Background: Before 1970s, the phrase “once a caesarean, always caesarean” was common norm. Now this has been changed to an institutional delivery”.Methods: This prospective controlled study carried out in department of obstetrics and gynaecology, Dr. Baba Saheb Ambedkar Medical College Hospital, Rohini, Delhi for period 7 months (October 19 April 2020) included 200 gravid women with previous on...

THESE notes concern the labours of IOO women between the ages of 19 and 45 years (average 32 years) who had been previously delivered by Caesarean section either in this hospital or elsewhere. A commentary sums up our present views on the use of primary Caesarean section and the problem of whether a repeat Caesarean or a trial labour should be chosen as the method of delivery in a subsequent pr...

BACKGROUND Obstetrical interventions during childbirth vary widely across European and North American countries. Regional differences in intrapartum care may reflect an inpatient-based, clinician-oriented, interventional practice style. METHODS Using nationally representative hospital discharge data, a retrospective cohort study was conducted to explore regional variation in obstetric interve...

Peripartum cardiomyopathy remains a rare but troubling complication of pregnancy. The cardiovascular stress of labour and delivery may lead to cardiac decompensation. These patients require special anaesthetic care during labour and delivery. Compensated patients may undergo vaginal delivery with appropriate monitoring. For those patients late in pregnancy with more significant haemodynamic com...

BACKGROUND This population-based cohort study aimed to investigate the demographic and psychosocial characteristics associated with fear of childbirth and the relative importance of such fear as a predictor of elective caesarean section. METHODS A sample of 1789 women from the Akershus Birth Cohort in Norway provided data collected by three self-administered questionnaires at 17 and 32 weeks ...

Background: This study was conducted to observe the effects on cord blood CBC parameters of newborns of delivery routes (by spontaneous vaginal and caesarean section), maternal age and parity in our setup. Methods: This is a cross-sectional study based on cord blood sample of 404 newborns (271 delivered by spontaneous vaginally and 133 by elective caesarean section), and their mothers from July...

Objective To evaluate factors associated with preference for caesarean or vaginal delivery among pregnant Chinese nulliparous and parous women. Methods In this cross-sectional study, a self-administered questionnaire was used to collect information on sociodemographic characteristics, preference/reasons for delivery mode, and knowledge of delivery complications. Results Of the 450 participants,...

BACKGROUND Since in caesarean operations skin incision to delivery time is very short, induction agent could be still effective on BIS level till the time of delivery. Therefore this study was designed to analyze the effect on maintaining adequate bispectral index levels till delivery of neonate of propofol and thiopental as an induction agent for caesarean section. METHODS Eighty two patient...

OBJECTIVE The aim of the present study was to evaluate the single and joint associations of maternal prepregnancy body mass index (BMI) and gestational weight gain (GWG) with pregnancy outcomes in Tianjin, China. METHODS Between June 2009 and May 2011, health care records of 33,973 pregnant women were collected and their children were measured for birth weight and birth length. The independen...

BACKGROUND AND OBJECTIVE A decision-to-delivery interval (DDI) of 30 minutes for emergency Caesarean sections (CS) has been widely recommended, but there is little evidence to support it. Recent studies however, have questioned not only the practicability of this target but also its anticipated beneficial effect on neonatal outcome and medico-legal implications. Our objective in this study was ...