CONTEXT Despite nearly 4 million deliveries in the United States each year, minimal information exists on unintended health consequences following childbirth, particularly in relation to delivery method. OBJECTIVE To assess the risk for maternal rehospitalization associated with cesarean or assisted vaginal delivery compared with spontaneous vaginal delivery. DESIGN Retrospective cohort stu...

The U.S. total cesarean delivery rate has risen from 4 percent of deliveries in 1950 to 26 percent in 2002. 1 Concerned about the rising rate of cesarean deliveries, and noting that 98 percent of women with a prior cesarean section delivered by repeated cesarean section, a National Institutes of Health Consensus Development Task Force in 1980 recommended that “properly selected” women should be...

background & aim: postpartum period is accompanied by significant changes in women’s quality of life. these alterations can affect the health of mothers and children. considering the importance of postnatal quality of life and its different contributing factors, this study aimed to compare women’s quality of life after vaginal delivery and cesarean section. methods:this retrospective cohort stu...

introduction: newborns should be evaluated immediately after birth and the traditional way of assessing is to use the apgar score. the aim of this study was to estimate the apgar score and evaluate the first 24 hour- clinical outcome of babies born at yazd hospitals. methods: in a descriptive cross-sectional study, apgar score was assessed for 462 newborns at the 4 centers of afshar, madar, kar...

BACKGROUND To evaluate the prevalence and factors associated with cesarean delivery according to whether care was provided in public or private hospitals in Brazil. METHODS This was a cross-sectional study based on a cohort of live births between April 2004 and March 2005. A total of 1,344 mother-child pairs were followed up during the first month of life. The variables analyzed were the soci...

Adjuvant sufentanil could achieve effective spinal anesthesia with low dose of hyperbaric ropivacaine for cesarean delivery. Two previous studies had calculated the 50% effective dose (ED50) of intrathecal ropivacaine coadministered with sufentanil for cesarean delivery. However, the 95% effective dose (ED95) of intrathecal hyperbaric ropivacaine coadministered with sufentanil for cesarean deli...

OBJECTIVE To compare the route of delivery among nulliparous parturients with and without an engaged vertex in the early, active phase of labor. METHODS Prospectively, the position of the fetal head was ascertained among nulliparous women at 37 weeks' gestation or more in early, active labor (cervical dilation > or = 4 cm with adequate contractions). Sixteen variables, including maternal demo...

OBJECTIVE To describe currently accepted methods for managing the term breech pregnancy, and to predict the delivery outcomes and costs of each method. METHODS Literature review was used to derive four options for the peripartum management of the term breech pregnancy. Using decision-analysis techniques, we calculated the predicted delivery outcomes and costs associated with each option. RE...

BACKGROUND Interleukin-6 (IL-6) has a major role in hematopoiesis, immune and acute phase response and its serum level seems to be associated with the mode of delivery. The purpose of this study was to compare the level of IL-6 in mothers who delivered via cesarean section and vaginally. METHODS This cross-sectional study was done on 40 mothers with vaginal delivery and 40 mothers with electi...

Aim: The study was carried out to test the effect of childbirth counseling on pregnant women requested for cesarean delivery. Method: One arm intervention study was carried out at two private clinics at Mansoura, Egypt, Using the clinics database. A purposive sample of 40 women was identified based on who had planned for on demand primary Caesarean Section between October 2014 and Jan 2015. Res...