MONDAY, July 29, 2019 (HealthDay News) -- Since 2008, there has been a decrease in opioid prescribing and new persistent use after vaginal or
cesarean delivery, according to a study published online July 26 in JAMA Network Open.
Twin versus singleton pregnancies confer a 300% increased risk of severe acute maternal complications, and 21% of that risk is mediated by
cesarean delivery, according to findings from the prospective EPIMOMS study.
The
cesarean delivery rate in the United States varies widely, with national rates showing a 10-fold variation between hospitals.
Rates of
cesarean delivery have increased dramatically over the last 20 years, with more than 1 in 5 women delivering by cesarean, often for medically questionable reasons.
In a study by Silver et al, [3] placenta accreta was present in more than 2% of patients having their fourth and in 6.7% of those undergoing their sixth or greater
cesarean delivery. In the absence of placenta accreta or the need for hysterectomy, there still was an association between maternal morbidity and increasing
cesarean delivery number for all morbidities.
Cesarean delivery is the most common of operative procedures in practice of Obstetrics and Gynaecology, which is known to cause lasting damage to the myometrium and endometrium4,5.
"He was the first in this country to promulgate the philosophy of 'safe' surgery." (1) Regarding surgical principles of
cesarean delivery, the pioneering German obstetricians in the 1930s were keenly aware that avoiding the peritoneal cavity was instrumental in reducing morbidity and mortality.
MONTREAL -- The risk for unplanned
cesarean delivery is increased when maternal gestational weight gain exceeds the recommended amount--as it does in almost half of pregnancies in the United States.
Cesarean delivery is one of the most common surgical procedures performed in the United States.
(10.) Duff P (2010) A Simple Checklist for Preventing Major Complications Associated With
Cesarean Delivery. Obstetrics and gynecology 116(6): 1393-1396.
The MFMU Cesarean Registry: factors affecting the success of trial of labor after previous
cesarean delivery. Am J Obstet Gynecol 2005;193:101623.
cesarean delivery - the delivery of a fetus by surgical incision through the abdominal wall and uterus (from the belief that Julius Caesar was born that way)