Caesarean section versus vaginal birth in the perception of woman who gave birth by both methods

The increase in the number of births by Caesarean section is a phenomenon whose global expansion is generated by numerous factors and especially by the contemporary perceptions of women regarding childbirth meeting the interests of the professionals in the field. However, the opinion of many women towards the benefits of Caesarean delivery is often not based on the experience or information from reliable sources. This study aimed at sharing the experience of women who gave birth both vaginally and by Caesarean section, focusing on their perception of these events. The study included 26 women and the conclusion of the vast majority (77%) was that natural birth is preferable and they would recommend it as the first option to future mothers. In addition, the analysis of the cases in which, on the contrary, they would recommend birth by Caesarean section (23%) revealed that they objectively had births that had not been optimally managed and hence, the recommendation for careful, professional evaluation of the conditions of birth for each case. Reaching an optimal rate of Caesarean sections is an objective that can be achieved through correct information, health education and the correct management of the cases.

Planned Cesarean Section Versus Planned Vaginal Birth for Breech Presentation at Term

The Term Breech Trial was an international randomized control trial to compare a policy of planned cesarean delivery versus planned vaginal delivery for the singleton term breech fetus. The primary outcome was a composite of perinatal and neonatal mortality and neonatal morbidity. Secondary outcomes were serious maternal morbidity or mortality. The odds of the primary outcome were significantly lower for the planned cesarean section group than for the planned vaginal birth group. This risk reduction was greatest at centers located in industrialized countries with overall low perinatal mortality rates. There were no significant differences in maternal outcomes. The article reviews this hallmark trial and places its findings in context within the current landscape of obstetrics.