Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007–08

Lumbiganon, Pisake; Laopaiboon, Malinee; Gülmezoglu, A. Metin; Souza, João Paulo; Taneepanichskul, Surasak; Pang, Ruoming; Attygalle, Deepika; Shrestha, Ninadini; Mori, Rintaro; Hinh, Nguyen Duc; Bang, Hoang Thi; Rathavy, Tung; Kang, Chaogui; Cheang, Kannitha; Festin, Mario; Udomprasertgul, Venus; Germar, Maria Julieta V; Yanqiu, Gao; Roy, Malabika; Carroli, Guillermo; Ba-Thike, Katherine; Филатова, Е. С.; Villar, José

doi:10.1016/s0140-6736(09)61870-5

Cited by 867 publications

(810 citation statements)

References 14 publications

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“…27 Lumbiganon and colleagues have shown that women often do not know that, when performed without medical justification, this surgical intervention may increase maternal and perinatal morbidity, causing an unnecessary additional health burden. 2 In our study, many women mentioned that they felt a c-section would be safer for their baby and themselves. This was also the belief of some of the gynecologists we interviewed.…”

Section: Discussionmentioning

confidence: 65%

“…2 C-sections, particularly when not justified by a medical condition, expose women to well-documented risks of maternal mortality, depression and higher morbidity. 2,3 They lead to more hospital-acquired site infections, and delays in breastfeeding. 4,5 C-section can also compromise future pregnancies, and have long term negative effects for the newborns, such as obesity, asthma, type-1 diabetes, and lead to unexplained stillbirths in the second pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 C-section can also compromise future pregnancies, and have long term negative effects for the newborns, such as obesity, asthma, type-1 diabetes, and lead to unexplained stillbirths in the second pregnancy. 2,[6][7][8][9][10][11][12] These risks explain why c-section on demand is considered, "an expensive and dangerous luxury". 13 Current evidence strongly advises against unnecessary c-sections.…”

Section: Introductionmentioning

confidence: 99%

“…13 Current evidence strongly advises against unnecessary c-sections. 2 Despite different recommendations 1 and warnings about its risks, c-section rates have been constantly and globally increasing, particularly in middle-and high-income countries, reaching "epidemic" proportions in some countries, 14,15 and the increase in c-section rates shows no signs of slowing down. 16 This rise has become a major public health concern and a cause for worldwide debate.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with caesarean sections in Phnom Penh, Cambodia

Schantz

Sim

Petit

et al. 2016

Reproductive Health Matters

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C-sections are an increasingly performed medical practice which can save lives but may also lead to major complications. Through a mixed methods study conducted in 2015 in Cambodia, we aimed to analyze the reasons for requesting a c-section and to explore factors that are associated with c-sections. 60% of the women in the cohort who gave birth by c-section reported having requested it. Through 31 in-depth interviews, we determined the reasons given by women for requesting a c-section before and during labour. Before labour, reasons for requesting a c-section were: choosing the delivery date; bringing luck and joy to the family; protecting the genitals, and the belief that c-section is safer for the mother and for the baby. Reasons given during labour were fear, pain, and having no more energy. We also observed two major factors driving the women's request for a c-section: family support for requesting a c-section, and the overusage of ultrasound examinations. Our multivariate analysis of the interviews of 143 women before and after delivery showed that having a previous c-section, delivering in a private facility, being older than median at the time of sexual debut, residing outside of Phnom Penh and having the delivery costs covered by the family were all factors independently and significantly associated with a higher chance of c-section delivery. We conclude that women are not well informed to give consent for c-delivery, and that their request is often affected by false belief and poor knowledge.

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Section: Discussionmentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors associated with caesarean sections in Phnom Penh, Cambodia

Schantz

Sim

Petit

et al. 2016

Reproductive Health Matters

View full text Add to dashboard Cite

show abstract

“…Although caesarean section can save maternal and infant lives, and reduce morbidity if there is a medical indication (Waldenstrom, 2007;Lumbiganon et al, 2010) the increase is of concern not only because of the associated higher morbidity and mortality compared to the vaginal route, but also because of the effects on subsequent pregnancies and births (Ba'aqeel, 2009). …”

Section: Discussionmentioning

confidence: 99%