Cesarean section delivery in the 1980's: International comparison by indication

Notzon, Francis C.; Cnattingius, Sven; Bergsjø, Per; Cole, Susan; Taffel, Selma M.; Irgens, Lorentz M.; Daltveit, Anne Kjersti

doi:10.1016/s0002-9378(94)70217-9

Cited by 175 publications

(98 citation statements)

References 19 publications

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“…The main indications for cesarean delivery are previous cesarean delivery, breech presentation, and fetal distress [11]. Although CS is a safe operation, when it is performed without medical need it puts mothers and their babies at risk of short-and long-term health problems.…”

Section: Introductionmentioning

confidence: 99%

Cesarean Section: Incidence, Causes, Associated Factors and Outcomes: A National Prospective Study from Jordan

Batieha¹,

Sa²,

Ys³

et al. 2017

Gynecol Obstet Case Rep

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Objectives: To determine the rate of cesarean section (CS) in Jordan and its causes, associated factors, and neonatal outcomes. Methods:The study is part of a comprehensive national study of perinatal mortality which was conducted between 2011 and 2012 in Jordan. The study was concurrent prospective in design. A sample of 18 hospitals with maternity departments was selected. All women ≥ 20 weeks of gestation admitted for delivery in any of the 18 selected hospitals were enrolled in the study. Data were collected by interviews and abstraction of data from medical records. Results:The overall rate of CS was 29.1% (13.2% as emergency CS and 15.9% as planned CS). Health sector, income of >350, <12 years of education, increased gestational age at delivery, primiparity, previous CS, male gender, overweight, obesity, pre-gestational and gestational diabetes, non-cephalic presentation, multiple pregnancy, preeclampsia, anemia, smoking, history of neonatal death/stillbirth, and previous hospitalization during current pregnancy were all associated with increased odds of CS in the multivariate analysis. The most frequent reason for planned CS was scarred uterus (59.4%) and for emergency CS was prolonged fetal distress (30.0%). The neonatal death rate was significantly higher (p=0.000) for planned CS (2.1%) and emergency CS (2.5%) as compared to vaginal delivery (0.9%). Conclusion:The rate of CS in Jordan is high (29.1%). CS is associated with increased risk of neonatal death. As most CSs are currently based on physician's judgment, it may be extremely useful to develop and implement national guidelines for performing CS. Obstetricians' adherence to these guidelines should be strictly monitored.

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Section: Introductionmentioning

confidence: 99%

Cesarean Section: Incidence, Causes, Associated Factors and Outcomes: A National Prospective Study from Jordan

Batieha¹,

Sa²,

Ys³

et al. 2017

Gynecol Obstet Case Rep

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“…Women also have great dislike for caesarean section especially when there is no living child to show for it and would often try vaginal delivery at home or religious houses after a section thus predisposing themselves to uterine rupture with its resultant morbidity and mortality. It is proposed that careful probing of the trend and indications for the use of caesarean delivery may identify pathway to lower the caesarean section rate [10] which was informed in this study.…”

Section: Introductionmentioning

confidence: 99%

Rising trend and indications of caesarean section at the university of Maiduguri teaching hospital, Nigeria

et al. 2009

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Objective: To determine the trend and indications for the use of caesarean delivery in our environment. Method: A retrospective review of the caesarean sections performed at University of Maiduguri Teaching Hospital from January 2000 to December 2005 inclusive. Results: During the study period, there were 10,097 deliveries and 1192 caesarean sections giving a caesarean section rate of 11.8%. The major maternal indications were cephalopelvic disproportion (15.5%), previous caesarean section (14.7%), eclampsia (7.2%), failed induction of labor (5.5%), and placenta previa (5.1%). Fetal distress (9.6%), breech presentation (4.7%), fetal macrosomia (4.3%), and pregnancy complicated by multiple fetuses (4.2%) were the major fetal indications. The caesarean section rate showed a steady increase over the years (7.20% in 2000-13.95% in 2005), but yearly analysis of the demographic characteristics, type of caesarean section, and the major indications did not reveal any consistent changes to account for the rising trend except for the increasing frequency of fetal distress as an indication of caesarean section over the years, which was also not statistically signifi cant (χ [2] =8.08; P=0.12). The overall perinatal mortality in the study population was found to be 72.7/1000 birth and despite the rising rate of caesarean section, the perinatal outcomes did not improve over the years. Conclusion: Trial of vaginal birth after caesarean section in appropriate cases and use of cardiotocography for continuous fetal heart rate monitoring in labor with confi rmation of suspected fetal distress through fetal blood acid--base study are recommended. A prospective study may reveal some of the other reasons for the increasing caesarean section rate. Les grandes maternelle indications ont été cephalopelvic disproportion (15,5 %), chlorure précédente section (14,7 %), éclampsie (7,2 %), a échoué à induction du travail (5,5 %) et le placenta previa (5,1 %). Détresse foetale (9,6 %), présentation de breech (4,7 %), macrosomia foetal (4,3 %) /et de la grossesse compliquée par plusieurs foetus (4,2 %) ont été les indications du foetus majeures. Le taux de césarienne a montré une augmentation constante au fi l des ans (7.19 % en 2000 à 13.95 % en 2005) mais l'analyse annuelle des caractéristiques démographiques, type de césarienne et les indications majeures n'a révélé tout cohérentes modifi cations apportées à tenir compte de la tendance sauf pour la fréquence accrue des détresse foetale comme une indication de césarienne les années qui a été également pas statistiquement signifi catif (χ [2] = p 8.08 = 0,12) . Le mortalité périnatale globale dans la population de l'étude a été jugée 72.7 / 1000 naissance et malgré le hausse du taux de césarienne, les résultats périnatales ne pas améliorer au fi l des ans. conclusion: procès de naissance vaginal après une césarienne dans les cas appropriés et l'utilisation de cardiotocography pour la continu de fréquence cardiaque foetale surveillance du travail avec la Annals of African Medicine Vo...

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“…C-section rates) since these are often more influenced by supply or induced demand rather than by need. This results in the well-documented large variations in operative delivery rates throughout the world (Thiery & Derom 1986;Lomas & Enkin 1989;Barros et al 1991;Macfarlane & Chamberlain 1993;Francome & Savage 1993;Notzon et al 1994;van Roosmalen & Van der Does 1995;Porreco & Thorp 1996). It is possible, however, to consider only those interventions that are performed for absolute maternal indications (AMI) such as severe ante-partum haemorrhage, placenta praevia and abruptio placentae; severe postpartum haemorrhage requiring surgical intervention; foetopelvic disproportion, including prerupture and uterine rupture; shoulder or transverse lie and brow presentation.…”

Section: Introductionmentioning

confidence: 99%

Monitoring unmet obstetric need at district level in Morocco

Belghiti¹,

Brouwere

Kegels

et al. 1998

Tropical Med Int Health

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SummaryUnmet obstetric need was assessed in Taounate province (Morocco) during the year 1995 by monitoring rates of major obstetric intervention for absolute maternal indications. We report results in terms of spatial distribution of the failures of the health care system to provide women with essential emergency obstetric care. An estimated 135 women with life-threatening conditions did not benefit from the obstetric interventions they required. The paper documents the effects of the monitoring process on the way the provincial team changed their way of dealing with deliveries. Assessment of unmet obstetric need in Taounate province proved feasible and affordable without external budgetary inputs. It provided the team with information on the magnitude of a previously ignored problem. The results were so dramatic as to lead the team to look for causes and solutions. These were clearly not merely technical but systemic in nature.keywords Morocco, obstetrics, needs assessment, monitoring, district health system, unmet obstetric need.correspondence Vincent

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Cesarean section delivery in the 1980's: International comparison by indication

Cited by 175 publications

References 19 publications

Cesarean Section: Incidence, Causes, Associated Factors and Outcomes: A National Prospective Study from Jordan

Cesarean Section: Incidence, Causes, Associated Factors and Outcomes: A National Prospective Study from Jordan

Rising trend and indications of caesarean section at the university of Maiduguri teaching hospital, Nigeria

Monitoring unmet obstetric need at district level in Morocco

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