Maternal and neonatal morbidities associated with cesarean delivery without labor compared with induction of labor around term

Moon, Hanna; Lee, Ji Hyun; Kim, Eui Hyeok

doi:10.5468/ogs.22248

Cited by 5 publications

(6 citation statements)

References 33 publications

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“…The World Health Organization suggests that the rate of cesarean sections should be between 10% and 15%, however, the current global rate is 21%. When performed without a clear reason, cesarean sections do not provide any additional bene ts to the mother or the child; rather, they increase the risk of wound infection, urinary tract infection after discharge, blood loss, fever, and death in cesarean mothers, as well as low Apgar scores and neonatal complications in newborns, they also lengthen hospital stays (7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Factors Correlating to Women's Involvement in Shared Decision-Making Following Caesarean Sections in Amhara Region Referral Hospitals, Ethiopia, 2023

SEID,

yazie

2024

Preprint

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Introduction: - "Shared decision-making" refers to a collaborative approach to healthcare that elevates the bar for medical judgments. However, not much research has been done on Ethiopian women's involvement in shared decision-making after cesarean sections. Objective: Factors correlating to women's involvement in shared decision-making following cesarean sections in Amhara region referral hospitals, Ethiopia, 2023. Methods: The institutional-based cross-sectional study design was directed amongst participants who underwent a cesarean section at Amhara region referral hospitals from June 1 to 30, 2023. A total of 398 postnatal mothers were included through a systematic random sampling method. The files were composed of a semi-structured interview-guided questionnaire. After checking for completeness, data were coded and entered into EPI INFO version 7 and analyzed using SPSS version 23. Multivariable logistics regression analysis was used to identify factors associated with women's involvement in shared decision-making. Statistical significance was declared at a P-value of < 0.05. Result: Around, 382 women were included making a response rate of 95.97%. The overall prevalence of mothers' involvement in shared decision-making was (35.3%) with a mean of 3.62 and std. deviation of 2.484. %. respondents who had ANC contact4 and above (AOR=2.046, 95% CI: 1.19, 3.493), having information about shared decisions (AOR=2.34, 95% CI: 1.13, 4.83), and respondents who had information about cesarean section (AOR=7.9, 95% CI: 3.71, 17.19) were factors significantly associated with involvement in shared decision-making. Conclusion and recommendation: - when compared to other studies, the outcome of these investigations was low participation in decision-making had a significant impact on knowing about shared decisions and knowledge about cesarean sections. Consequently, it is critical to focus on raising women's understanding of shared decision-making to improve patient satisfaction and care quality. Referral hospitals and the Amhara Region health office collaborate to improve collaborative decision-making.

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Section: Introductionmentioning

confidence: 99%

Factors Correlating to Women's Involvement in Shared Decision-Making Following Caesarean Sections in Amhara Region Referral Hospitals, Ethiopia, 2023

SEID,

yazie

2024

Preprint

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“…The postpartum period is a critical, but often overlooked, period in the lives of new parents. According to the WHO, the majority of maternal and newborn deaths occur during this period, so proper management and care of parents and newborns is vitally important [11,12,13].…”

Section: Introductionmentioning

confidence: 99%

“…The initial or acute period covers the first 6-12 hours after delivery. This is a time of rapid change with the potential for immediate crises such as postpartum hemorrhage, uterine inversion, amniotic fluid embolism, and eclampsia [13,14,15].…”

Section: Introductionmentioning

confidence: 99%

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Features of the Physiology of the Postpartum Period After Caesarean Section

Kuravska,

Aravitska,

Churpiy

et al. 2024

Scientific and practical journal

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The main principle of perinatal obstetrics is to ensure the health of the mother, fetus and newborn, which in some cases requires quick and gentle delivery. Therefore, during the last decades, cesarean section (CS) in obstetric practice has become a tool that allows you to preserve the health of both the mother and the child. Despite its wide distribution, CS is classified as a category of complex operations with a high frequency of postoperative complications (3.3%-54.4%), which are associated with the intervention technique, obstetric and neonatal reasons. Potential structural and functional complications include: the risk of pulmonary, gastrointestinal and vascular complications; postoperative pain and discomfort; pelvic organ prolapse; posture change; pelvic floor dysfunction; weakness of the abdominal wall; diastasis of rectus abdominis muscles; umbilical hernia; general functional limitations. Scientific progress in medicine, social and cultural changes have led to fundamental transformations in the attitude to CS among women and doctors. In fact, the consensus regarding indications for caesarean section has changed in many countries, now including psychosocial factors such as anxiety about childbirth or the mother's desire for caesarean section in the absence of any medical indication. The postpartum period is a critical, but often overlooked, period in the lives of new parents. According to the WHO, the majority of maternal and newborn deaths occur during this period, so proper management and care of parents and newborns is vitally important. The postpartum period is usually divided into three separate but continuous phases: acute phase (early postpartum period) - 24 hours immediately after childbirth; subacute phase (late postpartum period): can last 2-6 weeks after childbirth; late phase - can last from 6 weeks to 6 months after childbirth. The postpartum period is characterized by a wide range of new states of women's life and increased sensitivity to external factors. The whole range of postnatal changes can be considered as an integrative combination of psychological, physiological and endocrine factors that affect the physical and mental activity of women, as well as determine their relationship with the child. Therefore, a caesarean section should be performed according to indications with a mandatory justification. The presence of a postoperative scar in women who underwent an abdominal delivery causes changes in the postpartum period in the form of a specific limitation of mobility during its formation. This aspect is all the more important from the point of view of the onset of future pregnancies, which requires the formation of a full-fledged elastic strong scar on the uterus and soft tissues. The formation of a scar in the postpartum period, in connection with the need for care and feeding of the child, changes as a result of sleep and rest regimes, additionally increases the metabolic, physical, psycho-emotional load, which causes pressure on the adaptive capabilities of the regulatory systems of the woman's body against the background of reconstruction and recovery structural and hormonal components. A woman's condition directly affects her ability to care for and raise a child, return to work and social activity, as well as the quality of life, both personally and within the framework of the environment. Therefore, certain recovery measures are necessary for their normalization as soon as possible.

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“…Зростання частоти КР також розглядається у зв'язку із змінами у суспільстві -фінансовими, соціальним, культурними [34,35,36]. Ці фактори, разом із суспільним уявленням про те, що КР процедура майже без ризиків, сприяють збільшенню кількості виконаних абдомінальних пологорозрішень [37,38].…”

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Justification of Features Rehabilitation Interventions During Pregnancy and the Postpartum Period

Kuravska,

Aravitska,

Churpiy

et al. 2023

Scientific and practical journal

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Упродовж останніх десятиліть кесарів розтин в акушерській практиці став інструментом, що дозволяє зберегти здоров’я і матері, і дитині. Сьогодні не викликає сумнівів роль кесарського розтину у зниженні перинатальної смертності та, дещо меншою мірою, – малюкової захворюваності, хоча тільки підвищенням частоти проведення кесарського розтину не можна кардинально вирішити проблему перинатальної патології. За допомогою кесарського розтину на світ з’являються 20% всіх немовлят, а якщо тенденція збережеться, то до 2030 року цей показник збільшиться до 30%. Частка в Україні також зросла з 16% в 2009 році до 24% в 2019 році. Інтенсивний темп життя, надзвичайно насичене інформаційне середовище, екологічне неблагополуччя – все це створює високий рівень щоденного стресового впливу, негативно відбивається на психофізіологічному стані жінок упродовж вразливих самих по собі періодів вагітності та після пологів, що характеризуються напруженими процесами адаптації, балансуванням на межі між здоров’ям і хворобою. Мета дослідження. Провести аналіз літературних та наукових джерел для створення програми фізичної терапії після кесарського розтину, спрямовану на покращення функціональних можливостей жінок та якості їх життя в контексті післяпологових фізичних та психічних змін. Причиною збільшення частоти пологів за допомогою абдомінального пологорозрішення називають зміну профілів ризику серед жінок, що народжують вперше, що стають дедалі старшими. бажанням матері також відіграє певну роль. Зростання частоти також розглядається у зв’язку із змінами у суспільстві – фінансовими, соціальним, культурними. Висновки. В усьому світі зростає тенденція до подальшого збільшення частоти кількості пологів шляхом кесаревого розтину призводить до того, що проблеми реабілітації жінок після їх оперативного розродження набувають важливого медичного і соціального значення. Стан жінки напряму впливає на її можливості по догляду та вихованню дитини, повернення до роботи та соціальної активності, а також на якість життя, як особисто, так і в рамках середовища. Тому необхідні певні заходи відновлення для якнайшвидшої їх нормалізації.

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Maternal and neonatal morbidities associated with cesarean delivery without labor compared with induction of labor around term

Cited by 5 publications

References 33 publications

Factors Correlating to Women's Involvement in Shared Decision-Making Following Caesarean Sections in Amhara Region Referral Hospitals, Ethiopia, 2023

Factors Correlating to Women's Involvement in Shared Decision-Making Following Caesarean Sections in Amhara Region Referral Hospitals, Ethiopia, 2023

Features of the Physiology of the Postpartum Period After Caesarean Section

Justification of Features Rehabilitation Interventions During Pregnancy and the Postpartum Period

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