BACKGROUND Caesarean section rates continue to increase worldwide with uncertain medical consequences. Auditing and analysing caesarean section rates and other perinatal outcomes in a reliable and continuous manner is critical for understanding reasons caesarean section changes over time. METHODS We analyzed data on 97,095 women delivering in 120 facilities in 8 countries, collected as part o...

BACKGROUND There has been a threefold increase in the rate of Caesarean section over the past 25 years. The long-term consequences of Caesarean section may include subsequent subfertility. METHODS We investigated the relationship between Caesarean section and subfertility within a cohort of 14 541 pregnant women. RESULTS A history of previous Caesarean section was associated with an increas...

There has been widespread concern about rising caesarean section rates in the world. Various reviews have documented the wide variation worldwide in caesarean rates. For instance, in the mid-to-late 1980s the caesarean rate was 32% in Brazilian states, 25% in the United States, 5% in Jamaica and 7% in Czechoslovakia!. It is believed that the rising trend is due to the general trend towards lowe...

OBJECTIVE To determine whether the variation in unadjusted rates of caesarean section derived from routine data in NHS trusts in England can be explained by maternal characteristics and clinical risk factors. DESIGN A cross sectional analysis using routinely collected hospital episode statistics was performed. A multiple logistic regression model was used to estimate the likelihood of women h...

OBJECTIVE To assess the quality and comprehensiveness of the information on caesarean section provided in Brazilian women's magazines. DESIGN Review of articles published during 1988-2008 in top selling women's magazines. SETTING Brazil, one of the countries with the highest caesarean section rates in the world. DATA SOURCES Women's magazines with the largest distribution during the study...

BACKGROUND There is evidence that induction of labour (IOL) around term reduces perinatal mortality and caesarean delivery rates when compared to expectant management of pregnancy (allowing the pregnancy to continue to await spontaneous labour or definitive indication for delivery). However, it is not clear whether IOL in women with a previous caesarean section confers the same benefits. The ai...

background: depression is a kind of sorrow that decreases the level of juiciness. most studies have maintained that psy­chological risk factors have the most profound effect on the development of postnatal depression (pnd). we compared the postnatal depression among the women with elective caesarean and vaginal delivery.  methods: this cross- sectional study was carried out on 120 women 1-4 mon...

BACKGROUND The caesarean section rate is increasing globally, especially in high income countries. The reasons for this continue to create wide debate. There is good epidemiological evidence on the maternal morbidity associated with caesarean section. Few studies have used women's personal accounts of their experiences of recovery after caesarean. The aim of this paper is to describe women's ac...

Methods Caesarean scar pregnancy occurs due to implantation within a caesarean scar that is completely surrounded by myometrium and is therefore considered by many to be a late complication of caesarean section. The incidence of a caesarean scar pregnancy varies from 1 in 1800 to 1 in 2216 pregnancies and is rising due to an increase rates of the c section. Caesarean scar pregnancies are challe...

At the University of Benin Teaching Hospital, Benin City, Nigeria, after our first publication titled “Inevitable Caesarean Myomectomy”1, we have since 1996 routinely carried out myomectomy during caesarean section. The result of our first 25 cases was published in 2001.2 We have since then carried out more than 70 procedures of caesarean myomectomy. Our investigations on comparative blood loss...