INCREASING CAESAREAN SECTION AND PERINATAL OUTCOME

Maternal and perinatal outcome after previous caesarean section in rural Rwanda

BACKGROUND Offering a trial of labor (ToL) after previous caesarean section (CS) is an important strategy to reduce short- and long-term morbidity associated with repeated CS. We compared maternal and perinatal outcomes between ToL and elective repeat caesarean section (ERCS) at a district hospital in rural Rwanda. METHODS Audit of women's records with one prior CS who delivered at Ruhengeri ...

Perinatal consequences of a category 1 caesarean section at term

OBJECTIVE To characterise maternal demographics, obstetric risk factors and neonatal outcomes associated with term category 1 caesarean sections (CS). DESIGN AND SETTING AND MAIN OUTCOME MEASURES Retrospective study of term singleton pregnancies delivering at a major tertiary unit in Brisbane, Australia. Category 1 CS were defined as one that required a decision-to-delivery time interval of <...

The contribution of maternal age to increasing caesarean section rates.

Succesive Vaginal Birth after Caesarean Section: An Increasing Possibility

Vaginal birth after previous caesarean section (VBAC) should be encouraged to decrease the rising trend of cesarean section rate. The success rate of vaginal birth after caesarean section varies from institution to institution and is general around 60 to 70%. In recent years there has been a reported decline in the rate of VBAC all over the world. Offering VBAC becomes a challenging decision fo...

Caesarean Section

Despite the World Health Organization’s (WHO) recommendation that caesarean section (c-section) rates should not exceed 15% [1], the high rates in some countries are cause for concern. For example, Italy, China, Mexico and Brazil all have rates higher than 36% [2] with great variation within each nation. The need for c-section has probably increased for many reasons, including rising rates of o...