The effect of cesarean delivery rates on the future incidence of placenta previa, placenta accreta, and maternal mortality

Solheim, Karla; Esakoff, Tania F.; Little, Sarah E; Cheng, Yvonne W.; Sparks, Teresa N.; Caughey, Aaron B.

doi:10.3109/14767058.2011.553695

Cited by 279 publications

(187 citation statements)

References 28 publications

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“…If rates continue to rise at the same pace as in recent years, the overall CS rate is projected to be 56% by 2020 (Solheim et al, 2011). A key factor contributing to increasing rates is the tendency for women who have had a previous CS to have a repeat CS rather than a subsequent vaginal birth .…”

Section: Introductionmentioning

confidence: 99%

Women-centred interventions to increase vaginal birth after caesarean section (VBAC): A systematic review

et al. 2015

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2Highlights  We searched for randomized studies on women-centred interventions designed to improve VBAC rates  There were only three studies that evaluated interventions in pregnancy, none during the birth  There were no studies showing any effect on VBAC rates  Decision-aids and information programmes can help women make decisions on mode of birth  There is an urgent need to develop women-centred interventions for improving VBAC rates 3

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Section: Introductionmentioning

confidence: 99%

Women-centred interventions to increase vaginal birth after caesarean section (VBAC): A systematic review

et al. 2015

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“…Primary maternal risks include the anesthetic risk, blood loss, infection, thromboembolism, and injuries to internal organs [12][13][14]. The risk of placentation disorders in any subsequent pregnancy is also increased [15,16]. Common respiratory adjustment disorders, a propensity to bronchial asthma and other autoimmune disorders such as atopic dermatitis or food allergies have also been reported for children delivered by cesarean section [17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Can the Rate of C-sections Performed in a Level I Perinatal Center Be Reduced? – An Analysis of the University Gynecology Clinic Rostock, 2008 – 2014

Genuttis

Bolz

Briese

2017

Geburtshilfe Frauenheilkd

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Introduction In Germany the rate of deliveries by cesarean section is continually increasing. Many different reasons have been put forward to explain this trend. The aim of this study was to examine how the C-section rate developed at the University Gynecology Clinic Rostock, one of the biggest maternity hospitals and level I perinatal centers in Germany, based on various maternal and neonatal parameters. The aim was also to identify potential risk factors for C-sections. Material and Method Various obstetric parameters were obtained from the birth cohort (2008 to 2014; n = 20 091) of the University Gynecology Clinic Rostock. The data was used to calculate parameter-specific C-section rates. Potential risk factors for C-section were identified by regression analysis. Results The C-section rate dropped from 26.24% to 23.57%. The rate of repeat C-sections also declined. The mean age of the pregnant women increased. Nevertheless, the frequency of cesarean sections in pregnant women aged more than 35 years declined. Rates of being overweight or obese preconception increased. C-section rates increased as BMI values preconception increased. There was a perceptible trend towards attempting the vaginal delivery of children in breech presentation and of twins. The frequency of depressed neonates after vaginal delivery and after C-section decreased. Rates for mild and advanced acidosis increased after both C-sections and vaginal deliveries. Previous C-section, older maternal age, overweight and obesity prior to conception, breech presentation and multiple pregnancies all increased the risk of cesarean sections. Conclusion This study showed that reducing the rates of C-sections without a deterioration in neonatal outcomes can be achieved even in a large maternity hospital that cares for many high-risk pregnancies.

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“…Han contribuido al aumento de la tasa de cesárea primaria, la mayor laxitud en su indicación y una creciente seguridad del parto por cesárea (4). En los EEUU se realizan cada año más de un millón de cesáreas, representando más del 30% de los nacimientos (5); la tasa de cesárea aumentó de 5% en 1970 a 32,9% en 2009 (6), proyectándose para 2020 un 56,2% (4,7).…”

Section: Introductionunclassified

Infiltración con bupivacaína de la incisión de Pfannenstiel para la analgesia pos cesárea

Benítez

Machado

Zambrano

2015

Rev. chil. obstet. ginecol.

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RESUMENObjetivo: Comparar la efectividad analgésica de la infiltración con Bupivacaína de la incisión de Pfannenstiel respecto a un placebo para la analgesia posoperatoria de gestantes llevadas a cesárea segmentaria en el Hospital "Dr. Adolfo Pons" de Maracaibo, estado Zulia, Venezuela. Métodos: Investigación comparativa y aplicada, con diseño cuasi-experimental, de casos y controles, contemporáneo y de campo, donde se incluyeron 60 gestantes planificadas para cesárea segmentaria electiva, divididas aleatoriamente en dos grupos pareados para infiltrarles la incisión de Pfannenstiel con 30 mL de Bupivacaína al 0,25% (75 mg) o solución salina. La intensidad del dolor se evaluó mediante la escala visual análoga (EVA). Resultados: En cuanto a la intensidad del dolor, tanto en reposo como en movimiento, se encontraron diferencias altamente significativas a favor del grupo que recibió la infiltración incisional con Bupivacaína durante las primeras seis horas del postoperatorio (p<0,001); posterior a las 8 horas del posoperatorio no hubo diferencias significativas entre los dos grupos evaluados. De igual manera, estas pacientes presentaron un mayor tiempo libre de dolor, que sobrepasaba las 4 horas (251 ± 14 minutos vs. 220 ± 11 minutos; p<0,001), menores requerimientos analgésicos (199,37 ± 0,15 mg vs. 298,04 ± 1,96 mg; p<0,001) y con menos efectos adversos (p<0,05). Conclusión: La infiltración de la incisión de Pfannenstiel es efectiva para la analgesia postoperatoria de la cesárea segmentaria, prolongado el tiempo libre de dolor y disminuyendo los requerimientos de analgésicos.PALABRAS CLAVE: Analgesia posoperatoria, bupivacaína, cesárea, Pfannenstiel, infiltración anestésica SUMMARY Aim:To compare the analgesic effectiveness of Pfannenstiel incision infiltration with bupivacaine over a placebo for post-operative analgesia in cesarean section in pregnants attending at the Hospital "Dr. Adolfo Pons" in Maracaibo, Zulia state, Venezuela. Methods: A comparative and applied research, with quasiexperimental, case-control, contemporary and field design, which included 60 pregnant women scheduled for elective cesarean section, divided randomly into two groups matched for Pfannestiel incision infiltration with 30 mL Bupivacaine 0.25% (75 mg) or saline solution. Pain intensity was assessed by visual analog scale (VAS). Results: In terms of pain intensity at rest and in motion, were found highly significant differences in favor of the group receiving the incisional infiltration with bupivacaine during the first six hours after surgery (p<0.001); not later than 8 hours after surgery where in all measurements, were found no significant differences between the two tested groups. Similarly, these patients had higher pain free time, surpassing the 4 hours (251 ± 14 minutes vs. 220 ± 11 minutes; p<0.001), lower analgesic requirements (199.37 ± 0.15 126 REV CHIL OBSTET GINECOL 2015; 80(2): 126 -135

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The effect of cesarean delivery rates on the future incidence of placenta previa, placenta accreta, and maternal mortality

Abstract: If cesarean rates continue to increase, the annual incidence of placenta previa, placenta accreta, and maternal death will also rise substantially.

Cited by 279 publications

References 28 publications

Women-centred interventions to increase vaginal birth after caesarean section (VBAC): A systematic review

Women-centred interventions to increase vaginal birth after caesarean section (VBAC): A systematic review

Can the Rate of C-sections Performed in a Level I Perinatal Center Be Reduced? – An Analysis of the University Gynecology Clinic Rostock, 2008 – 2014

Infiltración con bupivacaína de la incisión de Pfannenstiel para la analgesia pos cesárea

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