Notably, the prevalence of
caesarean delivery in Egypt is among the highest worldwide.
Caesarean delivery defines the birth of a foetus via laparotomy and then hysterotomy.
Risk factors are multiparity, previous
caesarean delivery, previous abortion, smoking, previous placenta previa, multiple gestation and previous intrauterine surgical procedure.
Dr Sawsan al Obaidly, consultant, Maternal-Fetal Medicine in the Obstetrics and Gynecology Department, says possible complications of a
caesarean delivery include blood clots, excessive bleeding and the potential for damage to internal organs.
Table 2: Intravenous ketorolac requirement in first 24 hours following
caesarean delivery in the magnesium and control groups.
"Elective Primary
Caesarean Delivery: Accuracy of Administrative Data." Paediatric and Perinatal Epidemiology 18 (2): 112-9.
If the association proves to be causal, "maladaptive immune activation due to an absence of stress response before birth in children born by prelabor
caesarean delivery could be considered as a potential mechanism," the researchers wrote (Lancet Haematol.
Such findings indicate that although availability of services such as
caesarean delivery is on par, the quality of the services remains poor.
There is widespread public and professional concern about the increasing proportion of births by caesarean section.1 Increasing rates of primary caesarean section have led to an increased proportion of the obstetric population who have a history of prior
caesarean delivery. Pregnant women with a previous section may be offered either planned vaginal birth after caesarean (VBAC) or elective repeat caesarean (ERCS).
It is the largest to show a link between
caesarean delivery and BMI in adulthood.
Results: Of the total, 67 (67%) women delivered vaginally, while 33 (33%) ended in repeat
caesarean delivery. Among the subjects, 55 (55%) women had no history of vaginal delivery either before or after previous caesarean section; 15 (15%) had history of vaginal births both before and after the previous caesarean; while 30 (30%) had vaginal delivery only after the previous caesarean section.