Peahl, M.D., from the University of Michigan in Ann Arbor, and colleagues examined the correlation between opioid prescribing administered for vaginal or
cesarean delivery and rates of new persistent opioid use.
The
cesarean delivery rates for twin versus singleton pregnancies were 72% and 34%, respectively, in the case group, and 58% and 18%, respectively, in the control group.
In the past several years, the state of California has taken steps to increase pressure on hospitals to reduce
cesarean delivery overuse.
"Maternal complications may be the result of the condition that led to the
cesarean delivery rather than from the surgical procedure, producing an apparent association between
cesarean delivery and maternal complications," said Diane Korb, lead researcher of the study published in Canadian Medical Association Journal.
Previous studies examining the risk of surgical morbidity with repeat
cesarean delivery have reported mixed results.
Previous prelabor or intrapartum
cesarean delivery and risk of placenta previa.
However, in the milieu of evidence-based medicine, extraperitoneal
cesarean delivery has not been adequately studied.
The study, said first author John Francescon, was the first to link excess GWG with the risk of having a
cesarean delivery that was not planned.
We hypothesized that magnesium sulfate could be a useful adjuvant analgesic in the postoperative period after
cesarean delivery.
(11.) Berghella V, Baxter J, Chauhan S (2005) Evidence based surgery for
cesarean delivery. American Journal of Obstetrics and Gynecology 193(5): 1607-1617.
Trial of labor or repeat
cesarean delivery in women with morbid obesity and previous
cesarean delivery.