BACKGROUND The literature is nearly unanimous in recommending elective cesarean delivery at 39 weeks of gestation because of the lower rates of neonatal respiratory complications compared to 38 weeks. However, elective cesarean delivery at 39 weeks or more may have maternal and other fetal consequences compared to delivery at 38 weeks, which are not always addressed in these studies. DISCUSSI...

Objective: To identify predictors of cesarean section in a term nulliparous women presented in labour. So that we can avoid unnecessary primary cesarean section and in the same time avoid, as much as we can, obstructed labour. Methods: This was a cohort study of 216 nulliparous patients presenting in labour at term with singleton vertex fetuses who were followed till delivery either vaginally (...

OBJECTIVE We aimed to examine maternal postpartum complications of twin deliveries according to mode of delivery and investigate the associated risk factors. METHODS This was a retrospective cohort review of twin pregnancies with delivery after 26 weeks at a tertiary teaching hospital (1993-2008). The rates of maternal postpartum complications were compared among vaginal, elective cesarean an...

Despite cesarean being a major abdominal surgery, the number of cesarean deliveries has been increasing in recent decades in the United States [1-3]. The World Health Organization has stated that national cesarean rates greater than 10-15% indicate unnecessary maternal risk. Nevertheless the current cesarean rate in the US is 32.2% (CDC). With this high rate of cesarean delivery the question of...

The management of a patient presenting with unsatisfactory labor epidural analgesia poses a severe challenge for the anesthetist wanting to provide safe anesthetic care for a cesarean delivery. Early recognition of unsatisfactory labor analgesia allows for replacement of the epidural catheter. The decision to convert labor epidural analgesia to anesthesia for cesarean delivery is based on the u...

OBJECTIVE After declining for many years, cesarean delivery rates recently increased. To explore whether this increase is associated with excess weight gain during pregnancy, resulting in macrosomic infants who require cesarean delivery, we examined trends in excess weight gain, macrosomia, and cesarean delivery. METHODS Analysis of 1990-2000 US Natality Files of birth certificate data were r...

Copyright © 2014, Kashan University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. Cesarean delivery (CD) is a lif...

Objective. We examined which specific factors contributed to the increase in Cesarean delivery rate at our hospital over a 10-year period. Methods. From January 2002 to December 2012, data on the Japanese singleton deliveries at ≥22-week gestation managed at Japanese Red Cross Katsushika Maternity Hospital were collected. Potential factors associated with the increasing Cesarean delivery rate w...