OBJECTIVE To assess the association between cesarean delivery rates and pregnancy outcomes in African health facilities. METHODS Data were obtained from all births over 2-3 months in 131 facilities. Outcomes included maternal deaths, severe maternal morbidity, fresh stillbirths, and neonatal deaths and morbidity. RESULTS Median cesarean delivery rate was 8.8% among 83439 births. Cesarean de...

abstract background: as any delay in the onset of milk production and ejection in the first few days after delivery can cause breast-feeding failure, this study has been done to determine factors that may affect the onset time of lactation in vaginal and cesarean section deliveries with and without labor pain (elective). methods: 300 partujient mothers selected from two private and university h...

BACKGROUND The rates of induction of labor and elective induction of labor are increasing. Whether elective induction of labor improves outcomes or simply leads to greater complications and health care costs is commonly debated in the literature. PURPOSE To compare the benefits and harms of elective induction of labor and expectant management of pregnancy. DATA SOURCES MEDLINE (through Febr...

conclusion we suggest the standard cefazolin prophylaxis (after cord clamping) for elective cesarean section and cefazolin before incision for non elective cesarean section. therefore, administration of prophylactic cefazolin prior to incision will not increase the rate of neonatal sepsis. compared between these groups. results two groups were demographically identical. rate of iv line need (rr...

BACKGROUND After cesarean delivery, analgesia is often incomplete and a multimodal approach to analgesia is necessary. Transverse abdominal plane (TAP) block has been advocated in this setting, yet no systematic description of the ultrasound anatomy in pregnant women exists in the literature. Therefore, we aimed to describe the sonographical features of relevant structures in pregnant women bef...

Objective: To document frequency and identify risk factors associated with early delivery in women who require caesarean section prior to their planned elective caesarean section date. Additionally, we compared the maternal and neonatal outcomes for those women booked for an elective caesarean section who did and who did not require delivery prior to their booked elective caesarean section (BEC...