It's about time: Cesarean sections and neonatal health

Cesarean sections at all-time high.

Outreach obstetrics training in Western Australia improves neonatal outcome and decreases cesarean sections. Authors:

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Elective cesarean section: its impact on neonatal respiratory outcome.

Physiologic events in the last few weeks of pregnancy coupled with the onset of spontaneous labor are accompanied by changes in the hormonal milieu of the fetus and its mother, resulting in preparation of the fetus for neonatal transition. Rapid clearance of fetal lung fluid is a key part of these changes, and is mediated in large part by transepithelial sodium reabsorption through amiloride-se...

General anesthesia in cesarean sections: a prospective review of 465 cesarean sections performed under general anesthesia.

BACKGROUND In many countries, neuraxial blocks comprise the majority of anesthetics given for cesarean section. In Iran, however general anesthesia for cesarean section is prevalent. In our institution, the rate of general anesthesia for cesarean section is 39%, providing an opportunity to collect data regarding airway management in the parturients. We report on the outcomes of a series of pati...

Preventing primary cesarean sections: intrapartum care.

Some intrapartum care practices promote vaginal birth, whereas others may increase the risk for cesarean section. Electronic fetal monitoring and use of the Friedman graph to plot and monitor labor progress are associated with increasing the cesarean section rate. Continuous one-to-one support and midwifery management are associated with lower cesarean section rates. This article reviews the ev...