Trends in Cesarean Section

Sarmiento, Andrés

doi:10.5772/intechopen.77309

Cited by 5 publications

(9 citation statements)

References 23 publications

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“…By 1865, the maternal mortality rate of CS practiced for maternal indications was estimated to be around 85%. [1][2][3] In the historical evolution of CS practiced for maternal indications, some important mile-stones for the reduction of complications and increase in survival are; 4,5 • The description of a transverse incision technique by Ferdinand Adolf Lehrer (1881).…”

Section: Evolution Of Caesarean Sectionmentioning

confidence: 99%

“…From remote anecdotal references in history of medicines, caesarean section has evolved to be part of the standard of obstetrical care today. 1 Its practicality, disponibility, and apparent safety have placed caesarean section a first-line procedure in many clinical scenarios.…”

Section: Introductionmentioning

confidence: 99%

“…This article aims to study the trends and the causes of such trends seen in caesarean section over the past 50 years. 1 death for an individual burial. Jacques Guillemeau (1598) was the first author to use the term "section" to refer to the caesarean intervention as a birth choice.…”

Section: Introductionmentioning

confidence: 99%

“…In the United States (1769-1833) it was mandatory for the Franciscan missionaries to have the knowledge and dexterity of how to practice a section. [1][2][3]…”

Section: Introductionmentioning

confidence: 99%

“…The unpublished data of one of the teaching institute of Ahmedabad explored caesarean rate of1.4% in 1955, 2.68% in 1960, 3.2% in 1965,4% in 1970, 6.5% in 1975 and 11.2% in 1985. The CS rate of our institute of the year 1999 is 20.22%, 2000 is 22.14% and 2019 -38.64%At all India level, the rate has increased from 2.9% of the child birth in 1992-93 to 7% in 1988-99 and further to 10.2% in 2005-06, according to NFHS data sets 13.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Changing trends in cesarean section: from 1950 to 2020

Patel

Kedia

Shah

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Caesarean section (C.S) is a part of the standard care in modern obstetrics. The indications for a caesarean section as an alternative to vaginal delivery have evolved over the centuries. Its practicality, disponibility, and apparent safety have placed caesarean section, a first-line procedure in many clinical scenarios. The awareness of perinatal mortality and morbidity associated with safety of caesarean, expert anaesthesia, potent antibiotics, blood transfusion facilities and better neonatal care have increased incidence of caesarean section very fast. Thus, there is fast, steady and definite rise in incidence of caesarean section everywhere. But the question is ‘Is a rising caesarean section rate is inevitable?’. Studies carried out to understand CS deliveries has adopted different framework. The issue treats elements of ethics in the medical profession, gender issues, choices of women, the quality of institutional services, etc. The findings of retrospective studies have suggested that the caesarean section rate could be reduced in certain categories. In this study, we discuss the various ways in which it can be achieved.

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Section: Evolution Of Caesarean Sectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In the United States (1769-1833) it was mandatory for the Franciscan missionaries to have the knowledge and dexterity of how to practice a section. [1][2][3]…”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Changing trends in cesarean section: from 1950 to 2020

Patel

Kedia

Shah

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Untitled

2021

MOJWH

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Background: Cesarean section (CS) is an important indicator of accessibility to emergency obstetric care. In Nepal there is a high rate of early marriage leading to increase in teen age pregnancy however, the factors associated with CS among early child bearing women remains unreported. Hence, the objective of this study is to examine the factors associated with CS among early child bearing women. Methods:We used the 2016 National Demographic and Health Survey (NDHS) data obtained from DHS department of USAID for this study. Bivariable analysis was done using chi square test. We used logistic regression model to identify the factors associated with CS among early child bearing women.Results: Out of 4006 women of reproductive age group from 1996 to 2016, more than 50% had early pregnancy. The population-based cesarean section (CS) rate was about 10% [95% confidence interval: (8.9-11.6)]. Our logistic regression model showed that women with early child bearing had 32% (p-value <0.05, 95% confidence interval: 0.50-0.94) less chance of having CS than women of age group 19-29 years. It was also evident that poorest women of same age group had 66% less likelihood of having CS than the richest (p-value: <0.05, 95% confidence interval: 0.29-0.99). Similarly, women from province-1, province-3 and province-4, having complete four antenatal check-ups and delivering in a private institution were associated with CS among early child bearers. Conclusion:The odds of having CS decreased by 66% among women with early pregnancy than their counterparts after adjusting for all other covariates. This suggests that the early pregnancy might not be the risk factor for having a CS. However, we also found that this relationship might have been confounded by the interaction between wealth index and age groups as there was a huge disparity in CS rate among poorest and wealthiest women who had early child bearing. Thus, Nepal government should focus more on providing adequate accessibility to CS services throughout the population so that every woman could utilize the services in need.

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Cesarean Section and Its Correlates Among Early Child Bearing Women in Nepal

Bhandari¹,

Adhikari²,

Shrestha³

et al. 2021

MOJWH

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Background: Cesarean section (CS) is an important indicator of accessibility to emergency obstetric care. In Nepal there is a high rate of early marriage leading to increase in teen age pregnancy however, the factors associated with CS among early child bearing women remains unreported. Hence, the objective of this study is to examine the factors associated with CS among early child bearing women. Methods: We used the 2016 National Demographic and Health Survey (NDHS) data obtained from DHS department of USAID for this study. Bivariable analysis was done using chi square test. We used logistic regression model to identify the factors associated with CS among early child bearing women. Results: Out of 4006 women of reproductive age group from 1996 to 2016, more than 50% had early pregnancy. The population-based cesarean section (CS) rate was about 10% [95% confidence interval: (8.9-11.6)]. Our logistic regression model showed that women with early child bearing had 32% (p-value <0.05, 95% confidence interval: 0.50- 0.94) less chance of having CS than women of age group 19-29 years. It was also evident that poorest women of same age group had 66% less likelihood of having CS than the richest (p-value: <0.05, 95% confidence interval: 0.29-0.99). Similarly, women from province-1, province-3 and province-4, having complete four antenatal check-ups and delivering in a private institution were associated with CS among early child bearers. Conclusion: The odds of having CS decreased by 66% among women with early pregnancy than their counterparts after adjusting for all other covariates. This suggests that the early pregnancy might not be the risk factor for having a CS. However, we also found that this relationship might have been confounded by the interaction between wealth index and age groups as there was a huge disparity in CS rate among poorest and wealthiest women who had early child bearing. Thus, Nepal government should focus more on providing adequate accessibility to CS services throughout the population so that every woman could utilize the services in need.

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Trends in Cesarean Section

Cited by 5 publications

References 23 publications

Changing trends in cesarean section: from 1950 to 2020

Changing trends in cesarean section: from 1950 to 2020

Untitled

Cesarean Section and Its Correlates Among Early Child Bearing Women in Nepal

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