OBJECTIVE This study was undertaken to assess the safety of trial of labor after previous cesarean delivery. STUDY DESIGN Retrospective cohort study of 308,755 Canadian women with previous cesarean delivery between 1988 and 2000. Occurrences of in-hospital maternal death, uterine rupture, and other severe maternal morbidity were compared between women with a trial of labor and those with an e...

OBJECTIVE The purpose of this study was to evaluate the relative cost-effectiveness of attempted vaginal birth after cesarean delivery compared with elective repeat cesarean delivery. STUDY DESIGN We performed an historic cohort analysis of women with a single prior cesarean delivery who were delivered at our institution during 1999. Inclusion criteria were > or =36 weeks' gestation and carry...

The rate of cesarean delivery has increased dramatically over the past decade. Medically elective cesareans are a major factor contributing to this rise. This article discusses the most recent evidence on the perinatal risks of cesarean delivery versus vaginal birth, the economic impact of elective cesarean delivery, and ethical principles related to cesareans performed without medical indicati...

OBJECTIVES Breastfeeding has positive effects for both, the mother and the infant. The purpose of the study was to ex-amine how cesarean delivery and vaginal delivery influenced subsequent breastfeeding. The study was conducted at the Kırıkkale University Medical School. MATERIAL AND METHODS Breastfeeding outcomes after an elective cesarean delivery and after a planned vaginal delivery were c...

BACKGROUND Previous studies led to the recommendation to schedule planned elective cesarean deliveries at or after 39 weeks of gestation and not before 38 weeks. The question is whether this practice is appropriate in face of possible risks to the newborn should the pregnancy have to be ended by cesarean section before the scheduled date. OBJECTIVES To compare the outcomes of newborn infants ...

The rate of cesarean delivery in the United States is at an all-time high. With the increased rate of primary and repeated cesarean delivery, a corresponding increase in the occurrence rate of placenta previa and placenta accreta has been observed. The purpose of this case report is to discuss the obstetric disorder of placenta previa with the concurrent occurrence of placenta accreta. A review...

In 1985, the Journal published an article advocating elective cesarean delivery. 1 Although it was provocative, the article had little effect on obstetrical standards. At that time, most efforts within the discipline were focused on arresting the escalation of the rate of cesarean deliveries, 2 which had increased sharply during the preceding decade. Thus, despite that article, the rate of cesa...

OBJECTIVE To estimate cumulative risks of morbidity associated with the choice of elective cesarean delivery for a first delivery. METHODS A decision analytic model was designed to compare major adverse outcomes across a woman's reproductive life associated with the choice of elective cesarean delivery compared with a trial of labor at a first delivery. Maternal outcomes assessed included mat...

OBJECTIVE Methergine increases constriction of uterine musculature which may facilitate sloughing of endometrial debris, close uterine vessels, and prevent post-cesarean endometritis. The objective of this study was to evaluate the efficacy of methergine in preventing endometritis in patients undergoing non-elective cesarean section delivery. METHODS Eighty patients undergoing non-elective ce...