This article discusses the development of techniques for cesarean sections by doctors in Brazil, during the 20th century, by analyzing the title "Operação Cesárea" (Cesarean Section), of three editions of the textbookObstetrícia, by Jorge de Rezende. His prominence as an author in obstetrics and his particular style of working, created the groundwork for the normalization of the practice of ces...

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...

OBJECTIVE To determine changes in the incidence of vaginal deliveries, cesarean sections, and forceps deliveries and their potential association with fetal, early neonatal, and perinatal mortality rates over time. METHODS A retrospective study was carried out and the occurrence of deliveries supervised by university services between January 1991 and December 2000 was determined. Data regardin...

OBJECTIVE To estimate the maternal puerperal morbidity in elective and emergent cesareans in twins. STUDY DESIGN We evaluated postpartum complications among patients who underwent elective cesarean birth for twin pregnancy. This group was compared to matched singletons and to emergent cesareans in twins. RESULTS During the period September 1994-March 2006 there were 299 (47.4%) elective and...

The authors analyzed mode of delivery and resuscitation rates in a group of 1410 newborns. Comparisons were made between vaginal and cesarean deliveries, and these were further stratified with regard to whether cesarean section was performed as a routine elective procedure or whether an indication existed that necessitated operative delivery of the child (nonelective). A significantly increased...

pregnancy implantation within the scar of a previous cesarean delivery is one of the rarest locations for an ectopic pregnancy. early diagnosis of this condition with the use of ultrasound imaging allows for preserving the uterus and subsequent fertility. however, a delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy and significant maternal morbidity. with increasi...

P ERIPARTUM hemorrhage is responsible for 150,000 maternal deaths worldwide each year. Although the risk of maternal death has decreased over the preceding century, there has recently been a concerning suggestion of an increase in the overall incidence of hemorrhage. Despite multiple advances in medical and surgical care, a steady rise in hemorrhage has been noted within the developed world. St...

Purpose To evaluate blood loss during misoprostol-induced vaginal births and during cesarean sections after attempted misoprostol induction. Methods We conducted a prospective observational study in 101 pregnant women indicated for labor induction; pre- and postpartum hemoglobin levels were measured to estimate blood loss during delivery. Labor was induced by administering 25 µg vaginal misopro...

OBJECTIVE This study was undertaken to determine the risk of uterine rupture in patients induced with oxytocin or misoprostol after 1 or more previous cesarean sections. STUDY DESIGN Patients with 1 or more previous cesarean sections who delivered after 28 weeks' gestation between 1996 and 2002 were identified by database. Among 3533 total patients, rates of uterine rupture were compared amon...