<scp>WHO</scp> Statement on Caesarean Section Rates

Betrán, Ana Pilar; Torloni,; Zhang, Jingfa; Gülmezoglu, A. Metin

doi:10.1111/1471-0528.13526

Cited by 739 publications

(589 citation statements)

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“…China has the highest C-sections in the world, accounting for 46 percent. Caesarean section is the most common operation in the US, where 30 percent of all babies are born by this method [6]. Increasing Caesarean rates have raised the need to study its influencing factors.…”

Section: Introductionmentioning

confidence: 99%

Determinates of Caesarean Section in Tertiary Care Hospital

Atal¹,

Rathore²

2016

SJAMS

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Caesarean Section is the second commonest surgery done in India after tubectomy and has great impact on maternal and neonatal health. Increasing Caesarean rates have raised the need to study its influencing factors. The objective is to analyse the different indications and frequency of caesarean sections in order to reduce such deliveries in a tertiary hospital. This retrospective study was conducted at the Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College, Jaipur, from October 1 to December 31, 2015. It comprised review of clinical records of all patients who underwent caesarean section during this period. This included booked, un-booked or referred cases and data regarding the indications, type of caesarean deliveries and demographic features. During the study period, there were 792 deliveries out of which 261 (32.95%) were caesarean. Emergency caesarean section was performed on 150(57.5 %%) and elective caesarean section was performed on 111(42.5%) patients. Overall, 122(46.6 %%) cases were booked and 139(53.3 %%) were un-booked or referred cases. Most of the caesarean sections were carried out due to previous caesarean sections 58(22.2%) followed by foetal distress 49(18.7%), non-progress of labour 32(12.2%), Pregnancy induced hypertension 17(6.51%), breech 15(5.75%), oligohydramnios 16(6.13%), intra uterine growth retardation 10(3.83%), placental abruption 4(1.53%) and placenta previa 5(1.91%). Audit and feedback is the best way to judge clinical practice and to reduce the frequency of caesarean section in any tertiary setup. Previous caesareans were the most common indication of repeat procedure in the study.

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Section: Introductionmentioning

confidence: 99%

Determinates of Caesarean Section in Tertiary Care Hospital

Atal¹,

Rathore²

2016

SJAMS

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“…Almost two-thirds of these are performed as emergency procedures and the number of operations has been ever increasing. 8 Caesarean section currently accounts for 26.2% of deliveries and it is the most frequent major operation conducted by the NHS, with > 400 performed per day in England alone. 9 Major haemorrhage can occur without warning during caesarean section and the woman's condition can quickly deteriorate during attempts to arrest blood loss.…”

Section: Haemorrhage and Caesarean Sectionmentioning

confidence: 99%

A randomised controlled trial and economic evaluation of intraoperative cell salvage during caesarean section in women at risk of haemorrhage: the SALVO (cell SALVage in Obstetrics) trial

Khan

Moore

Wilson

et al. 2018

Health Technol Assess

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This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hta This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 10/57/32. The contractual start date was in October 2012. The draft report began editorial review in December 2016 and was accepted for publication in March 2017. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health. Published by t...

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“…Além disso, de acordo com a declaração da Organização Mundial da Saúde (OMS) sobre as taxas de cesária, divulgada em 2015, somos o país com o maior percentual de partos cirúrgicos do mundo (World Health Organization (WHO), 2016;Betran, Torloni, Zhang, & Gülmezoglu, 2015).…”

Section: Palavras-chave: Estudos Baseados Em Prática (Ebp)unclassified

“…No contexto brasileiro, quando se problematizam as práticas médicas, as práticas obstétricas se revelam como uma temática a ser explorada. Afinal, somos o país com o maior percentual de partos cirúrgicos do mundo (WHO, 2016;Betran et al, 2015). Todavia, apesar de a maioria dos nascimentos no Brasil se dar pela via cirúrgica, é crescente o número de gestantes, pais e profissionais da saúde (obstetras e doulas 1 , por exemplo) que, baseando-se em evidências cientificas, optam pelo parto humanizado 2 e realizam um esforço incremental em prol da mudança das práticas obstétricas (Ver Diniz, 2005).…”

Section: Palavras-chave: Estudos Baseados Em Prática (Ebp)unclassified

“…Saliento que o uso da expressão "práticas obstétricas" (e não "práticas médicas") é intencional, uma vez que a medicina baseada em evidencias nos mostra que a gestante deveria ser o centro de um modelo humanizado de atenção ao parto (WHO, 2016;Betran et al, 2015;Fiocruz, 2016;Domingues et al, 2014). A expressão "práticas médicas" focaliza o obstetra enquanto praticante, marginalizando o fato de as práticas sociais serem performadas por uma ampla gama de atores.…”

Section: Palavras-chave: Estudos Baseados Em Prática (Ebp)unclassified

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Mudança de Práticas: O Fazer Obstétrico na Grande Vitória/ES

Júlio¹

2017

TPA

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ResumoO objetivo deste trabalho é analisar como a organização do fazer obstétrico motiva os praticantes a optar pelo parto humanizado, contribuindo para a mudança dessa prática. A pesquisa foi conduzida por meio da observação, empregando a onto-epistemologia da prática segundo Theodore Schatzki e a análise temática dos dados. Os resultados apontam que diferentes entendimentos acerca do corpo levam à reprodução das práticas obstétricas ou ao esforço em prol da sua mudança. Quando o corpo da mulher é tido enquanto um objeto (sendo a mulher uma mente que detém um corpo), a gravidez é um problema a ser resolvido.Por outro lado, quando esse passa a ser um "corpo-pessoa", não é possível desassociá-lo da mulher. Consequentemente, a gravidez deixa de ser um problema, tornando-se um processo natural e fisiológico que deve ser respeitado, e não solucionado o mais rápido possível. Este trabalho contribui com o campo ao analisar como a mobilização das práticas se altera ao longo do tempo. Além disso, o estudo da obstetrícia revela a centralidade do corpo na performance dessa prática social. Afinal, é o corpo da mulher que entra em trabalho de parto, que dá à luz e que, infelizmente, ainda sofre violência obstétrica. Enfim, é esse o "veículo" que transporta as práticas. Palavras-chave:Estudos Baseados em Prática (EBP), organizing, Theodore Schatzki, práticas obstétricas

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WHO Statement on Caesarean Section Rates

Cited by 739 publications

References 14 publications

Determinates of Caesarean Section in Tertiary Care Hospital

Determinates of Caesarean Section in Tertiary Care Hospital

A randomised controlled trial and economic evaluation of intraoperative cell salvage during caesarean section in women at risk of haemorrhage: the SALVO (cell SALVage in Obstetrics) trial

Mudança de Práticas: O Fazer Obstétrico na Grande Vitória/ES

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