varied by race.</span><span style="font-size: medium;">  </span></span></p><p><span style="font-family: Times New Roman;"><strong><span style="font-size: medium;">Design: </span></strong><span style="font-size: medium;">Longitudinal birth cohort.</span><strong></strong></span></p><p><span style="font-family: Times New Roman;"><strong><span style="font-size: medium;">Setting:</span></strong><span style="font-size: medium;"> Birth cohort conducted in a health care system in metropolitan Detroit, Michigan with follow-up at age 2 years.</span></span></p><p><span style="font-family: Times New Roman;"><strong><span style="font-size: medium;">Participants:</span></strong><span style="font-size: medium;"> 639 birth cohort participants; 367 children (57.4%) were born to African American mothers and 230 (36.0%) children were born via CS.</span></span></p><p><span style="font-family: Times New Roman;"><strong><span style="font-size: medium;">Main Outcome Measure: </span></strong><span style="font-size: medium;">Obesity defined as body mass index </span><strong></strong><span style="font-size: medium;">≥95</span><sup><span style="font-size: small;">th</span></sup><span style="font-size: medium;"> percentile at age 2 years.</span></span></p><p><span style="font-family: Times New Roman;"><strong><span style="font-size: medium;">Results:</span></strong><span style="font-size: medium;"> Slightly more children of African American (n=37; 10.1%) than non-African American mothers (n=18; 6.6%) were obese (</span><span style="font-size: medium;">P</span><span style="font-size: medium;">=.12). There was evidence of effect modification between race and delivery mode with obesity at age 2 years (interaction<em> </em></span><span style="font-size: medium;">P</span><span style="font-size: medium;">=.020).</span><span style="font-size: medium;">  </span><span style="font-size: medium;">In children of African-American mothers, CS compared to vaginal birth was associated with a significantly higher odds of obesity (aOR=2.35 (95% CI: 1.16, 4.77), </span><em><span style="font-size: medium;">P</span></em><span style="font-size: medium;">=.017).</span><span style="font-size: medium;">  </span><span style="font-size: medium;">In contrast, delivery mode was not associated with obesity at age 2 years in children of non-African-American mothers (aOR=.47 (95% CI: .13, 1.71), </span><span style="font-size: medium;">P</span><span style="font-size: medium;">=.25).</span><span style="font-size: medium;">    </span></span></p><p><span style="font-family: Times New Roman;"><strong><span style="font-size: medium;">Conclusions:</span></strong><span style="font-size: medium;"> There is evidence for a race-specific effect of CS on obesity at age 2 years; potential underlying mechanisms may be racial differences in the developing gut microbiome or in epigenetic programming.</span><span style="font-size: medium;">  </span><span style="font-size: medium;">Future research is needed to determine if this racial difference persists into later childhood. <em>Ethn Dis.</em> 2016;26(1):61-68; doi:10.18865/ed.26.1.61<br /></span></span></p><p> </p>


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