Elective Cesarean Delivery: Trends, Evidence and Implications for Women, Newborns and Nurses

Campbell, Candace

doi:10.1111/j.1751-486x.2011.01651.x

Cited by 6 publications

(3 citation statements)

References 32 publications

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“…Implementation research and program evaluation evaluates how best to achieve wide scale coverage of interventions, including prevention particularly family planning and such as care of women with infectious diseases such as malaria, HIV and STIs; improved nutrition; smoking cessation; and reducing maternal workload. In many high-income countries and those with emerging economies, there is evidence of an increase in late preterm deliveries due to elective inductions and caesareans without clear medical indication [ 38 ]. More information is urgently needed from both providers and patients on the reasons for these shifts in clinical practice and how to promote more conservative obstetric management.…”

Section: A Research Pipeline To Address Preterm Birthmentioning

confidence: 99%

Born Too Soon: Accelerating actions for prevention and care of 15 million newborns born too soon

Lawn¹,

Kinney²,

et al. 2013

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Preterm birth complication is the leading cause of neonatal death resulting in over one million deaths each year of the 15 million babies born preterm. To accelerate change, we provide an overview of the comprehensive strategy required, the tools available for context-specific health system implementation now, and the priorities for research and innovation. There is an urgent need for action on a dual track: (1) through strategic research to advance the prevention of preterm birth and (2) improved implementation and innovation for care of the premature neonate. We highlight evidence-based interventions along the continuum of care, noting gaps in coverage, quality, equity and implications for integration and scale up. Improved metrics are critical for both burden and tracking programmatic change. Linked to the United Nation's Every Women Every Child strategy, a target was set for 50% reduction in preterm deaths by 2025. Three analyses informed this target: historical change in high income countries, recent progress in best performing countries, and modelling of mortality reduction with high coverage of existing interventions. If universal coverage of selected interventions were to be achieved, then 84% or more than 921,000 preterm neonatal deaths could be prevented annually, with antenatal corticosteroids and Kangaroo Mother Care having the highest impact. Everyone has a role to play in reaching this target including government leaders, professionals, private sector, and of course families who are affected the most and whose voices have been critical for change in many of the countries with the most progress.DeclarationThis article is part of a supplement jointly funded by Save the Children's Saving Newborn Lives programme through a grant from The Bill & Melinda Gates Foundation and March of Dimes Foundation and published in collaboration with the Partnership for Maternal, Newborn and Child Health and the World Health Organization (WHO). The original article was published in PDF format in the WHO Report "Born Too Soon: the global action report on preterm birth" (ISBN 978 92 4 150343 30), which involved collaboration from more than 50 organizations. The article has been reformatted for journal publication and has undergone peer review according to Reproductive Health's standard process for supplements and may feature some variations in content when compared to the original report. This co-publication makes the article available to the community in a full-text format.

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Section: A Research Pipeline To Address Preterm Birthmentioning

confidence: 99%

Born Too Soon: Accelerating actions for prevention and care of 15 million newborns born too soon

Lawn¹,

Kinney²,

et al. 2013

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“…Health care provider education on the adverse health outcomes of late preterm birth and of inducing birth for non-medical reasons prior to 39 weeks has been shown to be effective in reducing preterm birth rates in some countries such as Brazil [40,42,43]. …”

Section: Section II Avenues For Intervening To Improve the Broader Cmentioning

confidence: 99%

Born Too Soon: Care during pregnancy and childbirth to reduce preterm deliveries and improve health outcomes of the preterm baby

Requejo¹,

Merialdi

Althabe

et al. 2013

Reprod Health

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Pregnancy and childbirth represent a critical time period when a woman can be reached through a variety of mechanisms with interventions aimed at reducing her risk of a preterm birth and improving her health and the health of her unborn baby. These mechanisms include the range of services delivered during antenatal care for all pregnant women and women at high risk of preterm birth, services provided to manage preterm labour, and workplace, professional and other supportive policies that promote safe motherhood and universal access to care before, during and after pregnancy. The aim of this paper is to present the latest information about available interventions that can be delivered during pregnancy to reduce preterm birth rates and improve the health outcomes of the premature baby, and to identify data gaps. The paper also focuses on promising avenues of research on the pregnancy period that will contribute to a better understanding of the causes of preterm birth and ability to design interventions at the policy, health care system and community levels. At minimum, countries need to ensure equitable access to comprehensive antenatal care, quality childbirth services and emergency obstetric care. Antenatal care services should include screening for and management of women at high risk of preterm birth, screening for and treatment of infections, and nutritional support and counselling. Health workers need to be trained and equipped to provide effective and timely clinical management of women in preterm labour to improve the survival chances of the preterm baby. Implementation strategies must be developed to increase the uptake by providers of proven interventions such as antenatal corticosteroids and to reduce harmful practices such as non-medically indicated inductions of labour and caesarean births before 39 weeks of gestation. Behavioural and community-based interventions that can lead to reductions in smoking and violence against women need to be implemented in conjunction with antenatal care models that promote women's empowerment as a strategy for reducing preterm delivery. The global community needs to support more discovery research on normal and abnormal pregnancies to facilitate the development of preventive interventions for universal application. As new evidence is generated, resources need to be allocated to its translation into new and better screening and diagnostic tools, and other interventions aimed at saving maternal and newborn lives that can be brought to scale in all countries.DeclarationThis article is part of a supplement jointly funded by Save the Children's Saving Newborn Lives programme through a grant from The Bill & Melinda Gates Foundation and March of Dimes Foundation and published in collaboration with the Partnership for Maternal, Newborn and Child Health and the World Health Organization (WHO). The original article was published in PDF format in the WHO Report "Born Too Soon: the global action report on preterm birth" (ISBN 978 92 4 150343 30), which involved collaboratio...

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“…3 Na busca do entendimento das razões do aumento temporal nas taxas de prematuridade, diferentes fatores biológicos, sociais e relacionados aos serviços de saúde, incluindo baixo nível socioeconômico e educacional, aumento na proporção de nascimentos entre as mulheres com idade mais avançada e uso crescente da cesárea eletiva sem indicação médica tem sido reportados. [4][5][6][7] Ainda que os dados do Sistema de Informação sobre Nascidos Vivos (SINASC) para a Região Sul sejam relatados como de razoável confiabilidade, quando comparados a outras regiões do país, 8 problemas relacionados à forma de coleta dos dados, particularmente aqueles referentes a variável idade gestacional, já vem sendo contestados por estudos que apontam que um crescimento importante nas taxas de prematuridade não vinham sendo detectados pelos dados do SINASC. 4 Em 2011 os dados sobre a idade gestacional, anteriormente coletados como faixas de idade gestacional, passaram a ser registrados em semanas gestacionais inteiras, utilizando como padrão de referência a data da última menstruação (DUM) ou, quando disponíveis, dados de exame físico ou ultrassonografia.…”

Section: Introductionunclassified

Prematuridade e fatores associados em Santa Catarina, Brasil: análise após alteração do campo idade gestacional na Declaração de Nascidos Vivos

Freitas

Araújo

2015

Rev. Bras. Saude Mater. Infant.

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Elective Cesarean Delivery: Trends, Evidence and Implications for Women, Newborns and Nurses

Cited by 6 publications

References 32 publications

Born Too Soon: Accelerating actions for prevention and care of 15 million newborns born too soon

Born Too Soon: Accelerating actions for prevention and care of 15 million newborns born too soon

Born Too Soon: Care during pregnancy and childbirth to reduce preterm deliveries and improve health outcomes of the preterm baby

Prematuridade e fatores associados em Santa Catarina, Brasil: análise após alteração do campo idade gestacional na Declaração de Nascidos Vivos

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