Caesarean section – desired rate versus actual need

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Caesarean Section

Despite the World Health Organization’s (WHO) recommendation that caesarean section (c-section) rates should not exceed 15% [1], the high rates in some countries are cause for concern. For example, Italy, China, Mexico and Brazil all have rates higher than 36% [2] with great variation within each nation. The need for c-section has probably increased for many reasons, including rising rates of o...

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Caesarean Section

Caesarean section rates have been steadily increasing due to a higher number of sections for fetal distress, as diagnosed by cardiotocographic (CTG) monitoring in labour, and their increasing use for breech and multiple pregnancy. However, the greatest contribution to the current high caesarean rates, comes from elective repeat caesarean section (ERCS). The following is based on National Instit...

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Epidural versus intrathecal morphine for postoperative analgesia after Caesarean section.

BACKGROUND Perispinal anaesthesia for Caesarean section allows injection of epidural (ED) or intrathecal (i.t.) morphine to provide long-lasting postoperative analgesia. To compare these two routes, a prospective, randomized, double-blinded study of 53 patients undergoing elective Caesarean section was performed. METHODS Combined spinal-epidural anaesthesia with 6 mg of i.t. hyperbaric bupiva...

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Right versus left lateral tilt for Caesarean section.

In 60 mothers with normal placental function, the relative merits of right and left lateral tilt during Caesarean section were assessed. Maternal-foetal biochemical values and relationships were generally more satisfactory with the left lateral position. The incidence of hypotension (revealed aorto-caval occlusion) before and after induction of anaesthesia, was significantly greater (P less tha...

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Is the caesarean section rate in Ireland too high?

A caesarean section (CS) is a major obstetric intervention that may be life-saving or life-enhancing for either the mother or her offspring. Occasionally, it may be life-threatening, or may lead to minor or major short-term or long-term complications. In 1985, the World Health Organization (WHO) recommended that the caesarean section rate should not exceed 10-15% in all geographic regions. 1 Ir...

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ژورنال

عنوان ژورنال: Archives of Medical and Biomedical Research

سال: 2016

ISSN: 1694-2078,1694-2086

DOI: 10.4314/ambr.v3i1.3