scholarly journals Do provider birth attitudes influence cesarean delivery rate: a cross-sectional study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Emily White VanGompel ◽  
Elliott K. Main ◽  
Daniel Tancredi ◽  
Joy Melnikow
2021 ◽  
Vol 59 (241) ◽  
pp. 839-843
Author(s):  
Renuka Tamrakar ◽  
Sachin Sapkota ◽  
Deekshanta Sitaula ◽  
Rohit Thapa ◽  
Bandana Pokharel ◽  
...  

Introduction: Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue. This study aimed to find out the prevalence of cesarean delivery in a tertiary care center of Nepal. Methods: A descriptive cross-sectional study was conducted among pregnant women at tertiary care centre from 15th September 2019 to 15th October 2020. Ethical clearance was taken from the Institutional Review Committee (Ref: CMC-IRC/077/078-200). Convenience sampling was done to reach the sample size. Basic demographic data, clinical indications and neonatal outcomes were noted. Data entry was done using Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 3193 total deliveries, cesarean deliveries were 1412 (44.22%) at 95% Confidence Interval (42.49-45.94). Among caesarean deliveries 1086 (76.9%) were emergency cesarean sections. Most common indication for cesarean section was fetal distress (24.9%). Among 1437 newborns, 1428 (99.4%) were live births, 1387 (98.2%) were singleton and 801 (55.7%) were male. Nearly one third 418 (29.1%) neonates required neonatal intensive care unit admission and transient tachypnoea of newborns (44.28% in emergency and 60.46% in elective cesarean delivery) was the most common indication for admission. Conclusions: The prevalence of cesarean delivery was found to be higher than that recommended by the World Health Organisation. Fetal distress was the leading indication for cesarean deliveries.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Graciete Oliveira Vieira ◽  
Lorena Gabriel Fernandes ◽  
Nelson Fernandes de Oliveira ◽  
Luciana Rodrigues Silva ◽  
Tatiana de Oliveira Vieira

2021 ◽  
Vol 74 (4) ◽  
Author(s):  
Tamara Lopes Terto ◽  
Thales Philipe Rodrigues da Silva ◽  
Thamara Gabriela Fernandes Viana ◽  
Ana Maria Magalhães Sousa ◽  
Eunice Francisca Martins ◽  
...  

ABSTRACT Objective: Evaluate the association between early pregnant hospitalization and the use of obstetric interventions and cesarean delivery route. Methods: Cross-sectional study, with 758 women selected at the time of childbirth. It was assumed as early hospitalization when the woman was admitted to the hospital having less than 6 cm of cervical dilation. Logistic regression models were constructed in order to estimate the odds ratio for each obstetric intervention, adjusted by sociodemographic and obstetric variables. Results: 73.22% of women were early hospitalized. On average, they had 1.97 times the chance to undergo Kristeller’s maneuver, 2.59 and 1.80 times the chance to receive oxytocin infusion and analgesia, respectively, and 8 times more chances to having their children by cesarean delivery when compared to women that had timely hospitalization. Conclusion: Early hospitalized women were submitted to a higher number of obstetric intervention and had increased chances of undergoing cesarean sections.


2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Dipty Shrestha ◽  
Rachana Saha ◽  
Shilpi Mahato

Introduction: Caesarean delivery on maternal request in absence of any maternal and fetal indications and has become a concerning issue among obstetricians. It seems to be one of the contributory factors of increased cesarean rate all over the world. This study aims to find out the prevalence of cesarean delivery on maternal request among cesarean deliveries in a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted from November 1st 2019 to February 1st 2020 among women undergoing cesarean section in a tertiary care hospital. The ethical clearance was taken from the Institutional Review Committee of Kathmandu Medical College (reference number: 201120192). Convenient sampling was used. Statistical Package for Social Sciences version 20.0 was used for analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 386 cesarean sections, maternal request was the indication in 72 (18.65%) (95% Confidence Interval = 14.76–22.54) mothers. Among the 72, 38 (52.7%) chose cesarean section for fear of labor pain, 14 (19.4%) for date-of-birth selection, 10 (13.8%) for anxiety of labor pain, because of cord around the neck in four (5.5%), male baby in three (4.1%), to avoid pelvic trauma in two (2.7%), and to go abroad in one (1.3%). Conclusions: Our study showed a prevalence of cesarean delivery on maternal request higher than other national studies but was similar to the global prevalence. The commonest reasons were fear of labor followed by date-of-birth selection.


2014 ◽  
Vol 211 (5) ◽  
pp. 504.e1-504.e12 ◽  
Author(s):  
Rele Ologunde ◽  
Joshua P. Vogel ◽  
Meena N. Cherian ◽  
Mariam Sbaiti ◽  
Mario Merialdi ◽  
...  

2020 ◽  
Vol 12 (2) ◽  
Author(s):  
Tsegahun Asfaw ◽  
Aleminesh Tesema

Cesarean Section (CS) refers to the delivery of a fetus, placenta and membrane through the abdominal and uterine incision after 28 weeks of gestation. Unless used appropriately, the potential risk to the mother and baby becomes more than the vaginal delivery. Therefore, this study is designed to assess the determinant factors, trends and outcomes of caesarean delivery. Hospital based cross-sectional study was conducted from January 2015 to December 2016. All cesarean deliveries performed after period of viability (28 weeks) were included. The data was collected by using checklist and pretested questionnaire. The data was entered into EpiData and analyzed by SPSS version 21. There were 2587 deliveries in 2015 and 3423 deliveries in 2016, from those 440 and 660 were delivered by CS in each year respectively. The rate of CS in 2015 and 2016 was 17% and 19.3% respectively. The most common indication of CS was fetal distress. Mothers who had no antenatal care (ANC) follow-up had 3.16 times more risk for fetal death than mothers having ANC follow-up. We can conclude that the cesarean delivery rate is greater than WHO recommendation. ANC follow-up, parity, duration of labor, gestational age, types of CS and types of anesthesia are the main risk factors for CS and influence maternal and fetal outcomes.


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