OBJECTIVE The purpose of this investigation was to examine the economic impact of performing elective repeat cesarean during 37 or 38 weeks of gestation relative to the American College of Obstetricians and Gynecologists recommendation of a 39-week delivery. STUDY DESIGN Decision analysis modeling was used to estimate economic outcomes for a hypothetical cohort of neonates using data from the...

BACKGROUND This study aimed to examine whether a mismatch between a woman's preferred and actual mode of delivery increases the risk of post-traumatic stress symptoms after childbirth. METHODS The study sample consisted of 1,700 women scheduled to give birth between 2009 and 2010 at Akershus University Hospital, Norway. Questionnaire data from pregnancy weeks 17 and 32 and from 8 weeks postpa...

OBJECTIVE To determine the association of apoptosis in the layers of human fetal membranes with labor at term. STUDY DESIGN Human fetal membranes were collected from elective cesarean sections (n = 8) and spontaneous vaginal deliveries (n = 8) at term. The extent of apoptosis within the layers of fetal membranes was determined using terminal deoxynucleotidyl transferase deoxy-UTP-nick end lab...

BACKGROUND We examined whether or not the Japanese pregnant women with a history of a cesarean section have the knowledge about the benefits and harms of trial of labor after cesarean (TOLAC) and elective repeat cesarean delivery (ERCD). METHODS We reviewed the obstetric records of 121 Japanese women with a prior cesarean section who visited our hospital for reservation of their second delive...

Background The AAFP convened a panel to systematically review the available evidence on trial of labor after cesarean delivery (TOLAC) using the Agency for Healt Report on Vaginal Birth after Cesarean (VBAC) along with additional literature review. The panel developed a comprehensive, evidence-based guideline for Trial of Labor after Cesarean (TOLAC), formerly Trial of Labor Versus Elective Rep...

www.aana.com/aanajournalonline.aspx 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 occu...

BACKGROUND Numerous study results vary when analyzing the relationship between labor induction and the likelihood of cesarean delivery; and few have accounted for the multiple influences of maternal sociodemographic characteristics combined with the provider and hospital in subsequent birth outcomes such as cesarean section. OBJECTIVE This study evaluated the likelihood of cesarean birth foll...

OBJECTIVE To quantify adverse neonatal and maternal outcomes associated with elective term delivery at less than 39 completed weeks of gestation. STUDY DESIGN Prospective observational study conducted in 27 hospitals over the course of 3 months in 2007. RESULTS Of 17,794 deliveries, 14,955 (84%) occurred at 37 weeks or greater. Of term deliveries, 6562 (44%) were planned, rather than sponta...

Parturients scheduled to elective cesarean section usually develop higher anxiety and stress symptoms. Pregabalin decreases preoperative intubation response; however, its effects...