OBJECTIVE To estimate the impact of caesarean delivery on the incidence of selected neonatal outcomes. PATIENTS AND METHODS A 15-year, population-based, cohort study (1988-2002) using the Nova Scotia Atlee Perinatal Database compared neonatal outcomes in term newborns born by spontaneous and assisted vaginal delivery, with newborns born by caesarean delivery, with and without labour, using mu...

OBJECTIVE to investigate midwives' attitudes and opinions on mode of birth. DESIGN exploratory descriptive study. Data were collected via study-specific questionnaires during 2006. SETTING southeastern Sweden. PARTICIPANTS all midwives working in two counties. FINDINGS regardless of age, experience and working field, the midwives considered a reasonable caesarean rate to be around 11.5 ...

Hesselman, S. 2017. Caesarean Section. Shortand long-term maternal complications. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1358. 61 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-513-0041-2. Caesarean section is a common major surgical procedure and long-term complications have not been fully investigated. By longitudinal population based r...

OBJECTIVES To describe the prevalence and determinants of births by caesarean section in private and public health facilities in underserved communities in South Asia. DESIGN Cross-sectional study. SETTING 81 community-based geographical clusters in four locations in Bangladesh, India and Nepal (three rural, one urban). PARTICIPANTS 45,327 births occurring in the study areas between 2005 ...

The caesarean section rate in Malaysian public hospitals has increased to 15.7% from 10.5% in the year 2000. There are inter-state variations in the rate ranging from a high of 25.4% in Melaka to 10.9% in Sabah. The West Coast states generally had a higher caesarean section rate than the East Coast states as well as East Malaysia. It would be prudent for Malaysia to implement stringent caesarea...

BACKGROUND The debate surrounding the optimal caesarean rate has been ongoing for several decades, with the WHO recommending an "acceptable" rate of 5-15% since 1997, despite a weak evidence base. Global expert opinion from obstetric care providers on the optimal caesarean rate has not been documented. The objective of this study was to examine providers' opinions of the optimal caesarean rate ...

BACKGROUND Caesarean section is a commonly performed operation on women that is globally increasing in prevalence each year. There is a large variation in the rates of caesarean, both in high and low income countries, as well as between different institutions within these countries. This audit aimed to report rates and reasons for caesarean and associated clinical care practices amongst nine ho...

INTRODUCTION Caesarean section is thought to be a risk factor for childhood asthma, but this association may be caused by confounding from, for instance, familial factors. To address this problem, we used twin pairs to assess the risk of childhood asthma after emergency caesarean section. METHODS The study was a register-based nation-wide matched cohort study using twin pairs to minimise resi...

Vaginal birth after caesarean section is the delivery of a baby through the vagina after a previous cesarean delivery. For this to be conducted safely and responsibly emergency obstetric care must be available. To study the different modes of delivery in Dhulikhel Hospital (DH), evaluate the frequency of attempted and successful vaginal birth after caesarean section and, in the VBAC group, to i...

Birth fractures predominantly affect the clavicle, humerus or femur. Brachial plexus injury may co-exist with humeral or clavicular fractures. From January 2002 to December 2010, 8 neonates with fractures after caesarean section were treated under the supervision of the first author following obstructed labour and caesarean delivery. The most classical of the cases is a vertex-presenting neonat...