OBJECTIVE To examine the associations between mode of delivery and public versus privately funded obstetric care within the same hospital setting. DESIGN Retrospective cohort study. SETTING Urban maternity hospital in Ireland. POPULATION A total of 30 053 women with singleton pregnancies who delivered between 2008 and 2011. METHODS The study population was divided into those who booked ...

BACKGROUND Maternal overweight and obesity are associated with slower labour progress and increased caesarean delivery for failure to progress. Obesity is also associated with hyperlipidaemia and cholesterol inhibits myometrial contractility in vitro. Our aim was, among overweight and obese nulliparous women, to investigate 1. the role of early pregnancy serum cholesterol and 2. clinical risk f...

OBJECTIVES To review the physiology of breech birth; to discern the risks and benefits of a trial of labour versus planned Caesarean section; and to recommend to obstetricians, family physicians, midwives, obstetrical nurses, anaesthesiologists, pediatricians, and other health care providers selection criteria, intrapartum management parameters, and delivery techniques for a trial of vaginal br...

BACKGROUND Caesarean delivery rate is increasing gradually in China and there is no doubt that delivery mode is closely associated with the maternal health and infant development.This study examined the independent effect of delivery mode on placenta inflammation response and oxidative stress response. METHODS A total of 3474 pregnant women recruited in Ma'anshan Birth Cohort Study were the i...

AIMS To analyze the outcome of trial of scar in patients with previous caesarean section and to assess the fetal and maternal complications after trial of scar. PATIENTS AND METHODS The study was conducted at Military Hospital, Rawalpindi, Pakistan, with 375 pregnant patients who had a previous delivery by caesarean and who had regular antenatal checkup. Data were recorded on special pro-form...

We compared the incidence of Caesarean delivery in nulliparous women randomized to receive epidural analgesia with those randomized to intramuscular (i.m.) pethidine. On admission to the delivery suite in established labour, 802 nulliparae had already agreed to be randomized with respect to their first analgesia. One hundred and eighty-eight women required either no analgesia or 50% nitrous oxi...

Clinical governance requires evidence based standards of clinical relevance to assess performance. The recommended interval between the decision to perform an “emergency” caesarean section and the procedure is 30 minutes 2 but there is little objective evidence to support this recommendation. We conducted a prospective 12 month study in a large consultant obstetric teaching unit to examine whet...

Introduction: A growing number of children around the world are being born by surgical delivery, or cesarean section. Concerns about the steep increase in cesarean deliveries have been raised because of the possibility that surgical delivery is associated with greater maternal and infant mortality and morbidity than vaginal delivery. The purpose of the present study was to determine Prevalence ...

Annually, many women become pregnant worldwide; however, pregnancy and childbirth is not a pleasant event for all them. In fact, more than 90% of maternal anxiety could be related to the delivery process. It should be noted that delivery is also a stressful event that sometimes, due to different reasons and in order to avoid its potential hazards which could threaten the lives of mother and bab...

OBJECTIVE The study aims to determine the differences in maternal and perinatal outcomes between caesarean and vaginal deliveries and the factors affecting vaginal delivery in twin pregnancy. MATERIALS AND METHODS An observational study to audit twin pregnancies delivered at the University of Nigeria Teaching Hospital between 2002 and 2008. Clinical observations were entered into a questionna...