cesarean section


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cesarean section

(sĭzâr`ēən), delivery of an infant by surgical removal from the uterus through an abdominal incision. The operation is of ancient origin: indeed, the name derives from the legend that Julius Caesar was born in this fashion. Until advancements in the late 19th cent., the mother generally died in surgery. The procedure was also aided by antisepsis, anesthetics, and other developments that made surgery as a whole more successful. Cesarean section is performed nowadays when factors exist that make natural childbirth hazardous, such as an abnormally narrow pelvis, pelvic tumors, hemorrhage, active infection with herpes simplexherpes simplex
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, multiple births, or an abnormal position of the fetus within the uterus. Subsequent deliveries are largely also by cesarean section. In the last few decades there has been a significant increase in the number of cesarean sections performed; among the factors encouraging the rise are the increase in malpractice litigation arising from problems attendant to vaginal deliveries and the information provided by the many new devices that monitor the well-being of the fetus in the uterus.

cesarean section

[sə′zer·ē·ən ′sek·shən]
(medicine)
Delivery of the fetus through an abdominal incision.
References in periodicals archive ?
RELATED ARTICLE: Cesarean section quadruplets the risk of maternal death.
Finally, although it has long been known that a cesarean section baby is more likely to have transient tachypnea of the newborn (a usually mild event), an elective cesarean section at term would decrease such risks to the fetus of postmaturity syndrome and intrapartum mortality and morbidity.
Yahya Al-Thawr, chairman of the Private Hospitals Union, told the Yemen Times that for many doctors, cesarean sections were the easiest way to deliver babies.
Frequency of choice of natural birth or cesarean section, and its relationship with perceived anxiety, acceptance of maternal role, and personal-social details:
Normal delivery is a divine boon, which should not be missed," she said, noting that cesarean sections would be performed only in emergency cases for women who had given birth by c-section more than once.
Cesarean section itself not only causes and enhances obstetric complications, but also it may place more financial burden on families, governments and insurance companies (5).
The results showed that in induced women, induction of labor did not convey an increased risk of cesarean section when comparing outcomes in gestational weeks 39, 40 or 41 with those women who waited longer for a spontaneous or later induced labor.
There is a Lack of Scientific Evidence on Elective Cesarean Section vs.
While the subject of elective cesarean section remains somewhat controversial and some medical experts believe that cesareans should only be performed when medically indicated, Waldenstrom says that the higher cesarean rate is justified because the counseling and the rate of cesarean section was associated with a more normal birth experience.
Today, newer, less invasive tests and greater use of prenatal counseling can help women better assess their risk of giving birth to a child with serious problems; more women are delivering via cesarean section than ever before; and a new specialty--fetal surgery--has evolved to correct certain abnormalities like some types of spina bifida even before babies are born.
Due to the viability of the fetus, the potential for a relatively "good" fetal outcome, and a reasonable assumption of some level of commitment to the fetus, a recommendation for cesarean section to maximize fetal outcome appears ethically sound.