Objective To compare the obstetric outcomes of cesarean section in women who had a history of four or more previous cesarean sections with those who had a history of two or three previous cesarean sections. Methods Total 1318 women who underwent repeat cesarean section between January 2013 and January 2016 were retrospectively reviewed. Of these, 244 (18.5%) had previously had four or more ce...

Objective: To study the impact of maternal age and parity on cesarean section rate. Methods: Fifteen thousand three hundred and forty two women delivered at Prince Hashim Hospital between the 1 of January 1998 and 31 of December 2001. One thousand four hundred thirty four cesarean sections were performed in the same period. Patients underwent cesarean section were divided into three age groups:...

OBJECTIVE To evaluate the risk of emergency cesarean section according to the prepregnancy body mass index (BMI) and gestational weight gain per the 2009 Institute of Medicine guidelines. METHODS A retrospective analysis of data from 2,765 women with singleton full-term births (2009 to 2012) who attempted a vaginal delivery was conducted. Pregnancies with preeclampsia, chronic hypertension, d...

OBJECTIVE Our purpose was to determine whether completion of the medical audit cycle in labor ward practice could safely reduce cesarean section rates. STUDY DESIGN A retrospective medical audit of all deliveries from 1984 to 1988 was performed. The groups of women contributing most to the overall cesarean section rate were identified. Strategies for labor management directed at the primary i...

Much has been written about the rise in Caesarean section rates seen worldwide and in Ireland. The recent ESRI paper 1 suggested that physician behaviour might be an important factor in Ireland. The study concluded that changes in maternal characteristics accounted for only about half of the increase in Caesarean section rates but it did not include maternal obesity in the analysis (the data ar...

BACKGROUND The Baby-Friendly Hospital Initiative aims at protecting, promoting, and supporting breastfeeding. Cesarean section is known to represent an obstacle to breastfeeding. In this observational study we compared Baby-Friendly and non-Baby-Friendly hospitals (BFHs and non-BFHs, respectively) in terms of cesarean section rate. MATERIALS AND METHODS Italian BFHs were compared with non-BFH...

Cesarean section is the most common surgery performed in the United States with over 30% of deliveries occurring via this route. This number is likely to increase given decreasing rates of vaginal birth after cesarean section (VBAC) and primary cesarean delivery on maternal request, which carries the inherent risk for intraoperative complications. Urologic injury is the most common injury at th...

to study the role of preoperative intravenous magnesium sulphate in decreasing post-cesarean pain and opioid requirement during first 24hrs.in a double blind randomized clinical trial, prior to induction of general anesthesia, fifty elective cesarean candidates were randomly assigned to one of the two groups of placebo or magnesium sulfate. after surgery visual analogue scale (vas) and infused ...