Objectives: The aims of the study were to analyse whether electively induced labour place the mother or her fetus at an increased risk as compared to patients in spontaneous labour and also to quantify the risk of caesarean section in the induced group. Methods: A prospective analysis comparing 150 electively induced parturients with 150 matched controls who laboured spontaneously in Gian Sagar...

Satisfactory pain relief with postoperative extradural bupivacaine increases the amount of breast feeding after Caesarean section. To investigate the effect of extradural buprenorphine, we have evaluated the amount of breast feeding and the gain in infant weight for 11 days after Caesarean section in patients who received continuous extradural bupivacaine with or without buprenorphine. Extradur...

Secondary postpartum haemorrhage due to partial or complete dehiscence of uterine wound after caesarean section is unusual. Authors present here a patient with secondary postpartum haemorrhage following uterine dehiscence after caesarean delivery. Conservative management failed to control the bleeding, and she eventually needed hysterectomy. All women who have significant PPH following caesarea...

International concerns about rising rates of caesarean section are counterbalanced by arguments that planned caesarean section without specific clinical indication (such as breech presentation or HIV infection) falls within legitimate maternal choice. Professional opinion is divided. To perform a caesarean section without clinical reason is seen as ethical, in response to maternal request, by t...

INTRODUCTION Cesarean section rates continue to increase worldwide while the reasons appear to be multiple, complex and, in many cases, country specific. Over the last decades, several classification systems for caesarean section have been created and proposed to monitor and compare caesarean section rates in a standardized, reliable, consistent and action-oriented manner with the aim to unders...

Editor—We thank Drs Birts and Combeer for their constructive comments on the use of and consent for general anaesthesia for Caesarean delivery in patients with pre-eclampsia in our study. In particular, they are concerned about a transient but severe hypertension along with cerebral haemorrhage and cardiac failure after tracheal intubation, and risk of airway complications. We understand, in mo...

BACKGROUND There is worldwide debate about the appropriateness of caesarean sections performed without medical indications. In this analysis, we aim to further investigate the relationship between caesarean section without medical indication and severe maternal outcomes. METHODS This is a multicountry, facility-based survey that used a stratified multistage cluster sampling design to obtain a...

INTRODUCTION As in most countries of the world also at Kosovo the rate of Cesarean section from year to year is increasing. AIM The main purpose of this paper was to present the incidence of births completed by Caesarean section at the Clinic of Gynecology and Obstetrics of University Clinical Center of Kosovo in Prishtinë. MATERIAL AND METHODS This study is retrospective, namely its made b...

Medical advances have had a major impact on obstetrics, resulting in a marked decrease in mortality and morbidity, particularly in the last century. The reasons for this decline in maternal and perinatal deaths are many, but an increase in the incidence of Caesarean sections has been suggested as a contributory factor. The Caesarean operation has long had its opponents. Among the earliest was J...