Prophylactic Cesarean Section at Term?

Feldman, George B.; Freiman, Jennie A.

doi:10.1056/nejm198505093121926

Cited by 112 publications

(32 citation statements)

References 9 publications

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“…Se é de fato verdade que a cesárea de emergência tem maior risco de complicações que a eletiva, coloca-se a seguinte questão: mesmo assumindo-se que a cesárea eletiva tem maior risco que o parto vaginal (o que foi verificado em nosso estudo), como uma parte das "tentativas de parto vaginal" resultarão em cesáreas de emergência, é possível que o conjunto das "tentativas", englobando as bem sucedidas e as que resultaram em cesárea, tenham um risco de complicações e morte igual ou maior que o da cesárea eletiva 7 . A constatação de tal resultado poderia ser usada como argumento a favor da cesárea eletiva, substituindo o parto vaginal 32 .…”

Section: Discussionunclassified

“…Têm sido freqüentes os debates, em nosso meio e na literatura médica nacional e internacional, sobre os constantes aumentos das taxas de cesárea 1,2,3,4,5,6 bem como, paralelamente, sobre a possibilidade de ampliação das indicações médicas deste procedimento 7,8 e ainda, inclusive, sobre o direito de a mulher escolher o tipo de parto que deseja 9,10,11,12 . Tem também sido documentada, no Brasil, uma maior freqüência de cesáreas nas classes sócio-econômicas mais altas 13,14,15 .…”

Section: Introductionunclassified

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Associação entre via de parto e complicações maternas em hospital público da Grande São Paulo, Brasil

et al. 2009

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(OR = 9.7; p = 0.04). Another analysis comparing elective cesareans and vaginal deliveries also showed an increased risk for cesarean (OR = 4.7; p = 0.02). Finally, comparing elective cesareans with trial of labor, we found an increased proportion of complications in elective cesareans, with borderline significance (OR = 3; p = 0.058). We concluded that cesarean section is associated with maternal morbidity, even after controlling for confounders.

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Section: Discussionunclassified

Section: Introductionunclassified

Associação entre via de parto e complicações maternas em hospital público da Grande São Paulo, Brasil

et al. 2009

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“…Women undergoing CS can usually be considered to have above high-school level of education, be employed, be aware of the two processes of deliveries, have higher age of pregnancy and feelings of freedom and independence. Although freedom and independence supporters believe that the right to choose the method of delivery should be given to fully aware mothers [28][29][30]. According to the FIGO Clinical Guideline, performance of CS without a medical reason, is not consistent with medical ethics [31].…”

Section: Discussionmentioning

confidence: 99%

Non-medical factors on choice of delivery (CS/NVD) in hospitals of Tehran University of Medical Sciences

Ostovar¹,

Rashidi²,

Haghallahi³

et al. 2013

OJOG

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Background: Kind of delivery affect many aspects of individuals, families and health systems situations. The aim of this study was to identify the Role of nonmedical factors on choice of delivery (CS/NVD) in hospitals affiliated to Tehran University of Medical Sciences. Materials and Method: This cross-sectional study was performed to identify the factors involved in the choice of delivery (CS/NVD) among women attending hospitals affiliated to Tehran University of Medical Sciences. Data was derived from the medical records of women who gave birth in the hospitals. Results: A significant statistical relationship was found between factors such as age of mother, level of education, occupational status, type of previous delivery, person supervising the pregnancy and dissatisfaction about delivery were more frequent in women who underwent CS than those who gave birth by NVD. Conclusion: The highly increasing rise in the rate of unnecessary CS during throughout the world, and its adverse effect on maternal and child health, the financial burden imposed on families and health systems, has highlighted the importance of studies to identify the non-medical factors that affect decisionmaking concerning type of delivery as well as to determine the appropriate medical indications of CS.

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“…These newborns are not dying from problems relat ed to prematurity. Although the causes of death in utero or of neonatal death after maturation have not been well analyzed, more than half the deaths resulted from unfa vorable conditions originating in the perinatal period and not from congenital malformations incompatible with life [4][5][6], Further, a fraction of a cohort of neonates may sur vive with a permanent injury from a similar étiologie mechanism [13,14], These phenomena may indicate that fetuses of singleton and multiple pregnancies mature to the full extent made possible by the intrauterine environ ment by 39 and 37 weeks of gestation, respectively. The fetus then outgrows the ability of the placenta to supply oxygen and nutrients, thus facing a risk of morbidity from starvation or lack of oxygen.…”

Section: Discussionmentioning

confidence: 99%

When Is the Optimal Time for Delivery? – Purely from the Fetuses’ Perspective

Minakami

Kimura

Honma

et al. 1995

Gynecol Obstet Invest

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To determine when the extrauterine environment becomes safer than the intrauterine environment with respect to fetal (neonatal) life, we analyzed all 4,896,505 livebirths, all 21,222 stillbirths, and all 7,513 early neonatal deaths after 26 weeks of gestation that were recorded between 1989 and 1992 in Japan. Although the risks of early neonatal death ( < 1 week of age) and of neonatal death ( < 4 weeks of age) greatly exceeded the risk of stillbirth at 26 weeks of gestation, those risks declined sharply by 39 weeks of gestation, then increased, while the risk of stillbirth within 1 and 4 weeks remained constantly low until 38 and 40 weeks of gestation, respectively, and increased thereafter. The risk of stillbirth within 1 and 4 weeks exceeded the risks of early neonatal death and of neonatal death at and beyond gestational weeks 40 and 38, respectively, for a singleton pregnancy. A similar reversal occurred at 37 and 35 weeks of gestation for a multiple pregnancy. Neonates born at 39 and 37 weeks of gestation for singleton and multiple pregnancies, respectively, had the best outcomes. It is concluded that the chance of survival for fetuses reaching 40 and 37 weeks of gestation for singleton and multiple pregnancies, respectively, were higher in the extrauterine than the intrauterine environment in Japan today.

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Prophylactic Cesarean Section at Term?

Cited by 112 publications

References 9 publications

Associação entre via de parto e complicações maternas em hospital público da Grande São Paulo, Brasil

Associação entre via de parto e complicações maternas em hospital público da Grande São Paulo, Brasil

Non-medical factors on choice of delivery (CS/NVD) in hospitals of Tehran University of Medical Sciences

When Is the Optimal Time for Delivery? – Purely from the Fetuses’ Perspective

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Prophylactic Cesarean Section at Term?

Cited by 112 publications

References 9 publications

Associação entre via de parto e complicações maternas em hospital público da Grande São Paulo, Brasil

Associação entre via de parto e complicações maternas em hospital público da Grande São Paulo, Brasil

Non-medical factors on choice of delivery (CS/NVD) in hospitals of Tehran University of Medical Sciences

When Is the Optimal Time for Delivery? &ndash; Purely from the Fetuses&rsquo; Perspective

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When Is the Optimal Time for Delivery? – Purely from the Fetuses’ Perspective