Tag: c-section

Fetal presentation has long been determined by way of clinical examination only, despite the relative ease with which breech presentation can be identified through ultrasound screening. As such, many women continue to present in labor with an undiagnosed breech presentation, associated with increased fetal morbidity and mortality. In this...
Screening for breech presentation using universal late-pregnancy ultrasonography: A prospective cohort study and cost effectiveness analysis Fetal presentation has long been determined by way of clinical examination only, despite the relative ease with which breech presentation can be identified through ultrasound screening. As such, many women continue to present in...
1. Examination of anthopometric data on infants from 2 Danish prospective cohorts showed that infants born by cesarean delivery (CD) vs. vaginal delivery had significantly higher BMI at 6 months. However, this difference did not continue into later childhood and adolescence. 2. There was no significant difference in body...
1. Women receiving azithromycin in addition to standard antibiotic prophylaxis for cesarean section (c-section) were 49% less likely to develop endometritis and postoperative wound infections compared to those who received only placebo and standard antibiotic prophylaxis. 2. There were no significant differences in neonatal health outcomes in women who received...
1. Women who had a term C-section in the second stage of labor were 6 times more likely to experience future preterm births than those who had a C-section in the first stage. 2. Women who had a vaginal delivery were more likely to have a future preterm birth compared...
Image: PD  1. Women who underwent elective induction were more likely to have a Cesarean delivery compared to women who were expectantly managed.  2. Infants of women undergoing elective induction were more likely to require NICU admission.  Evidence Rating Level: 2 (Good)  Study Rundown: This study found that among obese women with an...
Image: PD In this section, we will highlight the key high-impact studies, updates, and analyses published in medicine during the past week. A Randomized Trial of Planned Cesarean or Vaginal Delivery for Twin Pregnancy Twin births have increased in prevalence with assisted reproductive technologies but continue to have significantly higher rates of...
Image: PD  1. There was no difference between planned cesarean section and vaginal delivery of twins in terms of neonatal or maternal morbidity and mortality.  Evidence Rating Level: 1 (Excellent)  Study Rundown: Twin pregnancies have a greater risk for adverse perinatal events than singleton pregnancies. Previous observational studies have suggested that planned...
Image: PD  1. Women delivering for the first time via Cesarean delivery were less likely to have a subsequent live birth.  2. Women experiencing pregnancy and childbirth complications during their first delivery were less likely to have a subsequent live birth.  Evidence Rating Level: 2 (Good) Study Rundown: This study used delivery data...
Image: PD 1. Different c-section techniques  (blunt vs. sharp entry, single-layer vs. double-layer closure, etc.) resulted in equivalent risk for short-term maternal and infant morbidity. 2. Compared to using polyglactin-910 (PG-910) sutures, the use of chromic catgut sutures for uterine repair was associated with lower likelihood of requiring >1 unit of...