cesarean delivery
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Yuki Nakano ◽  
Jun Takeshita ◽  
Kazuya Tachibana

Doan Thi Thuy Duong ◽  
Colin Binns ◽  
Andy Lee ◽  
Yun Zhao ◽  
Ngoc Minh Pham ◽  

Background: Breastfeeding brings benefits to both mothers and children in the short term and long term. Unnecessary cesarean sections can bring risks to both parties. This study was undertaken to examine the relationship between exclusive breastfeeding intention and cesarean delivery. Methods: We analyzed data collected from 554 single mothers who delivered in Dong Anh General District Hospital or Hanoi Obstetrics and Gynecology Hospital, Vietnam, in 2020–2021. The relationship between exclusive breastfeeding intention and cesarean delivery for nonmedical reasons was adjusted for maternal education, maternal age, parity, history of fetal loss, having at least eight antenatal contacts, hospital of delivery, child sex, and birth weight. Results: Antenatally, 34.8% (184/529) of mothers intended to breastfeed exclusively until 6 months and 30.8% (84/274) underwent cesarean section for a nonmedical reason. After adjusting for other factors, mothers who intended to breastfeed exclusively until 6 months were less likely to undergo cesarean delivery for nonmedical reasons (OR = 0.55, 95% CI: 0.31–0.96, p = 0.034). Conclusions: This study adds to the growing evidence related to unnecessary cesarean sections and routine over-medicalization of normal birth in the urban areas of Vietnam. The association between breastfeeding intentions and a lower rate of cesarean section suggests that education on breastfeeding could be a useful intervention for reducing the rate of cesarean sections and improving maternal and child health.

2022 ◽  
Vol 5 (1) ◽  
pp. e2142835
Tarsicio Uribe-Leitz ◽  
Bridget Matsas ◽  
Michael K. Dalton ◽  
Monica A. Lutgendorf ◽  
Esther Moberg ◽  

2022 ◽  
Vol Publish Ahead of Print ◽  
Lijing Ouyang ◽  
Shanna Cox ◽  
Cynthia Ferre ◽  
Likang Xu ◽  
William M. Sappenfield ◽  

Cheng Chen ◽  
Mengmeng Yang ◽  
Weizeng Zheng ◽  
Yuan Chen ◽  
tian dong ◽  

Objective: To develop and validate a predictive model assessing the risk of cesarean delivery in primiparous women based on the findings of magnetic resonance imaging (MRI) studies. Design: Observational study Setting: University teaching hospital. Population: 168 primiparous women with clinical findings suggestive of cephalopelvic disproportion. Methods: All women underwent MRI measurements prior to the onset of labor. A nomogram model to predict the risk of cesarean delivery was proposed based on the MRI data. The discrimination of the model was calculated by the area under the receiver operating characteristic curve (AUC) and calibration was assessed by calibration plots. The decision curve analysis was applied to evaluate the net clinical benefit. Main Outcome Measures: Cesarean delivery. Results: A total of 88 (58.7%) women achieved vaginal delivery, and 62 (41.3%) required cesarean section caused by obstructed labor. In multivariable modeling, the maternal body mass index before delivery, induction of labor, bilateral femoral head distance, obstetric conjugate, fetal head circumference and fetal abdominal circumference were significantly associated with the likelihood of cesarean delivery. The discrimination calculated as the AUC was 0.845 (95% CI: 0.783-0.908; P < 0.001). The sensitivity and specificity of the nomogram model were 0.918 and 0.629, respectively. The model demonstrated satisfactory calibration. Moreover, the decision curve analysis proved the superior net benefit of the model compared with each factor included. Conclusion: Our study provides a nomogram model that can accurately identify primiparous women at risk of cesarean delivery caused by cephalopelvic disproportion based on the MRI measurements.

Amanda Forster Lopes ◽  
Thais Costa Machado ◽  
Viviane Gabriela Nascimento ◽  
Ciro João Bertoli ◽  
Claudio Leone

2022 ◽  
Vol 226 (1) ◽  
pp. S590-S591
Anna Buford ◽  
Adesh Kadambi ◽  
Ali Ebrahim ◽  
Senan Ebrahim ◽  
Eliza Nguyen ◽  

2022 ◽  
Vol 226 (1) ◽  
pp. S481
Ariane C. Youssefzadeh ◽  
Rauvynne N. Sangara ◽  
Rachel S. Mandelbaum ◽  
Kazuhide Matsushima ◽  
Maximilian Klar ◽  

2022 ◽  
Vol 226 (1) ◽  
pp. S198
Alyssa R. Hersh ◽  
Deepraj K. Pawar ◽  
Nonda S. Mester ◽  
Emily R. Boniface ◽  
Amy M. Valent

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