Caesarean section rates have been steadily increasing due to a higher number of sections for fetal distress, as diagnosed by cardiotocographic (CTG) monitoring in labour, and their increasing use for breech and multiple pregnancy. However, the greatest contribution to the current high caesarean rates, comes from elective repeat caesarean section (ERCS). The following is based on National Instit...

A 36-year-old female who had a emergency caesarean section 7 years ago due to fetal distress, this time presented to the clinic for the dating scan. Transvaginal ultrasound showed a gestational sac of 21 mm size with a fetal pole over the previous caesarean scar and there were no free fluid in the peritoneal cavity. Patient was clinically asymptomatic on presentation. Laparoscopic excision of c...

Risks of caesarean section Caesarean sections are not without complications and consequences. Maternal risks in the short term include haemorrhage, infection, ileus, pulmonary embolism, and Mendelson's syndrome (the result of the mother inhaling her stomach contents due to incorrect anaesthesia). The prevalence of hysterectomy due to haemorrhage after caesarean section is 10 times that after va...

OBJECTIVE Identifying factors associated to Caesarean sections among the residents of Maringá-PR, according to the financing source for delivery. METHODS A cross-sectional study with data from 920 postpartum women interviewed between October 2013 and February 2014. Association analysis was performed by logistic regression. RESULTS Caesarean section rates were 55.5% in the Unified Healthcare...

OBJECTIVE To provide evidence-based guidelines for the provision of a trial of labor (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 af...

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...

STUDY QUESTION Is there an association between Caesarean section and subsequent fertility? SUMMARY ANSWER There is no or only a slight effect of Caesarean section on future fertility. WHAT IS KNOWN ALREADY Previous studies have reported that delivery by a Caesarean section is associated with fewer subsequent pregnancies and longer inter-pregnancy intervals. The interpretation of these findi...

OBJECTIVE To identify the determinants and measure the trends in health facility-based deliveries and caesarean sections among married adolescent girls in Bangladesh. METHODS In order to measure the trends in health facility-based deliveries and caesarean sections, Bangladesh Demographic Health Survey (BDHS) data sets were analysed (BDHS; 1993-1994, 1996-1997, 1999-2000, 2004, 2007, 2011). Th...

BACKGROUND The frequency of caesarean sections is increasing. Infection in operation wounds and/or underlying spaces and organs is a common complication. In Veileder I fødselshjelp [Clinical Guidelines in Obstetrics], 2008, antibiotic prophylaxis is recommended in the form of single dose ampicillin or first generation cephalosporins in connection with acute caesarean sections and under special ...

Objective: To review the incidence, indications, characteristics, and clinical outcomes of classical Caesarean section at a regional hospital in Hong Kong. Methods: This was a retrospective case-series study of all women who underwent a classical Caesarean section over an 8-year period from 1 January 2008 to 31 December 2015 in our unit. Epidemiological data, indications for classical Caesarean...