Institutional and national guidelines to withhold food and drink overnight may lead to excessive periods of fasting prior to caesarean delivery
. Enhanced recovery after surgery (ERAS) protocols encourage drinking fluids, preferably carbohydrate-containing drinks, up to 2 h before surgery (5-8).
Notably, the prevalence of caesarean delivery
in Egypt is among the highest worldwide.
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.