BACKGROUND Spinal anesthesia was considered as a reasonable anesthetic option in severe preeclampsia when cesarean delivery is indicated, and there is no indwelling epidural catheter or contraindication to spinal anesthesia. However, the ideal dose of intrathecal bupivacaine has not been quantified for cesarean delivery for severe preeclamptic patients. This study aimed to determine the ED 50 a...

BACKGROUND When a woman has had a previous caesarean birth, there are two options for her care in a subsequent pregnancy: planned elective repeat caesarean or planned vaginal birth. While there are risks and benefits for both planned elective repeat caesarean birth and planned vaginal birth after caesarean, current sources of information are limited to non-randomised cohort studies. Studies des...

For subsequent births, women who have experienced previous caesarean section face a choice between elective caesarean section and trial of labour. The study reported in this paper utilises Australian hospital data to compare birth outcome and health system costs of these two options. Although trial of labour is more expensive if the result is an emergency caesarean section, high rates of succes...

As the other major European countries, Croatia has also seen a marked increase in the rate of caesarean sections. The aim of this study was to determine the most common reasons for caesarean section, to compare emergency and elective caesarean section in regard to intraoperative and postoperative complications in both mother and child, and to assess the decision-to-delivery interval (DDI) in ou...

BACKGROUND Obstetricians in developing countries appear generally reluctant to conduct vaginal delivery in women with a previous Cesarean because of lack of adequate facilities for optimal fetomaternal monitoring. OBJECTIVE To describe delivery outcomes among women with one previous Cesarean section at a tertiary hospital in Southeast Nigeria. METHODS This was a prospective observational st...

OBJECTIVE To investigate associations between mode of delivery and subsequent reproductive outcomes. DESIGN Cohort study. POPULATION Women with term singleton live births from 1987 to 2009. SETTING Denmark, birth registration data. METHODS Women with a first singleton delivery after 37 weeks were followed until the end of 2010, from a first birth to include subsequent live births. We us...

BACKGROUND AND OBJECTIVE The aim of this study was to establish whether Lithuanian women would request an elective cesarean section in a low-risk pregnancy and to compare how the women's opinion changed during the 5-year period. MATERIAL AND METHODS A study was conducted at the Hospital of Lithuanian University of Health Sciences from November 1 to December 31, 2006, and from January 1 to Feb...

The conclusions of Groutz et al must be interpreted with extreme prudence. An accurate response to the two questions asked by the authors would require to compare, in a cohort of young women of the same age before their first pregnancy, the prevalence of SUI several years later (at the same age for all the women) as a function of parity, age at first delivery and mode of delivery and to analyse...