Mother-requested cesarean delivery compared to vaginal delivery: a systematic review

Bernardo, Luca; Simões, Ricardo Santos; Bernardo, Wanderley Marques; Toledo, Sérgio; Hazzan, Mario A.; Chan, Henry F.; Bucci, Kira B.; Mercuri, Gustavo

doi:10.1590/1806-9282.60.04.006

Cited by 3 publications

(3 citation statements)

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“…Risks to the fetus and newborns should also be considered during the process of choosing the type of delivery in the absence of a medical indication for cesarean section. A review comparing cesarean section without medical indication and vaginal delivery has shown that cesarean section increases the risk of respiratory complications in the newborn 7 . Increases in cesarean rates have also been associated with higher rates of fetal mortality and a higher number of newborns admitted to a neonatal ICU for seven days or more, even after controlling for prematurity 29 .…”

Section: Discussionmentioning

confidence: 99%

Maternal complications and cesarean section without indication: systematic review and meta-analysis

Mascarello¹,

Horta²,

Silveira³

2017

Rev. saúde pública

173

103

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OBJECTIVEThe objective of this study was to determine the risks of severe acute maternal complications associated with cesarean section without medical indication.METHODSA systematic review was carried out with meta-analysis. The literature search was performed systematically, in multiple stages, in the PubMed, Lilacs, and Web of Science databases using the following descriptors: (postpartum period) and (cesarean section or natural childbirth) and ((morbidity or mortality) or (postpartum hemorrhage) or (puerperal infection) or (surgical infection) or (puerperal disorders)). The protocol of the study was registered at PROSPERO as CRD42016032933. A total of 1,328 articles were found; after selection, eight publications that met the study objective and inclusion criteria were selected, with information on 1,051,543 individuals.RESULTSThe results obtained in the meta-analyses indicate that women with cesarean section have a higher chance of maternal death (OR = 3.10, 95%CI 1.92–5.00) and postpartum infection (OR = 2.83, 95%CI, 1.585.06), but they have a lower chance of hemorrhage (OR = 0.52, 95%CI 0.48–0.57). For the blood transfusion outcome, the group effect was not associated with the type of delivery (95%CI 0.88–2.81).CONCLUSIONSThe quality of evidence was considered low for hemorrhage and blood transfusion and moderate for postpartum infection and maternal death. Thus, cesarean sections should be performed with caution and safety, especially when its benefits outweigh the risks of a surgical procedure.

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Section: Discussionmentioning

confidence: 99%

Maternal complications and cesarean section without indication: systematic review and meta-analysis

Mascarello¹,

Horta²,

Silveira³

2017

Rev. saúde pública

173

103

View full text Add to dashboard Cite

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“…Dentre as variáveis obstétricas, neste estudo o tipo de parto, a cesárea está associada a um maior desenvolvimento de condição aguda (97,7%) quando comparada ao parto por via vaginal. Uma revisão comparando a cesárea a pedido sem indicação médica e o parto vaginal mostrou que o parto cesáreo aumenta o risco de complicações respiratórias no RN (Bernardo, et al 2014).…”

Section: Resultsunclassified

Agravos agudos de saúde de bebês prematuros moderados e tardios no período neonatal

Rosa

Oliveira

Jantsch

et al. 2020

RSD

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Objective: To analyze the development of acute health problems in moderate and late premature babies in the first month of life. Method: Cross-sectional / epidemiological study with a quantitative approach with 123 moderate and late preterm newborns (NB) in a hospital in southern Brazil. Obstetric, neonatal and socioeconomic variables were collected during hospitalization, while the instrument on acute health problems was applied at the end of the first month of life by telephone contact. For the analysis, tests were used to compare the frequency between the dependent variables and the outcome (Chi-Square and Fisher). A p-value less than or equal to 5% (p≤0.05) was considered a significant statistical association. Results: From the data analysis of 123 newborns, the occurrence of at least one health problem was identified in 96.7% of premature infants. Vomiting was the most frequent health problem. The development of acute health problems, mainly respiratory, at the end of the neonatal period was associated with: birth weight, Apgar 1st min <7 and Apgar 5th min <7, need for neonatal resuscitation, hospitalization in intensive care, type of diet, in addition to associations with the patients' socioeconomic characteristics. Conclusion: Neonatal risk and vulnerability factors are associated with the development of acute respiratory disorders in the first month of life in moderate and late preterm infants, giving rise to greater attention in the monitoring of the studied group.

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“…Studies have been performed to evaluate possible associations among C-sections and maternal or neonatal morbidity and mortality. Considering morbimortality, C-section without clinical indication may be associated with increased risk of serious maternal (9) and neonatal outcomes (10), including respiratory complications in the newborn (11) and higher rates of fetal mortality (10). C-section also increases risks in future pregnancies, such as a higher frequency of abnormal placentation and rupture of the uterine scar.…”

Section: Introductionmentioning

confidence: 99%

Timing for elective cesarean and maternal fetal outcome: a retrospective cohort

Rosa

Perez

Müller

et al. 2021

Preprint

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Objective: To assess the relationship between the timing of elective cesarean section (C-section) and neonatal outcomes in a Brazilian population.Methods: Retrospective cohort study including women with single gestation submitted to elective C-section from January 2013 to December 2016. Eligibility criteria included primiparous mothers and those who previously underwent a C-section, with gestational ages of 37–39 weeks (group I) or ≥ 39 weeks (group II), undergoing antepartum elective C-section without clinical indication. Main Outcomes and Measures: adverse neonatal outcomes (NICU admission, respiratory distress, hypoglycemia, hiperbilirrubinemia, neonatal infection and meconium aspiration syndrome)Results: There were 17,184 live births at Hospital Moinhos de Vento during the study period. Of these, remaining 3,722 C-sections without medical indication in nulliparous women or in those with one previous C-section. Of these, 1,460 were in group I and 2,262 were in group II. Neonatal intensive care unit (NICU) hospitalization, respiratory distress and hyperbilirubinemia were positively associated with group I in relation to group II (p≤0.0001, p=0.001 and p=0.002, respectively). Conclusion: Elective C-section based on maternal request should not be recommended; however, for women who require elective C-section, neonatal outcomes suggest that delivery between 39 and 39+7 weeks is the optimal timing.

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Mother-requested cesarean delivery compared to vaginal delivery: a systematic review

Cited by 3 publications

References 0 publications

Maternal complications and cesarean section without indication: systematic review and meta-analysis

Maternal complications and cesarean section without indication: systematic review and meta-analysis

Agravos agudos de saúde de bebês prematuros moderados e tardios no período neonatal

Timing for elective cesarean and maternal fetal outcome: a retrospective cohort

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