BACKGROUND Cesarean delivery has negative effects on breastfeeding. The objective of this study was to evaluate breastfeeding rates, defined in accordance with World Health Organization guidelines, from delivery to 6 months postpartum in infants born by elective and emergency cesarean section and in infants born vaginally. METHODS Delivery modalities were assessed in relation to breastfeeding...

Background The AAFP convened a panel to systematically review the available evidence on trial of labor after cesarean delivery (TOLAC) using the Agency for Healt Report on Vaginal Birth after Cesarean (VBAC) along with additional literature review. The panel developed a comprehensive, evidence-based guideline for Trial of Labor after Cesarean (TOLAC), formerly Trial of Labor Versus Elective Rep...

Despite cesarean being a major abdominal surgery, the number of cesarean deliveries has been increasing in recent decades in the United States [1-3]. The World Health Organization has stated that national cesarean rates greater than 10-15% indicate unnecessary maternal risk. Nevertheless the current cesarean rate in the US is 32.2% (CDC). With this high rate of cesarean delivery the question of...

Objective: To create awareness by initiating discussion to ascertain the indications and to reduce the cesarean section rate by introduction of obstetric audit in North India’s regional teaching hospital Setting: Tertiary referral centre and regional teaching Hospital in North India Study design: Cesarean section audit was introduced from August 2010 to July 2011 in the Department of Obstetrics...

OBJECTIVE To assess associations of a commercially available carboxymethylcellulose adhesion barrier placed during primary cesarean delivery with clinical outcomes of repeat cesarean deliveries. METHODS We performed a retrospective cohort study of women undergoing primary cesarean delivery on or after January 1, 2008, and first repeat cesarean delivery in one of four hospitals in the same sys...

OBJECTIVE To estimate the incidence of incisional hernias requiring surgical repair after cesarean delivery over a 10-year period. METHODS This population- and register-based cohort study identified all women in Denmark with no history of previous abdominal surgery who had a cesarean delivery between 1991 and 2000. The cohort was followed from their first until 10 years after their last cesar...

BACKGROUND AND OBJECTIVES This study describes and evaluates a teaching model for training family medicine residents to perform cesarean deliveries and determines whether family medicine residents can achieve adequate quality care in the procedure. METHODS The teaching model for cesarean deliveries involved direct instruction and supervision by an obstetrician. We conducted a review of all ce...

OBJECTIVE To examine physician-documented indications for cesarean delivery in order to investigate the specific factors contributing to the increasing cesarean delivery rate. METHODS We analyzed rates of primary and repeat cesarean delivery, including indications for the procedure, among 32,443 live births at a major academic hospital between 2003 and 2009. Time trends for each indication we...

OBJECTIVE To correlate international official data on Cesarean delivery rates to infant and maternal mortality rates and low weight-at-birth rates; and to test the hypothesis that Cesarean rates greater than 15% correlate to higher maternal and infant mortality rates. METHODS Analyses were based on the most recent official data (2000-2009) available for 193 countries. Exponential models were ...

BACKGROUND The association between epidural analgesia for labor and the risk of cesarean section for dystocia remains controversial The authors hypothesized that if epidural analgesia were an important factor in determining cesarean section rates, then obstetricians with higher rates of utilization of epidural analgesia for labor would have higher rates of cesarean section for dystocia. METHO...