OBJECTIVE To determine selected maternal and neonatal adverse outcomes at repeat cesarean delivery compared with repeat vaginal delivery. STUDY DESIGN Cross-sectional study. PLACE AND DURATION OF STUDY Lyari General Hospital, Karachi, from January 2005 to December 2008. METHODOLOGY Healthy pregnant women at 28-42 weeks of second singleton pregnancy were selected for study. Those with prev...

BACKGROUND Placenta accreta (PA), a severe complication during delivery, is closely linked with massive hemorrhage which could endanger the lives of both mother and baby. Moreover, the incidence of PA has increased dramatically with the increasing rate of cesarean deliveries in the past few decades. Therefore, studies evaluating the effects of different perioperative managements based on differ...

BACKGROUND The timing of initiation of epidural analgesia and its causal relationship with mode of delivery is controversial. This retrospective investigation reviews and determines whether early initiation of epidural analgesia in nulliparous women influences the rate of cesarean sections as well as other obstetric outcome measures. METHODS The nursing records of 1623 parturients who receive...

BACKGROUND Sexual function is an essential component of life and yet very little is known about the relationships between the female sexuality and the mode of delivery. OBJECTIVE To compare sexual outcomes after vaginal delivery and cesarean section. METHODS A cross-sectional study was conducted on women in two stages; early pregnancy and 3 to 6 months after delivery in health centers. Fema...

BACKGROUND The increasing number of cesarean section is a great concern in many countries. In Iran cesarean section rate has been steadily rising from 35% in 2000 to 40% in 2005. Preferences for cesarean are often associated with some factors. OBJECTIVE To investigate factors associated with preference for cesarean delivery, with special emphasis on pregnant women's preferences in first pregn...

BACKGROUND Although the impact of emergency procedures on the childbirth experience has been studied extensively, a possible association of childbirth experience with indications for emergency interventions has not been reported. OBJECTIVES To compare the impacts on childbirth experience of 'planned' delivery (elective cesarean section and vaginal delivery) versus 'unplanned' delivery (vacuum...

OBJECTIVE This study was undertaken to assess the safety of trial of labor after previous cesarean delivery. STUDY DESIGN Retrospective cohort study of 308,755 Canadian women with previous cesarean delivery between 1988 and 2000. Occurrences of in-hospital maternal death, uterine rupture, and other severe maternal morbidity were compared between women with a trial of labor and those with an e...