This paper explores levels and trends in the prevalence of Caesarean section delivery in Ireland between 1999 and 2007. Over this period the Caesarean section rate for singleton births in Ireland increased by over one quarter. Using data from the Irish National Perinatal Reporting System and the Hospital In-Patient Enquiry scheme we examine the contribution of maternal, delivery and clinical ch...

BACKGROUND Caesarean section at full cervical dilatation has many implications for maternal and neonatal morbidity as well as subsequent pregnancy outcomes. However, increasing trends are reported internationally for second-stage caesarean delivery. OBJECTIVES To review the rate and indication for a caesarean section at full dilatation over a 5-year period at a tertiary referral obstetric cen...

BACKGROUND Repeat caesarean sections make a substantial contribution to the overall caesarean section rate. It is important to understand what influences women to choose this option when the alternative of attempting vaginal birth after caesarean section is available. As many such women use the internet while seeking information on their options, the aim of this study was to assess content of w...

Pregnancy implantation within previous caesarean scar is one of the rarest locations for an ectopic pregnancy. Incidence of caesarean section is increasing worldwide and with more liberal use of transvaginal sonography, more cases of caesarean scar pregnancy are being diagnosed in early pregnancy thus allowing preservation of uterus and fertility. However, a delay in either diagnosis or treatme...

OBJECTIVE To provide evidence-based guidelines for the provision of a trial of labour (TOL) after Caesarean section. OUTCOME Fetal and maternal morbidity and mortality associated with vaginal birth after Caesarean (VBAC) and repeat Caesarean section. EVIDENCE MEDLINE database was searched for articles published from January 1, 1995, to February 28, 2004, using the key words "vaginal birth a...

The aim of this study was to investigate the prevalence of caesarean section in the Islamic Republic of Iran in different provinces and to compare the sociodemographic characteristics of married women with and without caesarean section. Data were analysed from the Iranian Demographic and Health Survey of a representative sample of married women (n = 17,991) who delivered a baby between Septembe...

Knowledge and attitudes about vaginal versus caesarean section delivery were assessed in 204 pregnant women attending a maternity centre in Kerman, Islamic Republic of Iran. Overall, 63.5% of women scored weak on knowledge questions. Knowledge was higher in women who had a history of miscarriage. Of the women, 96.5% and 33.0% had positive attitudes towards vaginal delivery and caesarean section...

Due to the increased numbers of caesarean sections in the last decade, women with a caesarean section scar in pregnancy are becoming more commonly diagnosed using ultrasound. One of the rare but more severe complications of this is an implantation of the pregnancy in the caesarean section scar.

Over the past 25 years, there has been a sustained increase in caesarean section rates in the developed world, with massive public interest, and debate, on both the causes and appropriateness of increasingly employing a surgical procedure to short circuit, or entirely bypass, labour and delivery. This debate has largely centred on the operative risks to the mother, the increased respiratory mor...

Several studies have reported a positive association between caesarean section for expeditious pregnancy termination and perinatal outcomes in acute fatty liver of pregnancy (AFLP); however, the risks remain unclear and independent studies have reported conflicting findings. In this meta-analysis, we aimed to confirm the relationship between caesarean section and perinatal outcomes in AFLP. The...