A meta-analysis shows that low dose bupivacaine is beneficial in preventing hypotension in patients undergoing caesarian section
. Systemic review of randomized control trials was done, 35 were identified for eligibility assessment and 15 were selected for data extraction.
The usual indication in ELCS were two previous caesarian sections
(40%), one previous caesarian section
(24%), breech (13%), CPD (10%) and IUGR (10%) (Table 2).
Only the rate for greater London - which includes the Portland Hospital where many celebrity mothers, including Victoria Beckham, give birth by Caesarian section
- is higher than the Welsh figures.
Findings from the Millennium Cohort Study, the fourth national birth study in Britain carried out by the Economic and Social Research Council, has revealed 23.2 per cent of women who gave birth at the turn of the century underwent a Caesarian section
in Wales, compared with the UK average of 21.6 per cent.
Regarding indications for caesarian section
, the commonest indication was fetal distress (24.5%) followed by obstructed labour (20.5%).
Steve Wild, clinical director for obstetrics and gynaecology at the trust said they recorded their lowest caesarian section
rate for three years.
Key Words: Postnatal Depression(PND), Edinburg Post-Natal Depression Scale(EPNDS), Normal Vaginal Delivery, Caesarian Section
Moreover uterine rupture was more common in patients with previous caesarian section
, and patients mishandled by traditional birth attendants in year 2011 while in year 2001 obstructed labour in grand multigravida was the commonest cause of uterine rupture.