OBJECTIVE To analyse the different indications and frequency of caesarean sections in order to reduce such deliveries in a tertiary hospital. METHODS The retrospective study was conducted at the Department of Obstetrics and Gynaecology, Liaquat National Hospital, Karachi, from January 1 to December 31, 2011. It comprised review of clinical records of all patients who underwent caesarean secti...

Knowledge and attitudes about vaginal versus caesarean section delivery were assessed in 204 pregnant women attending a maternity centre in Kerman, Islamic Republic of Iran. Overall, 63.5% of women scored weak on knowledge questions. Knowledge was higher in women who had a history of miscarriage. Of the women, 96.5% and 33.0% had positive attitudes towards vaginal delivery and caesarean section...

We wished to establish whether delivery by Caesarean section influenced the incidence of developmental dysplasia of the hip in term breech infants compared with those delivered vaginally. We used maternal charts, singleton term breech presentation, mode of delivery and incidence of developmental dysplasia of the hip for births between January 1997 and October 2002. During the study period 46 08...

OBJECTIVE To evaluate how the implementation of universally acceptable standards affects rates for primary caesarean sections, without compromising maternal or foetal safety. METHODS A complete audit cycle of all the primary caesarean sections performed in the maternity unit of Aga Khan University was conducted from 1st January to 31st March during years 2003 and 2004. New labour management g...

BACKGROUND Caesarean section at full cervical dilatation has many implications for maternal and neonatal morbidity as well as subsequent pregnancy outcomes. However, increasing trends are reported internationally for second-stage caesarean delivery. OBJECTIVES To review the rate and indication for a caesarean section at full dilatation over a 5-year period at a tertiary referral obstetric cen...

Blood loss during Caesarean section has been measured in 121 patients using a haemoglobin dilution method. The results have been analyzed in an attempt to determine the importance on blood loss of age, parity, previous Caesarean section, placental site, size of baby, length of operation, and surgical experience. The only statistically significant factors increasing blood loss were (a) multipara...

OBJECTIVE To identify what women report influences their preferred mode of birth after caesarean section. DESIGN Systematic review of qualitative literature using meta-ethnography. DATA SOURCES Medline, EMBASE, ASSIA, CINAHL and PsycINFO (1996 until April 2013; updated September 2015). Hand-searched journals, reference lists and abstract authors. STUDY SELECTION Primary qualitative studie...

AIMS To determine whether the lower rates of obstetric interventions in Maori and Pacific Island women from the New Zealand Ministry of Health obstetric procedures report in 1999 existed also in National Women's Hospital (NWH), Auckland data and if so whether they persisted after controlling for parity and obstetric risk. METHODS The study population included 43,367 singleton, cephalic delive...

because of an unknown factor, the frequency of complicated pregnancy with placenta previa has been raised during past decade. this study was designed to deepen our understanding of risk factors and outcomes of placenta previa in our country. this study investigated 694 cases of placenta previa comparing with 600 healthy pregnant women with not overlie placenta in two referral and tertiary obste...

Due to the increased numbers of caesarean sections in the last decade, women with a caesarean section scar in pregnancy are becoming more commonly diagnosed using ultrasound. One of the rare but more severe complications of this is an implantation of the pregnancy in the caesarean section scar.