"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.
Makoha and colleagues also noted increased maternal morbidity, including placenta previa, placenta accreta, hysterectomy, adhesions, bladder injury, postoperative hemoglobin deficit, and need for blood transfusion with increasing number of cesarean
Non-Category-1 (Category 2 and 3) included cesarean
sections performed for indications that posed no immediate threat to life of woman or fetus but required early delivery.
We were primarily interested in timing of cesarean
delivery among women with antepartum indications for cesarean
, but where early-term timing of delivery was not specifically indicated, as such deliveries were a primary target of the policy.
Overall, 47 percent of the 6,444 pregnant women with HIV delivered by cesarean
. The researchers found that there was an increase in cesarean
delivery from 30 percent in 1998 to 48 percent in 2013.
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.
Risk factors associated with infection following cesarean
Options for managing an impacted fetal head at cesarean
delivery rate was mainly influenced by previous cesarean
Increased success of trial of labor after previous vaginal birth after cesarean
. Obstet Gynecol 2004;104:7159.
The study found particularly strong associations between higher cesarean
rates and concentrations of obstetrician-gynecologists per female resident as well as the numbers of hospital beds per resident.
These women should visit a specialist obstetrician to discuss the options of delivery before 36 weeks gestationso that they become aware of the risks and benefits of both vaginal birth andelective/planned cesarean
explainsDr Tasneem Husaini Rangwala, Specialist Gynaecologist, Zulekha Hospital,Dubai.