FIGO position paper: how to stop the caesarean section epidemic

Visser, Gerard H.A.; Ayres‐de‐Campos, Diogo; Barnea, Eytan R.; Bernis, Luc de; Renzo, Gian Carlo Di; Vidarte, María Fernanda Escobar; Lloyd, Isabel; Nassar, Anwar H.; Nicholson, Wanda K; Shah, P K; Stones, William; Sun, Luming; Theron, Gerhard; Walani, Salimah R.

doi:10.1016/s0140-6736(18)32113-5

Cited by 121 publications

(95 citation statements)

References 13 publications

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“…A position paper from the International Federation of Gynaecology and Obstetrics, also published in the Lancet , calls on governmental bodies, professional organisations, and other stakeholders to stop the caesarean epidemic 4. It recommends that delivery fees for physicians undertaking caesarean section and attending vaginal delivery should be the same in both private and public hospitals.…”

mentioning

confidence: 99%

Alarming global rise in caesarean births, figures show

Wise

2018

BMJ

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mentioning

confidence: 99%

Alarming global rise in caesarean births, figures show

Wise

2018

BMJ

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“…Cesarean sections should ideally only be undertaken when medically necessary. 18 More recently, International Federation of Gynecology and Obstetrics published a position statement on "how to stop the cesarean epidemic" 19 acknowledging the increasing cesarean section rates worldwide and the mortality and morbidity associated with cesarean deliveries.…”

Section: Vaginal Childbirthmentioning

confidence: 99%

ICS debate article—childbirth, modes of delivery, and pelvic floor dysfunction—challenges in educating women about modes of delivery and granting an informed decision process

Lemos

Doumouchtsis

2019

Neurourology and Urodynamics

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The impact of the mode of birth on the mother and fetus has been a popular topic for a long‐standing debate. Several morbidities have been associated with one mode of delivery or another. When this debate focuses specifically on the effects of vaginal birth or cesarean delivery on pelvic floor function and dysfunction, current research‐based evidence fails to provide clear answers as many contributing and confounding factors, and other limitations inherent to the evidence itself blur the links between causes and outcomes. This debate article provides and overview of the biopsychosocial gaps on this subject and raises questions to the current state in patient counselling on labour and delivery.

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“…8 The Federation of International Gynaecology and Obstetrics has made an official statement for countries and health workers to have continuous support during delivery to reduce unnecessary cesarean birth (ie, CS not because of complications). 12 In 2005, the Government of Nepal introduced skilled attendance at birth policy to make health institutions more client-friendly and midwifery-led. 13 The skilled attendance at birth policy promotes companionship at birth.…”

Section: Introductionmentioning

confidence: 99%

Coverage, associated factors, and impact of companionship during labor: A large‐scale observational study in six hospitals in Nepal

Axelin

Litorp

et al. 2019

Birth

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Background Companionship at the time of birth is a nonclinical intervention that has been proven to improve the quality of intrapartum care. This study aims to evaluate the coverage, associated factors, and impact of companionship during labor at public hospitals in Nepal. Methods We conducted a cross‐sectional observational study in six public hospitals in Nepal. The study was conducted from July 2018 to August 2018. Data were collected on sociodemographic, maternal, obstetric, and neonatal characteristics from patient case notes and through predischarge interviews. Coverage of companionship during labor and its association with intrapartum care was analyzed. Bivariate and multivariate analyses were done to assess the association between companionship during labor and demographic, obstetric, and neonatal characteristics. Results A total of 63 077 women participated in the study with 19% of them having a companion during labor. Women aged 19‐24 years had 65% higher odds of having a companion during labor compared with women aged 35 years and older (aOR 1.65 [95% CI, 1.40‐1.94]). Women who were from an advantaged ethnic group (Chhetri/Brahmin) had fourfold higher odds of having a companion than women from a disadvantaged group (aOR 3.84; [95% CI, 3.24‐4.52]). Women who had companions during labor had fewer unnecessary cesarean births than those who had no companions (5.2% vs 6.8%, P < .001). Conclusions In Nepal, sociodemographic factors affect women's likelihood of having a companion during labor. As companionship during labor is associated with improved quality of care, health facilities should encourage women's access to birth companions.

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FIGO position paper: how to stop the caesarean section epidemic

Cited by 121 publications

References 13 publications

Alarming global rise in caesarean births, figures show

Alarming global rise in caesarean births, figures show

ICS debate article—childbirth, modes of delivery, and pelvic floor dysfunction—challenges in educating women about modes of delivery and granting an informed decision process

Coverage, associated factors, and impact of companionship during labor: A large‐scale observational study in six hospitals in Nepal

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