BACKGROUND Rates of cesarean section increase worldwide, and the components of this increase are partially unknown. A strong role is prescribed to dystocia, and at the same time, the diagnosis of dystocia is highly subjective. Previous studies indicated that risk of cesarean is higher when women are admitted to the hospital early in the labor. METHODS We examined data on 1,202 nulliparous wom...

CONTEXT Aversion for cesarean delivery is common in our practice and risks associated with caesarean section may contribute to this phenomenon. OBJECTIVE The objective of this study was to estimate the risks associated with subsequent pregnancies in women with one previous cesarean section in a low resource setting. SETTING AND DESIGN A prospective cohort study carried out at two major tert...

BACKGROUND The increasing number of cesarean section is a great concern in many countries. In Iran cesarean section rate has been steadily rising from 35% in 2000 to 40% in 2005. Preferences for cesarean are often associated with some factors. OBJECTIVE To investigate factors associated with preference for cesarean delivery, with special emphasis on pregnant women's preferences in first pregn...

only marginally increased among women undergoing a trial of labor2 than among those undergrant an elective repeat cesarean section (0.4% vs 0.2% OR=2.1), with a significant decrease in need for transfusion (OR=0.57) or hysterectomy (OR=0.39), has led authorities to encourage vaginal birth after cesarean3. A group of investigators concluded4 that among women with a previously scarred uterus, ind...

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...

Cesarean section is the most commonly performed surgery in obstetrics, and its incidence is increasing with rates as high as 17% to 25% in some countries. In certain cases, cesarean scar dehiscence may lead to uterine rupture during pregnancy and delivery procedures. Moreover, cesarean scar dehiscence can be a site for developing ectopic pregnancy. We report a patient with one previous cesarean...

Pregnancy in a cesarean scar is the rarest form of an ectopic pregnancy. The treatment for cesarean scar pregnancy mainly includes systemic methotrexate and uterine artery embolization. Here, we reported a case of cesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy. The treatment plan included two phases. Three days after a combination of methotrexate and mifeprist...

The management of a patient presenting with unsatisfactory labor epidural analgesia poses a severe challenge for the anesthetist wanting to provide safe anesthetic care for a cesarean delivery. Early recognition of unsatisfactory labor analgesia allows for replacement of the epidural catheter. The decision to convert labor epidural analgesia to anesthesia for cesarean delivery is based on the u...

INTRODUCTION Cesarean scar pregnancy is the rarest kind of ectopic pregnancy. The immediate prognosis depends on the risks associated with uterine rupture and massive bleeding. CASE PRESENTATION A 32-year-old woman (gravida 2, para 1) presented with massive vaginal bleeding. A Cesarean scar pregnancy was diagnosed. She was treated by local methotrexate injection, followed by uterine artery em...

The rate of cesarean delivery has increased to more than 32%. To reduce this rate and provide more delivery options, it is necessary to provide greater access to physicians and facilities that can manage labor after cesarean delivery (LAC) and vaginal birth after cesarean delivery (VBAC). This guideline from the American Academy of Family Physicians (AAFP), which provides information on health ...