Maternal mortality and mode of delivery

Hall, Marion H.; Bewley, Susan

doi:10.1016/s0140-6736(05)76016-5

Cited by 211 publications

(132 citation statements)

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“…Caesarean section rates are high and this inexorably rising rates of Caesarean Sections have potential to divert human and financial resources from others, arguably higher priority interventions [10]. It also raises the possibility of negative impact on maternal and neonatal health [11] which has received support from a number of studies [12][13][14]. On the other hand, it has been argued that decreasing Caesarean Section rates would have a detrimental effect on mother and infants health [15].…”

Section: Discussionmentioning

confidence: 99%

Determinates of Caesarean Section in Tertiary Care Hospital

Atal¹,

Rathore²

2016

SJAMS

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Caesarean Section is the second commonest surgery done in India after tubectomy and has great impact on maternal and neonatal health. Increasing Caesarean rates have raised the need to study its influencing factors. The objective is to analyse the different indications and frequency of caesarean sections in order to reduce such deliveries in a tertiary hospital. This retrospective study was conducted at the Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College, Jaipur, from October 1 to December 31, 2015. It comprised review of clinical records of all patients who underwent caesarean section during this period. This included booked, un-booked or referred cases and data regarding the indications, type of caesarean deliveries and demographic features. During the study period, there were 792 deliveries out of which 261 (32.95%) were caesarean. Emergency caesarean section was performed on 150(57.5 %%) and elective caesarean section was performed on 111(42.5%) patients. Overall, 122(46.6 %%) cases were booked and 139(53.3 %%) were un-booked or referred cases. Most of the caesarean sections were carried out due to previous caesarean sections 58(22.2%) followed by foetal distress 49(18.7%), non-progress of labour 32(12.2%), Pregnancy induced hypertension 17(6.51%), breech 15(5.75%), oligohydramnios 16(6.13%), intra uterine growth retardation 10(3.83%), placental abruption 4(1.53%) and placenta previa 5(1.91%). Audit and feedback is the best way to judge clinical practice and to reduce the frequency of caesarean section in any tertiary setup. Previous caesareans were the most common indication of repeat procedure in the study.

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Section: Discussionmentioning

confidence: 99%

Determinates of Caesarean Section in Tertiary Care Hospital

Atal¹,

Rathore²

2016

SJAMS

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“…3 The benefit of the C-section must be weighed against the risks of maternal mortality and morbidity associated with major abdominal surgery. While maternal mortality rates are very low, they are estimated to be two to four times higher in C-sections than in vaginal delivery (Hall and Bewley 1999). Mothers are also more likely to be rehospitalized for infection, for cardiopulmonary and thromboembolitic conditions, and for surgical wound complications after a C-section (Lydon- Rochelle et al 2000).…”

Section: Clinical and Institutional Settingmentioning

confidence: 99%

Physicians Treating Physicians: Information and Incentives in Childbirth

Johnson

Rehavi

2016

American Economic Journal: Economic Policy

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“…Nevertheless, numerous studies have recorded the higher risk of caesarean sections, not all of which can be accounted for by complications which necessitated the operation. [18][19][20][21] Morbidity is a less tangible aspect of safety that is difficult to quantify. That said, it is important to acknowledge that ECS is not entirely risk-free.…”

Section: Review Article Findingsmentioning

confidence: 99%

Review of Cesarean Section on Maternal Request in a Tertiary Care Institute; Scenario in Developing Country

Panda

Jha

Singh

2015

Kathmandu Univ. Med. J.

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Mother requesting of caesarean reflects a belief among society that elective caesarean safer than vaginal delivery in term of fetus and mother. Although the study data neglecting the facts other skewed part in this issue is consideration of resources, as in developing countries, where maternal mortality is still high due to lack of adequate resources. Mother coming to obstetrician with mother's request should individualize in every case considering mother's argument, society and evidence base guideline.

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Maternal mortality and mode of delivery

Cited by 211 publications

References 0 publications

Determinates of Caesarean Section in Tertiary Care Hospital

Determinates of Caesarean Section in Tertiary Care Hospital

Physicians Treating Physicians: Information and Incentives in Childbirth

Review of Cesarean Section on Maternal Request in a Tertiary Care Institute; Scenario in Developing Country

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