Of family physicians who perform cesarean sections, more than half do so in rural communities and 38.6% provide sections counties without any obstetrician/gynecologists. As policymakers the United States struggle with a widening landscape of ‘obstetrical deserts,’ efforts to adequately train physician workforce prepared could help maintain access local obstetric services reduce perinatal morbid...

Cesarean section scar ectopic pregnancy is rare complication. They have become common due to an increase in cesarean sections worldwide. The following report outlines two cases of women; both women had a history previous sections. Both were type 2 pregnancies as they protruded from the uterine myometrium towards serosa.1 first woman initially received suction evacuation. products, however, coul...

BACKGROUND Obstetricians in developing countries appear generally reluctant to conduct vaginal delivery in women with a previous Cesarean because of lack of adequate facilities for optimal fetomaternal monitoring. OBJECTIVE To describe delivery outcomes among women with one previous Cesarean section at a tertiary hospital in Southeast Nigeria. METHODS This was a prospective observational st...

BACKGROUND AND OBJECTIVES Oxytocin is the uterotonic used in obstetric anesthesia, and its prophylactic and therapeutic administration is justified because it reduces the incidence of post-partum hemorrhage. However, the ideal infusion regimen in elective cesarean sections has not been determined yet. The objective of this study was to review the main physiological and pharmacological character...

In order to reduce the cesarean-delivery rate, more and more pregnant women are offered trials of labor (TOL) after their previous cesarean sections. TOL and elective repeat cesarean section (ERCS) have different risks and benefits. We constructed a decision analysis to explore this issue. Probabilities were derived from literature reviews. Health state utilities were derived from the authors' ...

OBJECTIVE To assess the prevalence of cesarean sections in Brazilian hospitals. METHODS A cross-sectional study was carried out with data from the World Health Organization's Global Data System for Maternal and Perinatal Health, for the Brazilian states of São Paulo, Pernambuco and the Federal District. Data relating to 15,354 women who gave birth between September/2004 and March/2005 were an...

OBJECTIVE To identify the current clinical, socio-demographic and obstetric factors associated with the various types of delivery strategies in Mexico. MATERIALS AND METHODS This is a cross-sectional study based on the 2012 National Health and Nutrition Survey (ENSANUT) of 6,736 women aged 12 to 49 years. Delivery types discussed in this paper include vaginal delivery, emergency cesarean sect...

Background: Pregnant women of extremes of reproductive age group at both ends (< 20 years and > 35 years age) comprise high risk groups. Pregnant women up to 35 years get many complications like diabetes, spontaneous abortion, hypertensive disorders, autosomal trisomies, increased newborn and maternal morbidity and mortality and cesarean sections. Pregnancies of < 18 years age group is complica...

The rate of cesarean sections has been increasing substantially over the last several decades, and, accounting for approximately 27.5% of deliveries in the general population in 2004, is much higher than the target rate of 15% established in 1991 as a United States health objective for the year 2000 [1, 2]. There are a number of intertwined medical and societal explanations for the increased ra...