Risks and indications for cesarean sections in primiparous women: A case-control study

2013 ◽  
Vol 6 (5) ◽  
pp. 541 ◽  
Author(s):  
MohamedAlkhatim Alsammani ◽  
SalahRoshdy Ahmed ◽  
MuneeraA. Alsheeha
Author(s):  
Pedro Hidalgo-Lopezosa ◽  
Ana María Cubero-Luna ◽  
Andrea Jiménez-Ruz ◽  
María Hidalgo-Maestre ◽  
María Aurora Rodríguez-Borrego ◽  
...  

Background: Birth plans are used for pregnant women to express their wishes and expectations about childbirth. The aim of this study was to compare obstetric and neonatal outcomes between women with and without birth plans. Methods: A multicentre, retrospective case–control study at tertiary hospitals in southern Spain between 2009 and 2013 was conducted. A total of 457 pregnant women were included, 178 with and 279 without birth plans. Women with low-risk gestation, at full-term and having been in labour were included. Sociodemographic, obstetric and neonatal variables were analysed and comparisons were established. Results: Women with birth plans were older, more educated and more commonly primiparous. Caesarean sections were less common in primiparous women with birth plans (18% vs. 29%, p = 0.027); however, no significant differences were found in instrumented births, 3rd–4th-degree tears or episiotomy rates. Newborns of primiparous women with birth plans obtained better results on 1 min Apgar scores, umbilical cord pH and advanced neonatal resuscitation. No significant differences were found on 5 min Apgar scores or other variables for multiparous women. Conclusions: Birth plans were related to less intervention, a more natural process of birth and better outcomes for mothers and newborns. Birth plans can improve the welfare of the mother and newborn, leading to birth in a more natural way.


2009 ◽  
Vol 22 (9) ◽  
pp. 765-769 ◽  
Author(s):  
Olabisi M. Loto ◽  
Abiodun O. Adewuya ◽  
Olusegun K. Ajenifuja ◽  
Ernest O. Orji ◽  
Alexander T. Owolabi ◽  
...  

2017 ◽  
Vol 4 (06) ◽  
pp. 1411
Author(s):  
Fatemeh Shobeiri ◽  
Ensiyeh Jenabi ◽  
Manoochehr Karami ◽  
Simin Karimi

Background: The risk factors of placenta previa differ around the world. This study evaluated risk factors of pregnancies complicated with placenta previa during a 5-year period in a referral center in Hamadan, Iran. Methods: This case control study was conducted in Hamadan city (Hamadan Province of Iran) from April 2013 to March 2017. The cases were women whose deliveries were complicated by placenta previa and the controls were those who delivered without placenta previa. We recruited 130 cases and 130 controls. Multivariate unconditional logistic regression analysis was conducted, and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Results: The OR of placenta previa was 4.08 (95% CI= 1.44, 11.58) by maternal age, 4.08 (95% CI =1.44, 11.58) by preterm labor, and 6.64 (95% CI =1.09, 40.45) by prior operations of the uterine cavity, compared to normal deliveries and after adjusting for other variables. Multiparity, prior spontaneous abortions, and prior cesarean sections were not statistically significant risk factors for placenta previa, when adjusted for other variables.  Conclusion: Our study suggests that high maternal age and prior operations of the uterine cavity are risk factors for placenta previa.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Tuija Hautakangas ◽  
Outi Palomäki ◽  
Karoliina Eidstø ◽  
Heini Huhtala ◽  
Jukka Uotila

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