Elective cesarean section vs. spontaneous delivery: a comparative study of birth experience

Schindl, Monika; Birner, Peter; Reingrabner, Michaela; Joura, Elmar A.; Husslein, Peter; Langer, Martin

doi:10.1034/j.1600-0412.2003.00194.x

Cited by 102 publications

(76 citation statements)

References 22 publications

(18 reference statements)

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“…well-tolerated procedure and far superior to secondary interventions such as vacuum delivery or emergency cesarean section. 4 Cesarean section is subject of professional controversy. 5 Controversy over the rate of cesarean section is going on though there is no clear evidence on the relative benefits of higher or lower rates.…”

Section: Introductionmentioning

confidence: 99%

Assessment of indications of lower section caesarean section at tertiary care centre: a cross sectional study

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Aggarwal

Ambalkar

et al. 2017

Int J Community Med Public Health

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Background: Caesarean section is one of the commonly performed surgical procedures in obstetrics and is certainly one of the oldest operations in surgery. One of the most dramatic features of modern obstetrics is the increase in the caesarean section rate. The present study was conducted to estimate proportion of various indications of LSCS and also to assess socio demographic profile of mothers undergoing caesarean section in a tertiary care centre. Methods: The present cross sectional observational study was conducted at Government Medical College & Hospital, Akola in the post natal ward (PNC). Non probability convenient sampling method was used. All patients admitted to PNC ward after LSCS were included in study. For data collection paper based pre tested, semi –structured questionnaire was used. Results: Previous LSCS was indication for LSCS in 32% cases. Eclampsia, preeclampsia and Anaemia were the indications for LSCS in 19.3%, 8.6% and 5.3% cases respectively. Other common indications includes CPD, meconium stained liquor, fetal distress, breech presentations, twin pregnancy and preterm labour. Conclusions: The proportion of LSCS is more than WHO recommended proportion of LSCS. It may be due to present institute acts as tertiary care center. Still this proportion is high, so encouragement should be given to trial of labour in selected low risk cases and in Primi patients whenever possible.

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Section: Introductionmentioning

confidence: 99%

Assessment of indications of lower section caesarean section at tertiary care centre: a cross sectional study

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Aggarwal

Ambalkar

et al. 2017

Int J Community Med Public Health

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“…In addition, there might be failure of delivery (due to maternal or fetal indications) ending in emergency caesarean or instrumental delivery [1]- [5]. In contrast, advantages of elective caesarean section (on maternal request) include avoidance of labour pains and postterm pregnancy, easy planning for timing and place of delivery, easier arrangement for a birth companion, and lower risk of fetal distress, birth asphyxia or birth trauma [3] [4]. However, caesarean delivery is expensive compared to vaginal delivery, necessitates longer hospitalization, is associated with more morbidity and increases risk for urinary tract infection, urinary bladder and other tissue injury during operation, pulmonary embolism and anesthestic complications [1]- [5].…”

Section: Discussionmentioning

confidence: 99%

“…Caesarean delivery on maternal request is defined as a primary prelabor caesarean delivery in the absence of obstetric maternal or fetal indications [2]. While healthcare providers have an ethical obligation to consider the needs of their clients/patients, they have a moral duty to society to ensure equity and equitable allocation of healthcare resources [3] [4].…”

Section: Introductionmentioning

confidence: 99%

Incongruence between the Preferred Mode of Delivery and Risk of Childbirth Complications among Antepartum Women in Mulago Hospital, Uganda

Kaye¹,

Nakimuli²,

Kakaire³

et al. 2014

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Objective: Women's preferences for the mode of delivery provide clues on their knowledge and perceptions of anticipated risk of childbirth complications. The objective was to investigate incongruence between preferred mode of delivery and risk of adverse pregnancy outcomes. Methods: Through a cross-sectional study, data were collected from 327 women admitted to Mulago hospital. Data included socio-demographic characteristics, past medical, gynaecological and obstetric history, pregnancy complications, knowledge of pregnancy complications and preferred mode of delivery. The preferred mode of delivery and knowledge of related risks for adverse pregnancy outcomes were compared. Results: The mean age of participants was 24.7 years (±5.9), ranging 14 -43 years, of whom 41.4% were nulliparous. The preferred mode of delivery was vaginal (84.1%). Incongruence (preference for a mode of delivery that did not correspond to expected or anticipated risks) occurred in 88 (26.9%) of the women, and was associated with having secondary school or higher level of education (OR 2.49, CI 1.52 -4.08) and history of previous vaginal delivery (OR 3.82, CI 1.94 -7.49). Conclusion: One in four women had incongruence between preferred mode of delivery and risks of adverse pregnancy outcomes, which called for urgent interventions to improve decision-making about intrapartum care.

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“…[3][4][5][6]9 The mean birth weight is assessed in five studies, and in one work, only the mean weight is significantly higher in the cesarean group without indication (Table 5) (B). [3][4][5][6]8 Effect of cesarean section on maternal request or without indication on maternal mortality Three studies evaluate maternal mortality (B); 2-4 however, only one study has events for this outcome (B). 8 The study shows an absolute risk reduction of maternal mortality of 3.0% in favor of cesarean section on maternal request or without indication; however, this decrease is not significant (95CI: -0.14 to 0.07; Table 4).…”

Section: -10mentioning

confidence: 99%

“…For critical analysis of non-randomized studies, among them prospective observational studies, the authors used the Newcastle-Ottawa scale. 8 For results with available evidence, wherever possible, the following specific items are defined: population, intervention, outcomes, the presence or absence of benefit and/or damage and controversies.…”

Section: Evidence Selected In Critical Evaluation and Exhibition Of Rmentioning

confidence: 99%

Cesarean on request

Toledo¹,

Simões²,

Bernardo

et al. 2015

Rev. Assoc. Med. Bras.

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Elective cesarean section vs. spontaneous delivery: a comparative study of birth experience

Abstract: Elective CS is a safe and psychologically well tolerated procedure. The results are comparable with uncomplicated vaginal delivery and far superior to secondary intervention such as vacuum delivery or emergency CS.

Cited by 102 publications

References 22 publications

Assessment of indications of lower section caesarean section at tertiary care centre: a cross sectional study

Assessment of indications of lower section caesarean section at tertiary care centre: a cross sectional study

Incongruence between the Preferred Mode of Delivery and Risk of Childbirth Complications among Antepartum Women in Mulago Hospital, Uganda

Cesarean on request

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