Women's autonomy in childbirth

Goldbeck‐Wood, Sandra

doi:10.1136/bmj.314.7088.1143

Cited by 12 publications

(8 citation statements)

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“…21 Dominant risk of the trial of labour after low transverse caesarean section is not scar dehiscence but placenta accreta, increta and percreta and maternal exsanguinations from postpartum haemorrhage. 22 In the present study maternal morbidity was low in the vaginally delivered group than a repeat section and there was no maternal death. Incidence of primary postpartum haemorrhage 3.70% in comparison with 3.31% in repeat section group, few studies reported a much higher incidence (15.7%) of postpartum haemorrhage after repeat section.…”

Section: Discussionsupporting

confidence: 43%

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Outcome of pregnancy in previous caesarean section: an observational study

Thobbi

Zeba

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Presently, good obstetrics means an uncomplicated antenatal period, labour and puerperium for the mother and birth of a healthy body. Post caesarean section pregnancy has now become one of the most common high-risk cases tackled at any hospital. In this paper an attempt has been made to assess the outcomes of pregnancy in previous caesarean section.Methods: This study was conducted among patients in the department of gynecology and obstetrics at Al-Ameen Hospital from June 2016 to December 2018. For that purpose, a sample size of 100 was considered. Data were analyzed using SPSS software v. 23.0. and Microsoft office 2007.Results: The incidence of caesarean section was 10.25%. Anaemia, pregnancy-induced hypertension and diabetes mellitus found in this study is more coincidental. Placenta previa cases were also present. Cephalopelvic disproportion was the commonest indication of the previous section in this study. 20% of the cases have had their previous section due to cephalopelvic disproportion. 18% of the cases had delivered vaginally, 15 cases were delivered by forceps (72.2%) and 3 cases were delivered normally (27.8%). Maternal morbidity was found to be low and there was no maternal death.Conclusions: The patient whose primary section was done due to cephalopelvic disproportion should be assessed thoroughly in her current pregnancy before placing her to elective repeat section. As there is always the possibility of scar rupture in a case of post caesarean section pregnancy one must think twice before doing the primary section. More research is required to evaluate optimum time of management.

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Section: Discussionsupporting

confidence: 43%

“…Incidence of thrombophlebitis was no doubt more in case of repeat section due to prolonged infusion. 22,23…”

Section: Discussionmentioning

confidence: 99%

Outcome of pregnancy in previous caesarean section: an observational study

Thobbi

Zeba

2020

Int J Reprod Contracept Obstet Gynecol

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“…It is well known that pregnant women and their caregivers can perceive the value of a particular outcome differently. After all, cesarean deliveries that are performed against the mother's wishes are reported in several countries ( 10).…”

mentioning

confidence: 99%

Differences in the Valuation of Birth Outcomes Among Pregnant Women, Mothers, and Obstetricians

Vandenbussche

Jong-Potjer

Stiggelbout

et al. 1999

Birth

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“…De la même façon, que faire devant le refus de toute transfusion sanguine provenant d'une patiente témoin de Jéhovah alors qu'une grave hémorragie de la délivrance l'imposerait ? Dans pareilles situations, cette obligation de respecter l'autonomie de la patiente est particulièrement difficile à accepter par les soignants et cette obligation tant légale que morale entre directement en conflit avec la responsabilité du soignant vis-à-vis du foetus et avec cette autre valeur fondamentale du soin qu'est la bienfaisance [9].…”

Section: Décision Et Autonomie Des Patientsunclassified