Medical audit using the Ten Group Classification System and its impact on the cesarean section rate

Scarella, Aníbal; Chamy, Verónica; Sepúlveda, Marcela; Belizán, José M.

doi:10.1016/j.ejogrb.2010.09.005

Cited by 50 publications

(68 citation statements)

References 17 publications

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“…1 According to a World Health Organization statement, there is no justification to have a CS rate higher than 10-15%. 2 However, this has been the case in most industrialized and developing regions. Research findings show that elective cesarean birth does not decrease maternal mortality rates or offer a significantly better prognosis for newborns.…”

Section: Introductionmentioning

confidence: 97%

Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women

Hajian

Shariati²,

Najmabadi³

et al. 2013

Oman Med J

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Section: Introductionmentioning

confidence: 97%

Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women

Hajian

Shariati²,

Najmabadi³

et al. 2013

Oman Med J

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show abstract

“…According to a World Health Organization statement, there is no justification for the CS rate to increase 10% to 15% (Scarella, Chamy, Sepúlveda, & Belizán, 2011). However, women are increasingly undergoing CSs without any medical indication in most developing regions .…”

Section: Introductionmentioning

confidence: 99%

Use of the Extended Parallel Process Model (EPPM) to Predict Iranian Women’s Intention for Vaginal Delivery

et al. 2014

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“…Examples of medical or obstetrical complications that can trigger CD can include fetal stress (e.g., abnormal heart or breathing rate), maternal infections and health problems (e.g., genital herpes, HIV, preeclampsia), labor problems (e.g., breech position), and placental or umbilical cord challenges (e.g., umbilical cord prolapse) [11]. But the significant increase in CDs and need to better distinguish among levels of medical necessity are leading to audit-type processes to improve risk-benefit vetting of the procedure [11][12][13]. Prophylactic antibiotics are often administered around the time of the operation and, while the risk of infections for the mother appears to be lowered by antibiotic administration, the range of implications for the child remains uncertain [14].…”

Section: Vaginal Vs Caesarean Delivery: Changing Trends and Potentiamentioning

confidence: 99%

Natural Childbirth and Breastfeeding as Preventive Measures of Immune- Microbiome Dysbiosis and Misregulated Inflammation

Dietert¹

2013

J Anc Dis Prev Rem

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Much of the prior century was spent applying the latest emerging technologies toward managing pregnancy, childbirth, and infant development. The idea was that each change was significantly improving the health of our children across their lifetime. But it is now clear that with several of the adopted practices, there have been unintended consequences. We have run the risk of losing certain distinct advantages that were inherently embedded in ancient cultures and practices. Among these were the microbial-rich experiences of natural childbirth, breastfeeding, and agrarian living. These practices permitted children to acquire a complete microbiome thereby facilitating immune development and appropriate later-life immune responses. Perceived technology-associated benefits such as scheduled Caesarian births, urban sanitized living, and earlier and ever increasing vaccine burdens have helped to reduce the burden of some childhood illnesses. But recent studies suggest that they have also produced serious, unanticipated consequences for today's children: an increased likelihood for human-microbiome incompleteness, lifelong immune dysfunction, and inflammation-promoted chronic disease. This review will examine recent evidence suggesting that a more effective blending of ancient practices and remedies with modern technology and medical knowledge could help to restore the human-microbiome super organism to its historic status, improve pediatric immune homeostasis and reduce risk of later-life chronic diseases.historic birth and infant feeding practices. As discussed by Wolf [4], there is an irony that early in the 20 th century public health officials were advocating increased breastfeeding by mothers and early in the 21 st century the same exact message has been repeated albeit with a different mix of reasons [4]. In the case of the 20 th century call for increased breastfeeding, the primary health concerns were for acute illnesses such as diarrheal diseases, pneumonia, and necrotizing colitis [4]. But for the more recent call, the preventative focus is larger and includes the prevention of noncommunicable chronic diseases (NCDs) [5]. This review considers: 1) shifting historic views regarding the value of natural childbirth and breastfeeding as preventive measures, and 2) an emerging paradigm in which natural childbirth (NC) and prolonged infant breastfeeding combine to reduce the risk of inflammation-driven chronic diseases via immune-microbiome co-maturation as well as other possible developmentally-programmed routes. Additionally, NC and breastfeeding are discussed under the broader human ecological framework of a developmental model in which effective humanmicrobe super organism formation between the child's mammalian component and symbiotic microbes that form the child's microbiome, termed the "Completed Self " [6]. Timely, complete and individualized formation of this symbiotic human mammalian-microbial organism or "Completed Self " has been suggested as perhaps the single most important biological sign con...

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Medical audit using the Ten Group Classification System and its impact on the cesarean section rate

Cited by 50 publications

References 17 publications

Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women

Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women

Use of the Extended Parallel Process Model (EPPM) to Predict Iranian Women’s Intention for Vaginal Delivery

Natural Childbirth and Breastfeeding as Preventive Measures of Immune- Microbiome Dysbiosis and Misregulated Inflammation

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