Not exact matches
In 2000, following a single research study, an abrupt shift in clinical practice ensued, and term breech cesarean sections increased around the worl
In 2000, following a single research study, an abrupt shift
in clinical practice ensued, and term breech cesarean sections increased around the worl
in clinical practice ensued, and term breech
cesarean sections increased around the world.
Test Leads to Needless C -
Sections A 2006 analysis found that fetal heart monitoring failed to reduce the risk of a baby's dying late
in pregnancy, during birth, or shortly after birth — and
increased cesarean section rates and forceps deliveries, compared with listening to a baby's heart rate intermittently.
They may develop postpartum depression or post-traumatic stress syndrome.9, 20,25,31 Some mothers express dominant feelings of fear and anxiety about their
cesarean as long as five years later.16 Women having
cesarean sections are less likely to decide to become pregnant again.16 As is true of all abdominal surgery, internal scar tissue can cause pelvic pain, pain during sexual intercourse, and bowel problems.Reproductive consequences compared with vaginal birth include
increased infertility, 16 miscarriage, 15 placenta previa (placenta overlays the cervix), 19 placental abruption (the placenta detaches partially or completely before the birth), 19 and premature birth.8 Even
in women planning repeat
cesarean, uterine rupture occurs at a rate of 1
in 500 versus 1
in 10,000
in women with no uterine scar.27
Though
in general, studies have shown that an
increase in monitoring, particularly for low risk women, has not improved pregnancy outcomes, but it has
increased the intervention rates, like
cesarean section.
More late preterm babies have been born
in recent years because of
increased maternal age at birth, multiples, IVF (
in vitro fertilization),
cesarean sections, inductions, and the wish to avoid post-term problems (42 + weeks).
If you go back to the reasons listed for the
increase in LP babies, you will note that the mothers often have their own health issues including diabetes,
cesarean sections, hypertension, and multiple births.
Consideration of maternal preferences, including preferences for obstetrical services, is also important; the fact that U.S. hospitals generally decline to allow vaginal birth after a woman has undergone
cesarean section may be associated with the
increase in home births.10, 39,40
A study
in 2013 involving 106 participating centers
in 25 countries came to the conclusion that,
in a twin pregnancy of a gestational age between 32 weeks 0 days and 38 weeks 6 days, and the first twin is
in cephalic presentation, planned
Cesarean section does not significantly decrease or
increase the risk of fetal or neonatal death or serious neonatal disability, as compared with planned vaginal delivery.
«Significant changes
in clinical practice have seen an
increase in planned births before 39 - 40 completed weeks» gestation from an
increased use of primary and repeat
cesarean section and a greater use of labor induction.
Studies on twin do NOT show
increased rates of rupture with a C -
section scar, possibly because many deliver earlier
in the pregnancy and so many women have a
Cesarean section without labor anyway.
In any patient, the
Cesarean section rate for twins is MUCH higher than for singletons, secondary to
increased rates of need for induction and abnormal presentation.
Over the age of 40, there is a rise
in complications during pregnancy, however, with an
increase in high blood pressure, diabetes, and risk of preterm delivery and
cesarean section.
For example, obesity is a known risk factor for surgical delivery.21 Given that failure to progress and CPD are among the top indications for
cesarean deliveries
in young women under the age of twenty - five, 11 it is discouraging to note that c -
section rates for both of these two indications also
increase markedly with level of obesity.22
The
increase in the number of
cesarean sections over time may be
in part because of breeders playing it safe and electing to do a c -
section if there are many big puppies seen on a pregnancy x-ray.