INTRODUCTION The bodies involved; Background; Aims of the guidelines; Evidence and grading of recommendations SUMMARY OF RECOMMENDATIONS AFFECTING ANAESTHETIC PRACTICE Provision of information and consent Classification of urgency of caesarean section Planned caesarean section Factors in intrapartum care affecting likelihood of caesarean section Factors with no influence on caesarean section ra...

conclusions information gained misleadingly and fears related to vaginal delivery were seen as factors affecting women’s preferences for delivery. thus, midwives are required to train both pregnant women during antenatal care and all women in society about methods of delivery and to give effective counseling. results mean age rate of participants was 39.8 ± 11.8 years. the most significant reas...

objective: the purpose of this study was to investigate the incidence, type, location, and risk factors of accidental fetal lacerations during caesarean delivery. material and methods: total deliveries, caesarean deliveries, and neonatal records for documented accidental fetal lacerations were reviewed retrospectively in four university hospital. thegestational age, the presenting part of the f...

BACKGROUND Determinants of regional variation in caesarean sections can contribute explanations for the observed overall increasing trend of caesarean sections. We assessed which mechanism explains the higher rate of caesarean sections in the former West than East Germany: a more liberal use of caesarean sections in the case of relative indications or more common caesarean sections without indi...

BACKGROUND Most studies examining determinants of rising rates of caesarean section have examined patterns in documented reasons for caesarean over time in a single location. Further insights could be gleaned from cross-cultural research that examines practice patterns in locations with disparate rates of caesarean section at a single time point. METHODS We compared both rates of and main rea...

Self Assessment Q1 When considering indications and categorisation of caesarean sections: a) Caesarean section caries an overall higher neonatal mortality compared with normal delivery? b) Recommended population caesarean section rates are less than 5%? c) Breech presentations should routinely be booked for a Category 4 caesarean section? d) A category 1 caesarean section should aim to be deliv...

OBJECTIVES To study the caesarean section rate and the trends in indications for caesarean delivery at the Singapore General Hospital (SGH) during two study periods of 6 months each. MATERIALS AND METHODS The percentages of caesarean sections attributable to specific indications were computed for the first 6 months of 1998 and the last 6 months of 2001. Subgroup analysis of "less common indic...

BACKGROUND The caesarean section rate has risen rapidly in China. The purpose of this retrospective study was to estimate caesarean section rates and indications by hospital facility level in Mainland China to investigate reasons contributing to the high rate. METHODS This cross-sectional hospital-based study collected data from 39 hospitals in three geographical regions in China, covering 14...

OBJECTIVE To determine Ghanaian women's preferred mode of delivery and opinion of caesarean section after caesarean delivery. DESIGN A cross sectional study of women who recently delivered by caesarean section prior to hospital discharge. SETTING Two teaching hospitals in Ghana: Komfo Anokye Teaching Hospital, Kumasi, and Korle-Bu Teaching Hospital, Accra. RESPONDENTS 154 patients who del...

OBJECTIVE Caesarean section was initially performed to save the lives of the mother and/or her baby. Caesarean section rates have risen substantially worldwide over the past decades. In this study, we set out to compile all available caesarean section rates worldwide at the country level, and to identify the appropriate caesarean section rate at the population level associated with the minimal ...