Cesarean Section and Postpartum Depression in a Cohort of Chinese Women with a High Cesarean Delivery Rate

2011 ◽  
Vol 20 (12) ◽  
pp. 1881-1886 ◽  
Author(s):  
Ri-hua Xie ◽  
Jun Lei ◽  
Shuhong Wang ◽  
Haiyan Xie ◽  
Mark Walker ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Cesarean Section ◽  
Cesarean Delivery ◽  
Chinese Women ◽  
Delivery Rate ◽  
Cesarean Delivery Rate

scholarly journals Cesarean section one hundred years 1920–2020: the Good, the Bad and the Ugly

2021 ◽  
Vol 49 (1) ◽  
pp. 5-16
Author(s):  
Clarel Antoine ◽  
Bruce K. Young
Keyword(s):  
United States ◽  
Black Women ◽  
Cesarean Section ◽  
Cesarean Delivery ◽  
Surgical Techniques ◽  
The United States ◽  
Delivery Rate ◽  
Mortality And Morbidity ◽  
Perceived Safety ◽  
Cesarean Delivery Rate

AbstractIn present-day obstetrics, cesarean delivery occurs in one in three women in the United States, and in up to four of five women in some regions of the world. The history of cesarean section extends well over four centuries. Up until the end of the nineteenth century, the operation was avoided because of its high mortality rate. In 1926, the Munro Kerr low transverse uterine incision was introduced and became the standard method for the next 50 years. Since the 1970’s, newer surgical techniques gradually became the most commonly used method today because of intraoperative and postpartum benefits. Concurrently, despite attempts to encourage vaginal birth after previous cesareans, the cesarean delivery rate increased steadily from 5 to 30–32% over the last 10 years, with a parallel increase in costs as well as short- and long-term maternal, neonatal and childhood complications. Attempts to reduce the rate of cesarean deliveries have been largely unsuccessful because of the perceived safety of the operation, short-term postpartum benefits, the legal climate and maternal request in the absence of indications. In the United States, as the cesarean delivery rate has increased, maternal mortality and morbidity have also risen steadily over the last three decades, disproportionately impacting black women as compared to other races. Extensive data on the prenatal diagnosis and management of cesarean-related abnormal placentation have improved outcomes of affected women. Fewer data are available however for the improvement of outcomes of cesarean-related gynecological conditions. In this review, the authors address the challenges and opportunities to research, educate and change health effects associated with cesarean delivery for all women.

High dose vs. low dose oxytocin for labor augmentation: a systematic review and meta-analysis of randomized controlled trials

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Rehab Abdelhamid Aboshama ◽  
Ahmed Mohamed Abdelhakim ◽  
Mohammad Abrar Shareef ◽  
Abdulhadi A. AlAmodi ◽  
Mohammad Sunoqrot ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Low Dose ◽  
Delivery Rate ◽  
Cochrane Library ◽  
High Dose ◽  
Safety And Efficacy ◽  
Labor Duration ◽  
Uterine Hyperstimulation ◽  
Cesarean Delivery Rate ◽  
Labor Augmentation

AbstractObjectivesTo compare the safety and efficacy between high dose and low dose oxytocin administration for labor augmentation.MethodsWe searched for the available studies during March 2020 in PubMed, Cochrane Library, Scopus, and ISI Web of science. All randomized clinical trials (RCTs) that assessed safety and efficacy of high dose vs. low dose oxytocin for labor augmentation were considered. The extracted data were entered into RevMan software. Dichotomous and continuous data were pooled as odds ratio (OR) and mean difference (MD) respectively, with the corresponding 95% confidence intervals (CI). Our main outcomes were cesarean delivery rate, spontaneous vaginal delivery rate, uterine hyperstimulation and tachysystole, and labor duration from oxytocin infusion.ResultsEight RCTs with 3,154 patients were included. High dose oxytocin did not reduce cesarean delivery rate compared to low dose oxytocin (OR=0.76, 95% CI [0.52, 1.10], p=0.15). After solving the reported heterogeneity, high dose oxytocin did not increase the rate of spontaneous vaginal deliveries vs. low dose oxytocin (OR=1.06, 95% CI [0.84, 1.32], p=0.64). Low dose oxytocin was linked to a significant decline in uterine hyperstimulation and tachysystole (p>0.001). A reduction in labor duration was found in high dose oxytocin group over low oxytocin regimen (MD=−1.02 h, 95% CI [−1.77, −0.27], p=0.008).ConclusionsWe found no advantages for high dose oxytocin over low dose oxytocin in labor augmentation except in reducing labor duration. Low dose oxytocin is safer as it decreases the incidence of uterine hyperstimulation and tachysystole. More trials are needed to confirm our findings.

Obesity, Comorbidities, and the Cesarean Delivery Rate

2012 ◽  
Vol 29 (08) ◽  
pp. 623-628 ◽  
Author(s):  
Rudy Suidan ◽  
Joseph Apuzzio ◽  
Shauna Williams
Keyword(s):  
Cesarean Delivery ◽  
Delivery Rate ◽  
Cesarean Delivery Rate

Relationship Between Cesarean Delivery Rate and Maternal and Neonatal Mortality

2016 ◽  
Vol 36 (4) ◽  
pp. 171-172
Author(s):  
George Molina ◽  
Thomas G. Weiser ◽  
Stuart R. Lipsitz ◽  
Micaela M. Esquivel ◽  
Tarsicio Uribe-Leitz ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Neonatal Mortality ◽  
Delivery Rate ◽  
Cesarean Delivery Rate

scholarly journals The Relevance of the Second Cesarean Delivery in the Reduction of Institutional Cesarean Delivery Rates

2018 ◽  
Vol 27 (6) ◽  
pp. 555-561 ◽  
Author(s):  
Michael F.E. Diejomaoh ◽  
Waleed Al-Jassar ◽  
Zainab Bello ◽  
Kavitha Karunakaran ◽  
Asiya Mohammed
Keyword(s):  
Cesarean Delivery ◽  
Maternity Hospital ◽  
Delivery Rate ◽  
Cesarean Deliveries ◽  
Fetal Birth Weight ◽  
Gestational Age At Delivery ◽  
Group A ◽  
Cesarean Delivery Rate ◽  
Group B ◽  
Repeat Cesarean Delivery

Objective: The cesarean delivery rate has increased worldwide. The aim of our study was to assess the events associated with the second cesarean deliveries in our institution. Subjects and Methods: All cesarean deliveries at the Maternity Hospital, Kuwait, from January 1 to December 31, 2013, were identified. A comparative study was undertaken on patients having their first and second cesarean deliveries. The social and clinical characteristics of these patients were extracted from our records and the antenatal, intrapartum, and postpartum course of the pregnancies and their outcomes documented. Results: During the study period, 10,586 deliveries were recorded, including 3,676 cesarean deliveries, i.e., a cesarean delivery rate of 34.7%. 840 of these patients were undergoing their first cesarean delivery (group A) and 607 patients were undergoing their second (group B); 484 patients from group A and 341 patients from group B with complete records were analyzed. Mean age (30.89 ± 4.93 vs. 29.94 ± 5.56 years, p = 0.008), parity (1.49 ± 1.22 vs. 0.98 ± 1.60, p < 0.0001), gestational age at delivery (38.12 ± 2.61 vs. 37.66 ± 3.11 weeks, p = 0.02), and fetal birth weight (3,211.60 ± 691.51 vs. 2,829.73 ± 863.26 g, p < 0.001) were significantly higher in group B than in group A. 53.2% of the patients in group B requested repeat cesarean delivery, their second cesarean. The rate of maternal morbidity was low. Conclusions: The incidence of repeat cesarean delivery in group B is high, and its reduction should contribute to a lowering of the overall cesarean delivery rate.

scholarly journals Primary cesarean delivery rate: Potential impact of a checklist

2018 ◽  
Vol 47 (9) ◽  
pp. 419-424 ◽  
Author(s):  
M. Toumi ◽  
E. Lesieur ◽  
J.-B. Haumonte ◽  
J. Blanc ◽  
C. D’ercole ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Delivery Rate ◽  
Potential Impact ◽  
Primary Cesarean Delivery ◽  
Cesarean Delivery Rate
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