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...

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 It has been recognized that preterm labor is related to short cervical length and that poor progress in labor is a major indication for cesarean section at term. We therefore hypothesize that long cervix is not associated with increased risk of cesarean delivery during labor at term. OBJECTIVES The objective is to determine the relationship between cervical length at mid-pregnancy ...

Ugwu et al., 2011 [1] in their publication, in the last issue of the amhsr, did remarkably well in pointing out an increase in the rate of cesarean sections. They also noted that “the perinatal outcome is poor especially following emergency cesarean section (94.3%). [1] Reducing primary cesarean section rate and more encouragement of vaginal birth after one previous cesarean section may reduce ...

OBJECTIVE To estimate the prevalence of cesarean sections in a birth center of a hospital and identify factors associated. METHODS Cross-sectional study including medical records of 2,441 births assisted in a birth center in the city of São Paulo, southeastern Brazil, between March and April 2005. The dependent variable (type of delivery) included vaginal delivery and cesarean section. The in...

BACKGROUND The timing of initiation of epidural analgesia and its causal relationship with mode of delivery is controversial. This retrospective investigation reviews and determines whether early initiation of epidural analgesia in nulliparous women influences the rate of cesarean sections as well as other obstetric outcome measures. METHODS The nursing records of 1623 parturients who receive...

BACKGROUND Rates of cesarean section have risen around the world in recent years. Accordingly, much effort is being made worldwide to understand this trend and to counteract it effectively. A number of factors have been found to make it more likely that a cesarean section will be chosen, but the risks cannot yet be clearly defined. METHODS This review is based on pertinent publications that w...

OBJECTIVE To describe the opinion of doctors who participated in the Latin American Study on Cesarean section in Brazil regarding the second opinion strategy when faced with the decision of performing a C-section. METHODS Seventy-two doctors from the hospitals where the study took place (where the second opinion was routinely sought) and 70 from the control group answered a pre-tested self-ad...