Elective cesarean section on psychiatric indications – the  phenomenon analysis, report of two cases and psychiatric clinical recommendations

Holka-Pokorska, Justyna; Jarema, Marek; Stefanowicz, Artur; Piróg-Balcerzak, Agnieszka; Wichniak, Adam

doi:10.12740/pp/43486

Cited by 12 publications

(7 citation statements)

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“…Precious pregnancies of women with IVF conception, a high risk of placenta accreta ( 39 ) and, in some cases, the maternal age ( 40 ) constitute factors for ELCS. In our study, women with anxiety disorder or depression were more likely to have an EMCS, a comparable finding of similar studies ( 41 , 42 ) revealing a deficit in perinatal mental health services in Greece ( 43 , 44 ) as opposite to other European countries with low CS rates ( 45 , 46 ).…”

Section: Discussionsupporting

confidence: 90%

Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines

Antoniou¹,

Orovou²,

Iliadou³

et al. 2021

Acta Inform Med

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Background: Cesarean section (CS) rates have been increasing worldwide with different effects on maternal and neonatal health. Factors responsible for the growing trend of CSs, include maternal characteristics, medical insurance and convenient scheduling or financial incentives. Effective interventions and guidelines are required to reduce CS rates. Objective: The aim of this research was to investigate the factors contributing to CS rate increase and their correlation with international guidelines. Methods: The performed analysis included the available socio-demographic and medical information retrieved from the medical records and a related questionnaire in both emergency and elective CSs. Results: Out of the included 633 births, the cesarean delivery rate was 58%. Women with a previous CS showed higher percentages for Elective CS (66.1%) compared to Emergency CSs for the same reasons (8.9%). Furthermore, 23% of the patients underwent an Emergency CS because of failure of labor to progress while 18% of CSs were due to maternal desire. Conclusion: The high rates of CS in Greece demonstrate the lack of use of international obstetric protocols, national strategies, Cesarean Section audits and a significant shortage of midwives. A decrease in iatrogenic and non-iatrogenic factors leading to the primary CS will decrease CS rates.

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Section: Discussionsupporting

confidence: 90%

Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines

Antoniou¹,

Orovou²,

Iliadou³

et al. 2021

Acta Inform Med

View full text Add to dashboard Cite

show abstract

“…Two groups of determinants of psychiatric indications for caesarean section can be distinguished [59].…”

Section: Psychiatric Indicationsmentioning

confidence: 99%

Recommendations of the Polish Society of Gynecologists and Obstetricians regarding caesarean sections

et al. 2018

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“…Several studies have shown that women with a history of anxiety disorder or depression, with or without psychiatric treatment, are more likely to be unable to cooperate during delivery or exhibit tokophobia and prefer in some cases ELCS. It has also been shown that in women with tokophobia the rst two stages of labour are prolonged by 30% resulting in increased medical interventions and medication, fetal di culties and EMCS [ 29 ], which has been shown to be responsible for a large percentage of postpartum posttraumatic stress disorder [ 30 ]. In our study, women with anxiety disorder or depression were more likely to have an EMCS, con rming the above ndings and revealing a de cit in perinatal mental health in Greece, due to a de cit in mental health services, lack of health professionals' appropriate training in addition to the stigma of mental illness which is a deterrent to access appropriate mental health services in Greece [ 31 ].…”

Section: Discusionmentioning

confidence: 99%

Factors Associated with the Type of Cesarean Section and the Risk of Postoperative Complications in Greek Women

Antoniou¹,

Orovou²,

Iliadou³

et al. 2022

J Women's Health Dev

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Background Cesarean Section was historically performed to save the lives of mothers and infants. Ηowever, in the past decades, a signi cant increase in Cesarean Section rates have been observed in Greece and worldwide. The purpose of this research was to investigate the contributing factors to the increase in the Cesarean Section rate (emergency and elective) and postoperative complications.Methods A total of births in 6 months (August 2019-February 2020) at the University Hospital of Larisa in Greece was collected. The performed analysis included the available socio-demographic and medical information in the medical records and a socio-demographic and medical questionnaire for women with cesarean deliveries. We also analyzed the importance of the variables in cesarean deliveries compared to vaginal deliveries and postoperative complications.Results Out of the total number of the included 633 births, the vaginal delivery rate was 42% (n = 268), and the cesarean delivery rate was 58% (n = 365); Elective Cesarean Section was performed in 36% (n = 230) of the Cesarean Section cases and Emergency Cesarean Section in 22% (n = 135). Women with a previous Cesarean Section and women with in vitro fertilization showed higher percentages for Elective Cesarean Section (46%) compared to women who underwent an Emergency Cesarean Section for the same reasons (42.2%). Besides, a higher percentage of Emergency Cesarean Sections was observed in women living in urban centers (OR = 4.044, p = 0.002) and those diagnosed with stress disorders (OR = 7.048, p = 0.004). Furthermore, Cesarean Section complications were more common among women having undergone Emergency Cesarean Section (OR = 10.357, p < 0.001).Conclusion The overall high rates of Cesarean Section in Greece demonstrate the lack of national strategies and prevention mechanisms from iatrogenic interventions and lack of promoting good midwifery practices. More speci cally, a decrease in iatrogenic factors leading to the primary Cesarean Section will decrease Cesarean Section rates in Greece.

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Elective cesarean section on psychiatric indications – the phenomenon analysis, report of two cases and psychiatric clinical recommendations

Cited by 12 publications

References 0 publications

Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines

Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines

Recommendations of the Polish Society of Gynecologists and Obstetricians regarding caesarean sections

Factors Associated with the Type of Cesarean Section and the Risk of Postoperative Complications in Greek Women

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