background: a qualitative study was carried out on 200 pregnant women attending obstetric offices and imam ali women's clinic in zahedan, iran during january 2010 to august 2011. twenty-nine focus group discussions (fgds) with 5-8 participants in each group were formed. the study included women in the third trimester of pregnancy with the intention or decision to undergo elective cesarean secti...

abstract background: the fear of aspiration of gastric contents and its life‑threatening disadvantages in patients have encouraged many medical practitioners to follow conservative policies for clear fluid/liquid and solid intake from midnight to the time of surgery. these policies have been pursued more severely in case of pregnant women, leading the physicians to follow “nil per os” policy. t...

INTRODUCTION Perinatal mortality rates have come down in cesarean sections, but fetal morbidity is still high in comparison to vaginal delivery and the complications are more commonly seen in emergency than in elective cesarean sections. The objective of the study was to compare the fetal outcome and the indications in elective versus emergency cesarean section performed in a tertiary maternity...

BACKGROUND Cesarean delivery has negative effects on breastfeeding. The objective of this study was to evaluate breastfeeding rates, defined in accordance with World Health Organization guidelines, from delivery to 6 months postpartum in infants born by elective and emergency cesarean section and in infants born vaginally. METHODS Delivery modalities were assessed in relation to breastfeeding...

OBJECTIVE Evidence suggests increased morbidity, in particular early neonatal respiratory complications, in newborns from elective cesarean section compared with those from vaginal delivery. No reliable maternal predictors of adverse neonatal outcome at elective cesarean section are known. Here, we prospectively tested the hypothesis that a low maternal perfusion index at the baseline phase (i....

INTRODUCTION Large practice variation exists in mode of delivery after cesarean section, suggesting variation in implementation of contemporary guidelines. We aim to evaluate this practice variation and to what extent this can be explained by risk factors at patient level. MATERIAL AND METHODS This retrospective cohort study was performed among 17 Dutch hospitals in 2010. Women with one prior...

OBJECTIVES To determine the net health consequences, costs, and cost-effectiveness of alternative delivery strategies for HIV-infected pregnant women with detectable HIV RNA in the USA. DESIGN Cost-effectiveness analysis using a probabilistic decision model. METHODS The model compared two strategies: elective Cesarean section and vaginal delivery. Data for HIV transmission rate, maternal de...