OBJECTIVE The risk of perinatal death associated with labor after previous cesarean section appears higher than with a repeated cesarean section. On the other hand, repeated cesarean sections are associated with increased maternal morbidity and mortality from placental pathologic conditions (previa or accreta) on subsequent pregnancies. The study was undertaken to analyze the decision for a tri...

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...

INTRODUCTION To analyze the cesarean section rate evolution in a tertiary hospital and the main indications for cesarean section. MATERIAL AND METHODS A retrospective study was conducted at a major academic hospital and included 5 751 women who had a cesarean section from 2005 to 2011. The rates of overall, primary and repeat cesarean sections were analyzed. A linear regression and adjusted R...

Since the mid-1980s, cesarean section rates in Canada have declined. By 1993, 18 of every 100 deliveries were by cesarean section, compared with close to 20 per 100 in 1987. As well, in 1993, 9 of every 100 deliveries were primary cesareans, down from a high of almost 11 per 100 in the mid-1980s. And the repeat cesarean section rate fell from 39 per 100 cesareans in the mid-1980s to 34 in 1993....

BACKGROUND Cesarean delivery rates are increasing rapidly in many developing countries, particularly among wealthy women. Poor women have lower rates, often so low that they do not reach the minimum rate of 1 percent. Little data are available on clinical indications for cesarean section, information that could assist in understanding why cesarean delivery rates have changed. This paper present...

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...

BACKGROUND The global rise in cesarean delivery rate has been a major source of public health concern. AIM To appraise the cesarean deliveries and the associated fetal and maternal outcomes. MATERIALS AND METHODS The study was a case series with data collected retrospectively from the records of patients delivered by cesarean section at the Ebonyi State University Teaching Hospital, Abakali...

OBJECTIVE To examine the outcomes of neonates born by elective repeat cesarean delivery compared with vaginal birth after cesarean (VBAC) in women with one prior cesarean delivery and to evaluate the cost differences between elective repeat cesarean and VBAC. METHODS We conducted a retrospective cohort study of 672 women with one prior cesarean delivery and a singleton pregnancy at or after 3...

Antimicrobial prophylaxis for cesarean delivery has been a general practice for cesarean deliveries because it significantly reduces postoperative maternal infectious morbidity. Recently, several randomized clinical trials investigated the timing of antimicrobial prophylaxis for cesarean delivery. The Committee on Obstetric Practice recommends antimicrobial prophylaxis for all cesarean deliveri...

Data concerning frequency of cesarean section as well as frequency of vaginal delivery after cesarean section in Poznań region in years 1990-1991 were presented. During last years we observed significant increase of spontaneous deliveries after cesarean section. The indications for the previous cesarean section and the outcome of the present pregnancy are discussed.