Tag: cesarean

1. Nulliparous women over 35 years of age were randomized to labor induction between 39 weeks 0 days and 39 weeks 6 days or expectant management. 2. There were no significant differences between groups in terms of the percentage of women who ultimately underwent cesarean section (primary outcome), the...
1. Women who achieved vaginal birth after cesarean (VBAC) were more likely to have a shorter 2nd trimester cervical length. 2. The addition of cervical length did not improve predictive models for VBAC. Evidence Rating Level: 2 (Good)            Study Rundown: As the number of cesarean deliveries (CD) continues to increase...
Classics Series, Landmark Trials in Medicine
1. Among women with cephalic-presenting diamniotic twins at term, those randomized to planned cesarean delivery were not more likely to experience adverse neonatal outcomes compared to those randomized to planned vaginal delivery. 2. Compared to planned vaginal delivery, scheduled elective cesarean delivery conferred no more than a 23% reduction and...

Patient Basics: Cesarean Section

Originally published by Harvard Health. What Is It? A cesarean section, also called a C-section, is surgery to deliver a baby through the abdomen. It’s used when: It’s impossible or not advised to deliver the baby through the vagina, or Continuing in labor seems to present a greater risk to the health of...
Image: PD  1. Women participating in a structured exercise program were less likely to undergo Cesarean delivery.  2. Women who participated in an exercise program gained less weight during pregnancy than women in control groups.  Evidence Rating Level: 1 (Excellent)        Study Rundown: This study found that women participating in structured...
Image: PD  1. Cesarean section performed in the second stage of labor was associated with a three times greater risk of endometritis than those performed in the first stage of labor.  2. The difference in risk of endometritis remained significant when controlled for maternal age, diabetes, and obesity.  Evidence Rating Level: 2...
Image: PD  1. Spontaneous labor and advanced cervical dilation were associated with successful vaginal birth after Cesarean.  2. Continuous fetal monitoring is recommended to allow for timely treatment of labor abnormalities, including uterine rupture.  Study Rundown: This study synthesized findings from over 50 articles to provide a summary of recommendations for intrapartum...
Image: PD 1. Among pre-term neonates, the likelihood of respiratory distress, low Apgar and death was higher after cesarean compared with vaginal delivery.  2. Vaginal delivery may provide benefit to preterm infants, particularly with regard to respiratory function.  Evidence Rating Level: 2 (Good)  Study Rundown: Researchers found that compared with vaginal delivery, cesarean...
Image: Salim Fadhley 1. Among women undergoing urgent or emergent cesarean deliveries (CD), informed consent was frequently obtained only after the decision for CD had been made.  2. Short consent times were more common in women undergoing cesarean delivery for fetal heart rate indications.  Evidence Rating Level: 2 (Good)  Study Rundown: This study found...
Image: PD 1. Prophylactic antibiotics, blunt cephalad-caudad expansion of uterine incision, and oxytocin infusions to prevent post-partum hemorrhage are all recommended with a high level of certainty. 2. Supplemental oxygen and subcutaneous drains have been consistently shown to have no significant effect on maternal morbidity, and are therefore not recommended. This systematic...