What would reduce caesarean section rates?—Views from pregnant women and clinicians in Ireland

Gallagher, Louise; Smith, Valerie; Carroll, Margaret; Hannon, Kathleen; Lawler, Denise; Begley, Cecily

doi:10.1371/journal.pone.0267465

Cited by 4 publications

(1 citation statement)

References 28 publications

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“…Modern societies have perceived CS as a normal delivery mode. 52 Some mothers who made maternal requests for CS reported believing that CS is a pain-free and safe delivery mode to both the mother and the baby and friends' advice as among the reasons which influenced their decisions. 53 This might have increased the maternal requests to this mode of delivery hence increased rate of CS.…”

Section: Discussionmentioning

confidence: 99%

Global increased cesarean section rates and public health implications: A call to action

Angolile,

Max,

Mushemba

et al. 2023

Health Science Reports

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Over the years; global caesarian section (CS) rates have significantly increased from around 7% in 1990 to 21% today surpassing the ideal acceptable CS rate which is around 10%-15% according to the WHO. However, currently, not all CS are done for medical reasons with rapidly increasing rate of nonmedically indicated CS and the so-called "caesarian on maternal request." These trends are projected to continue increasing over this current decade where both unmet needs and overuse are expected to coexist with the projected global rate of 29% by 2030. CS reduces both maternal and neonatal morbidity and mortality significantly when it is done under proper indications while at the same time, it can be of harm to the mother and the child when performed contrary. The later exposes both the mother and the baby to a number of unnecessary short and long-term complications and increase the chances of developing different noncommunicable diseases and immune-related conditions among babies later in life. The implications of lowering SC rate will ultimately lower healthcare expenditures. This challenge can be addressed by several ways including provision of intensive public health education regarding public health implications of increased CS rate. Assisted vaginal delivery approaches like the use of vacuum and forceps and other methods should be considered and encouraged during delivery as long as their indications for implementation are met. Conducting frequent external review and audits to the health facilities and providing feedback regarding the rates of CS deliveries can help to keep in check the rising CS trends as well as identifying the settings with unmet surgical needs. Moreover, the public especially expectant mothers during clinic visits and clinicians should be educated and be informed on the WHO recommendations on nonclinical interventions towards reduction of unnecessary CS procedures.

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Section: Discussionmentioning

confidence: 99%

Global increased cesarean section rates and public health implications: A call to action

Angolile,

Max,

Mushemba

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

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Midwives’ views of an evidence-based intervention to reduce caesarean section rates in Ireland

Corrigan¹,

Howard²,

Gallagher³

et al. 2022

Women and Birth

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The significance of different intervertebral spaces in combined spinal epidural anesthesia in cesarean section

Yu,

2024

THC

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BACKGROUND: The number of cesarean sections performed is increasing every year, and obstetric anesthesia is of great interest to physicians and research scholars because of its specificity, high risk, and high complication rate. OBJECTIVE: To investigate the effects of combined spinal epidural anesthesia (CSEA) with different intervertebral spaces during cesarean section on anesthesia effect, anesthesia onset time, anesthesia recovery time, maternal adverse reactions, and neonates. METHODS: Ninety-two women who underwent cesarean section in our hospital from September 2022 to February 2023 were selected as the study subjects and randomly divided them into two groups (group A and group B), 46 women in each group. Group A underwent CSEA via an L2-3 gap and group B underwent CSEA via an L3-4 gap puncture. The anesthesia effect, anesthesia onset time, sensory recovery time, adverse effects, and neonatal Apgar score were compared between the two groups. RESULTS: When CSEA was performed from L2-3, the anesthesia efficiency was higher, but the difference was not statistically significant. When anesthesia was performed by puncture from L2-3, the onset of anesthesia and recovery time was shorter, and the incidence of intraoperative maternal nausea and vomiting, hypotension, respiratory depression, and other adverse reactions was low with a statistically significant difference. However, the Apgar scores of the neonates in the two groups have no difference. CONCLUSIONS: When CSEA is induced via L2-3 interspace, anesthesia has a rapid onset of action, shorter recovery time, and few maternal adverse effects, without affecting the final anesthetic outcome.

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What would reduce caesarean section rates?—Views from pregnant women and clinicians in Ireland

Cited by 4 publications

References 28 publications

Global increased cesarean section rates and public health implications: A call to action

Global increased cesarean section rates and public health implications: A call to action

Midwives’ views of an evidence-based intervention to reduce caesarean section rates in Ireland

The significance of different intervertebral spaces in combined spinal epidural anesthesia in cesarean section

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