Tag: cesarean delivery

1. Compared ­­to women who had spontaneous vaginal deliveries, women who underwent caesarian sections due to dystocia had decreased vitamin D level. Evidence Rating Level: 3 (Average) Dystocia, otherwise known as difficult or obstructed labor, is either directly or indirectly responsible for 30-60% of cesarean deliveries (C-sections). Vitamin D insufficiency during...
1. Prior preterm cesarean delivery was not associated with an increased risk of uterine rupture compared with prior term cesarean delivery during a subsequent trial of labor. Evidence Level Rating: 2 (Good) Uterine rupture is a feared obstetric emergency associated with substantial morbidity and mortality for both mother and fetus. It...
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. Compared with non-exercises, women who exercised during pregnancy were less likely to require an acute C-section during their first delivery. 2. High-impact and frequent exercise were associated with the greatest reduction in cesarean deliveries. Evidence Rating Level: 1 (Excellent) Study Rundown: In the United States roughly 1 in 3 women deliver...
1. At 2 years of follow-up, planned cesarean delivery was not associated with reduction in neurodevelopmental delay compared to planned vaginal delivery for term breech malpresentation. Original Date of Publication: September 2004 Study Rundown: Breech malpresentation complicates less than 5% of pregnancies but can be associated with meaningful intrapartum risks, including the...
1. There were no differences in pain scores immediately and 6 weeks post-operatively between women with staples compared to suture closure after cesarean delivery. Evidence Rating Level: 1 (Excellent) Study Rundown: As many as 1.3 million women in the United States undergo C-sections annually, accounting for nearly one in three deliveries. In...
1. At 2-year follow-up, planned cesarean delivery was not associated with reduction in neurodevelopmental delay compared to planned vaginal delivery for term breech malpresentation. Original Date of Publication: September 2004 Study Rundown: Breech malpresentation complicates less than 5% of pregnancies but can be associated with meaningful intrapartum risks, including the rare...
1. Incision to delivery time of ≤2 minutes was associated with greater risk of maternal morbidity during repeat cesarean delivery. 2. Uterine rupture and intraoperative transfusion were more likely among women undergoing faster emergent cesarean deliveries. Evidence Rating Level: 2 (Good) Study Rundown: While the rate of cesarean delivery (CD) has plateaued...
Classics Series, Landmark Trials in Medicine
1. Among women with term fetuses in breech malpresentation, cesarean delivery was associated with reduction in perinatal and neonatal mortality and morbidity. Original Date of Publication: October 2000 Study Rundown: While the majority of fetuses in breech malpresentation will spontaneously convert to cephalic presentation by term, 37 weeks gestation, a minority...
  1. Obese women who received 3 grams of cefazolin prior to cesarean delivery were more likely to achieve clinically effective drug levels than those who received 2 grams. 2. Higher BMI was correlated with lower likelihood of achieving the minimal inhibitory concentration. Evidence Rating Level: 2 (Good) Study Rundown: Cesarean (C-section) delivery...