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Letteratura scientifica selezionata sul tema "Caesarean"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 26 gennaio 2023

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Articoli di riviste sul tema "Caesarean"

Cavallaro, Francesca L., Andrea B. Pembe, Oona Campbell, Claudia Hanson, Vandana Tripathi, Kerry LM Wong, Emma Radovich e Lenka Benova. "Caesarean section provision and readiness in Tanzania: analysis of cross-sectional surveys of women and health facilities over time". BMJ Open 8, n. 9 (settembre 2018): e024216. http://dx.doi.org/10.1136/bmjopen-2018-024216.

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ObjectivesTo describe trends in caesarean sections and facilities performing caesareans over time in Tanzania and examine the readiness of such facilities in terms of infrastructure, equipment and staffing.DesignNationally representative, repeated cross-sectional surveys of women and health facilities.SettingTanzania.ParticipantsWomen of reproductive age and health facility staff.Main outcome measuresPopulation-based caesarean rate, absolute annual number of caesareans, percentage of facilities reporting to perform caesareans and three readiness indicators for safe caesarean care: availability of consistent electricity, 24 hour schedule for caesarean and anaesthesia providers, and availability of all general anaesthesia equipment.ResultsThe caesarean rate in Tanzania increased threefold from 2% in 1996 to 6% in 2015–16, while the total number of births increased by 60%. As a result, the absolute number of caesareans increased almost fivefold to 120 000 caesareans per year. The main mechanism sustaining the increase in caesareans was the doubling of median caesarean volume among public hospitals, from 17 caesareans per month in 2006 to 35 in 2014–15. The number of facilities performing caesareans increased only modestly over the same period. Less than half (43%) of caesareans in Tanzania in 2014–15 were performed in facilities meeting the three readiness indicators. Consistent electricity was widely available, and 24 hour schedules for caesarean and (less systematically) anaesthesia providers were observed in most facilities; however, the availability of all general anaesthesia equipment was the least commonly reported indicator, present in only 44% of all facilities (34% of public hospitals).ConclusionsGiven the rising trend in numbers of caesareans, urgent improvements in the availability of general anaesthesia equipment and trained anaesthesia staff should be made to ensure the safety of caesareans. Initial efforts should focus on improving anaesthesia provision in public and faith-based organisation hospitals, which together perform more than 90% of all caesareans in Tanzania.

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Singh, Nidhi, e Manjusha . "Are we operating unnecessarily?: caesarean audit in a single unit of a private tertiary care hospital in North India". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, n. 3 (27 febbraio 2020): 975. http://dx.doi.org/10.18203/2320-1770.ijrcog20200577.

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Background: Caesarean section emerged as a lifesaving surgery in situations where vaginal delivery could put the mother and fetus at risk. Over the years global rise in caesarean delivery rate has been alarming and may be attributed to changes in medical practice and societal expectations, especially in urban areas and developing countries. Rising caesarean rate is worrisome as it increases maternal morbidity, exposes the mother to future obstetric risks, besides increasing financial burden on the health care system. Caesarean audits could be an effective tool to analyse, understand and propose solutions to reduce caesarean rates. Hence, this retrospective study was conducted to audit caesarean sections done over a period of 5 years (2011 to 2015) in a single unit of a tertiary care private hospital in North India.Methods: The case records of all caesarean deliveries from January 2011 to December 2015 were analysed retrospectively for demographic profile, clinical parameters and recorded indication of caesarean section on the basis of Robson’s classification.Results: The caesarean section rate in the study was 61.8%. According to Robson’s 10 system classification, Group 2, 5 and 10 were the largest contributors. The commonest indication was previous LSCS (18.7%) followed closely by fetal distress (15.4%) and prolonged labor/failed induction (13.3%). Maternal request contributed 10.6% of the Caesarean deliveries.Conclusions: The caesarean section rate in our study is way higher than the national average. We need to re-duce caesareans in primigravidae and consider VBAC where appropriate. Use of Electronic fetal monitoring during labor needs to be optimized. Appropriate use of oxytocics, proper monitoring and using robust criterion to infer non progress of labor are important. Appropriate counselling and assured pain management during labor may help reduce caesareans on maternal request.

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Hoxha, Ilir, Alban Fejza, Mrika Aliu, Peter Jüni e David C. Goodman. "Health system factors and caesarean sections in Kosovo: a cross-sectional study". BMJ Open 9, n. 4 (aprile 2019): e026702. http://dx.doi.org/10.1136/bmjopen-2018-026702.

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ObjectiveTo investigate the association of caesarean section rates with the health system characteristics in the public hospitals of Kosovo.DesignCross-sectional survey.SettingFive largest public hospitals in Kosovo.Participants859 women with low-risk deliveries who delivered from April to May 2015 in five public hospitals in Kosovo.Outcome measuresThe prespecified outcomes were the crude and adjusted OR of births delivered with caesarean section by health system characteristics such as delivery by the physician who provided antenatal care, health insurance status and other. Additional prespecified outcomes were caesarean section rates and crude ORs for delivery with caesarean in each public hospital.ResultsWomen with personal monthly income had increased odds for caesarean (OR 1.55, 95% CI 1.06 to 2.27), as did women with private health insurance coverage (OR 3.44, 95% CI 1.20 to 9.85). Women instructed by a midwife on preparation for delivery had decreasing odds (OR 0.32, 95% CI 0.19 to 0.51) while women having preference for a caesarean had increasing odds for delivery with caesarean (OR 3.84, 95% CI 1.96 to 7.51). The odds for caesarean increased also in the case of delivery by a physician who provided antenatal care (OR 2.06, 95% CI 1.16 to 3.67) and delivery during office hours (OR 2.36, 95% CI 1.37 to 4.05), while delivery at the University Clinical Centre of Kosovo decreased the odds for caesarean (OR 0.46, 95% CI 0.24 to 0.90).ConclusionsWe found that several health system characteristics are associated with the increase of caesarean sections in a low-risk population of delivering women in public hospitals of Kosovo. These findings should be explored further and addressed via policy measures that would tackle provision of unnecessary caesareans. The study findings could assist Kosovo to develop corrective policies in addressing overuse of caesareans and may provide useful information for other middle-income countries.

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Novita, Nesi, Heni Sumastri e Marinisa Nindita Sari. "PENGARUH TEKNIK BENSON RELAXATION TERHADAP INTENSITAS NYERI PADA IBU POST SECTIO CAESAREA DI RSUD Dr. H.M. RABAIN MUARA ENIM". JPP (Jurnal Kesehatan Poltekkes Palembang) 17, n. 1 (30 giugno 2022): 37–43. http://dx.doi.org/10.36086/jpp.v17i1.1160.

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ABSTRAK Latar Belakang : Tindakan sectio caesarean dapat menimbulkan masalah yang cukup kompleks baik secara fisik, psikologis, sosial, dan juga spiritual. Dampak fisik atau fisiologis yang sering muncul dan dirasakan oleh pasien post sectio caesarea adalah rasa nyeri akibat adanya insisi jaringan yang mengakibatkan kontinuitas jaringan terputus. Nyeri dapat diatasi menggunakan metode farmakologis dan non-farmakologis. Salah satu metode non-farmakologis yang dapat dilakukan adalah teknik Benson Relaxation. Tujuan : Penelitian ini untuk mengetahui pengaruh teknik benson relaxation terhadap intensitas nyeri pada Ibu post sectio caesarean di Rumah Sakit Umum Daerah Dr. H. M. Rabain Muara Enim tahun 2020. Metode Penelitian : Penelitan ini merupakan penelitian quasi eks perimen menggunakan non equaivalent control group design. Teknik pengambilan sampel menggunakan purposive sampling, Sampel penelitian yakni Ibu post sectio caesarea hari pertama di RSUD Dr. H. M. Rabain Muara Enim yang memenuhi kriteria inklusi berjumlah 34 orang. Analisis data menggunakan uji statistik Mann-Whitney. Hasil penelitian : Uji Mann-Whitney didapatkan ρ value sebesar 0,000 (ρ value ≤ 0,05), yang berarti ada pengaruh teknik benson relaxation terhadap intensitas nyeri pada Ibu post sectio caesarean di Rumah Sakit Umum Daerah Dr. H. M. Rabain Muara Enim, 2020. ABSTRACT Background : Sectio caesarean made quiet problems. The pain after Caesarean section are caused by tissue incision resulting discontinuity of tissue. Recently many methods being developed to address the problem of pain in clients with severe post Caesarean section, either by pharmacological approaches and non pharmacological. One way non pharmacological suitable to reduce pain intensity Clients post Caesarean section is Benson’s relaxation. Benson relaxation is a non pharmacological action that can reduce post-SC pain. Objective : this study was being done in order to know the effect of Benson Relaxation technique on pain intensity in post section caesarea women at Dr. H. M. Rabain Muara Enim hospital in 2020. Methods : This study was a quasy experimental that used non equaivalent control group design. The sample were taken by using purposive sampling method. The sample of this research were 34 post sectio caesarea women in first day at Dr. H. M. Rabain Muara Enim hospital that met inclusion criteria. Statistical analysis test used Mann-Whitney. Results : By using Mann-Whitney test obtained the significancy ρ value = 0,000 which meant there was a significant difference on intensity pain among post sectio caesarea women at Dr. H. M. Rabain Muara Enim hospital.

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Sarala Kumari, Balmur, e Guthi Visweswara Rao. "Study on factors influencing caesarean section delivery in urban field practice area of Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, India". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, n. 7 (24 giugno 2017): 3129. http://dx.doi.org/10.18203/2320-1770.ijrcog20172947.

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Background: Caesarean section is one of the most commonly performed major surgeries in obstetric practice intended to save the mother and child in turn reducing maternal and perinatal mortality. The steadily increasing global rate of caesarean section has become one of the most debated topics in maternity care. The objective of this study is to identify the factors influencing caesarean section delivery in the study area.Methods: This is a community based cross sectional study conducted among 66 women who underwent caesarean section in urban slum of field practice area of KIMS Nalgonda from January 2017 to February 2017. Information regarding socio demographic factors, indication of caesarean section, maternal and neonatal outcome was recorded in pre-designed pretested questionnaire.Results: The rate of caesarean section (CS) in this study was 55.9%. The commonest indication for elective caesarean was previous caesarean section (59.5%) and for emergence caesarean section the commonest indication was fetal distress (50%). 47.6% in elective group and 62.5% in emergency underwent caesarean section in government hospitals, 52.38% in elective group and 37.5% in emergency underwent caesarean section in private nursing homes.Conclusions: Elective caesarean sections are more common than emergency sections. Most of the caesarian sections were in the age group of 18-25 years, Hindus, BC community, house wives, who have studied up to intermediate and above, below poverty line group and in multigravida women. Common indication for elective CS was previous CS and for emergency CS was fetal distress.

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Lestari, Marlita Dewi, Kusuma Wijaya Ridi Putra e Dimyati Dimyati. "LEVEL OF ANXIETY OF PREGNANT MOTHER IN FACING SECTIO CAESAREA OPERATIONS IN DKT SIDOARJO HOSPITAL". Nurse and Health: Jurnal Keperawatan 8, n. 1 (25 maggio 2019): 23–27. http://dx.doi.org/10.36720/nhjk.v8i1.62.

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Background: Mothers who undergo labor with sectio caesarea can experience anxiety because they have never experienced surgery or do not know about the actions to be taken.Objective: The study aimed to determine the maternal anxiety level of preoperative sectio caesarea in the Maternity Room of the DKT Hospital in Sidoarjo.Method: The research design used was descriptive method with cross sectional approach. The population in this study were patients who will undergo labor with sectio caesarea in the Maternity Room of the DKT Hospital in Sidoarjo. Sampling technique with accidental sampling. The instrument used was the Hamilton Rating Scale for Anxiety (HRS-A) which was adopted from the book Stress, Anxiety, and Depression Management (Hawari, 2004), which included 14 psychological symptoms of anxiety.Results: The results showed that the most anxiety level of preoperative sectio caesarean mothers was moderate anxiety as many as 25 people (50%).Conclusion: The anxiety level of mothers who will undergo Caesarean section surgery is moderate anxiety, so special care is needed by health workers. Handling that can be given in the form of health education about surgical procedures and post-surgical treatment. In addition, providing knowledge to the family so that they will continue to motivate mothers who will face the caesarean section surgery.Â Keywords: Level of anxiety, caesarean section surgery, labor.

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Sari, Ruri Maiseptya. "Faktor - Faktor yang Berhubungan dengan Tindakan Sectio Caesarea Di RS DKT". Jurnal Kebidanan Midwiferia 4, n. 2 (1 agosto 2019): 1. http://dx.doi.org/10.21070/mid.v4i2.2076.

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The rate of labor with sectio caesarean still exceeds from WHO recommendations. The purpose of this study is to determine the Factors who associated with Sectio caesarea in RS DKT in 2017.This study used survey analytic approach with cross sectional design. Population in this study were all labor mother in RS DKT in 2017 with the amount of 1143 people. Sampling technique used proportional random sampling, obtained sample with the amount of 296 people with sample proportion labor mother with sectio caesarea with the amount of 229 people, and labor mother pervaginam 67 people.The results of the study were: (1) from 296 mothers giving birth at DKT Hospital in 2017 there were 77.4% of women giving birth with caesarean section delivery and 22.6% of vaginal delivery mothers, 14.2% of mothers giving birth with fetal distress and 85.6% not fetal distress, 26.7% of women giving birth with DKP / CPD and 73.3% of mothers who were not DKP, 93.6% of mothers gave birth with BPJS financing and 6.4% with general financing; (2) There is a significant relationship between fetal distress and mid-category caesarean section and having a mother with a fetal distress has a risk of 1,358 times for a caesarean section compared with a mother without fetal distress; (3) There is a significant relationship between DKP / CPD with mid-caesarean section and moderate category and women with DKP / CPD have a risk of 1,447 times for caesarean section compared to mothers without PHO; (4) There is no meaningful relationship between BPJS funding and sectio caesarea. It was suggested to health workers to provide services to patients as needed nad also to improve health promote to avoid caesarean section delivery especially in adult women, mother and also prospective mother, in order to better undertand that normla lanor has lower risk for mother wich has not a complications history in her pregnancy and childbirth.

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Naibaho, Risdiana Melinda. "FAKTOR-FAKTOR YANG MEMENGARUHI KECEMASAN IBU PRE OPERASI SECTIO CAESAREA (SC) DI RUMAH SAKIT UMUM DAERAH SIDIKALANG KABUPATEN DAIRI". Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 16, n. 3 (31 dicembre 2021): 532–38. http://dx.doi.org/10.36911/pannmed.v16i3.1188.

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Sectio caesarea is needed as an effort to deliver to save the mother and the fetus, althought at this time the trend of childbirth with sectio caesarea is increasing from year to year, however, every mother who is going to undergo labor with surgery always feels anxiety when facing sectio caesarea surgery.This type of research is a descriptive survey to describe the factor,s that influence the anxiety of pre caesarean section mothers.The population is pregnant women who will give birth by sectio caesarean surgery at the Hospital General Sidikalang Dairi Regency. Sampling with accidental sampling tehnique with a total sample of 55 preoperative caesarean section patiens was based on certain considerations made by the reseachers themselves, based on the average number of caesarean sectins in one year, as many as 1572 people, so that the average monthly number is 131 peple. The data collection tehnique was done through interviews using a questinnaire. The data obtained were analyzed by univariate, bivarriate with chi square p-value 95% ( ? = 0,05).The results of this study indicate that age (p-value = 0,003), education (p-value = 0,000),parity (p-value = 0,002),support (p-value = 0,000),trauma (p-value = 0,003),knowledge (p-value = 0,000),affect anxiety pre operative mother for section caesarea.Sugegestins for families to be given information about the secti caesarean action to be able to provide tigter support to increase confidence in preoperative mothers to increase maternal knowledge, to health workers, to be able to provide information and support to preoperative mothers to make mothers feel comfortable

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Nur, Jinnatun, Rashida Khanom e Sumaya Akter. "Comparative Study on Planned repeat Caesarean Section and Unplanned Repeat Caesarean Section". Journal of Dhaka Medical College 24, n. 1 (7 settembre 2016): 57–61. http://dx.doi.org/10.3329/jdmc.v24i1.29565.

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Repeat Caesarean section always carries more risk than first time caesarian delivery. In our country, antenatal care is always neglected. When this negligence occurs during subsequent pregnancy who had already goes on Caesarean section for the first pregnancy. In our study, we try to compare between the planned and unplanned repeat Caesarean section. The study was carried out at Mymensingh Medical College Hospital, Mymensingh and Amina Nursing Home at Charpara Mymensingh. This was a retrospective case control study, There were 100 patients in Group: A, (Planned repeat Caesarean section), Group B was also consisted with 100 patients (Unplanned repeat Caesarean section). Odd ratio was measured. Odd ratio between group; A and Group: B was 2.8. The two groups were compared by their age and independent t test was carried out. Group: A. Mean ± SD 25.76 ± 4.461Group: B. Mean ± SD = 26.12 ± 5.513. By pair independent t test: P value: .076ns. So we can conclude that regular antenatal Check up is mandatory for those whose 1st delivery was conducted by Caesarean section irrespective of age and economical status.J Dhaka Medical College, Vol. 24, No.1, April, 2015, Page 57-61

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S., Siwach, Lakra P., Sangwan V., Shivani, Kansal R. e Mahendru R. "To study the outcome of previous one cesarean pregnancies in a rural tertiary center of Haryana, India". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, n. 11 (28 ottobre 2017): 5008. http://dx.doi.org/10.18203/2320-1770.ijrcog20175017.

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Background: Rising rates of caesarean section is a matter of great concern and TOLAC is an attractive alternative. Analysing outcome of previous one caesarean pregnancies will provide an insight for reducing the caesarean rates and formulating protocols and policies for TOLAC.Methods: A retrospective study of patients of previous one caesarean pregnancy was done from February 2015 to January 2016 and 3 groups were made, ERCS group, failed TOLAC group and successful TOLAC group. The rates of elective repeat caesarean, failed TOLAC, successful TOLAC, maternal complications, neonatal morbidity and mortality in all three groups were studied.Results: There were 5177 total deliveries with 488 (9.43%) previous one caesarean pregnancies. Out of 488 patients 161 (33%) underwent elective repeat caesarean and 327 (67%) underwent trial of labour. Out of 327 patients 234 (71.56%) had a successful TOLAC and 93 (28.44%) had failed TOLAC. Breech (23%) followed by foetal distress (20%) were the most common indications of previous caesarean. Commonest indication of elective repeat caesarean was short interval (33%) and that of failed TOLAC was foetal distress (38.7%) followed by failed induction (23.6%). There were 4 morbidly adherent placentas (0.82%), 1 scar rupture, 3 scar dehiscence, no maternal mortality and 10 neonatal deaths.Conclusions: Previous one caesarean section is not only a risk factor for repeat caesareans and complications like morbidly adherent placenta, uterine rupture but also a financial burden on health facilities. Encouraging the patients for trial of labour and emphasizing the usage of contraception is the need of the hour.

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Più fonti

Tesi sul tema "Caesarean"

Handley-Derry, Frances. "Repeat elective caesarean: decision-making for women with a previous caesarean section". Thesis, McGill University, 2013. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=119507.

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Context: Among women with a prior caesarean section, 82.2% will have another caesarean delivery. The Society of Obstetrics and Gynaecology of Canada (SOGC) recommends that physicians offer medically eligible women with a previous caesarean section a trial of labour, to attempt a vaginal delivery. With greater inclusion of the patient in medical decision-making, it is important to understand women's part in this decision-making process. Objectives: To describe women's decision-making by looking at: 1) whether the decision was reported as primarily physician- or patient-driven 2) women's reasons for repeat caesarean section, 3) women's main information sources. Methods: For one year women booked for a repeat elective caesarean section, who were eligible for a trial of labour according to the 2005 guidelines of the SOGC, were approached with the survey in hospital post-partum, and invited to participate in the study. Chart review was used to determine eligibility, and obtain other medical characteristics. Results: Most of the women (77 %) reported being involved in the decision about their caesarean section. However, almost a quarter reported wholly physician-driven decisions (23 %). The main reasons women selected for a caesarean section related to their previous birth experience, and the physician's recommendation. Women born outside of Canada, with less education or who were allophones, were less likely to report using certain information sources, such as the Internet, and to find the information in the hospital-provided pamphlet useful. All in all, the women who received less information were more likely to report solely physician-driven decisions. Conclusion: Although patient involvement in decision-making is the norm, some decisions for caesarean section are made without the patient. Women's concerns, such as fear of a failed vaginal delivery, play an important role in this decision-making. Overall, immigrant women may understand less about their birth options than their Canadian peers. Addressing these concerns during pre-natal counselling may aid more fully informed consent, help assuage women's fears of vaginal birth and may increase the number of women attempting a trial of labour.
Contexte : Parmi les femmes ayant déjà subi une césarienne, 82 % auront un autre accouchement par césarienne. La Société d'Obstétriques et Gynécologie du Canada (SOGC) conseille aux médecins d'offrir aux femmes éligibles l'option d'essayer un accouchement vaginal. Avec l'inclusion des patients dans les décisions médicales, il est important de comprendre le rôle des femmes dans ce processus de décision. Objectif : Décrire le processus de décision en évaluant : 1) si la décision vient premièrement du médecin ou du patient, 2) les raisons données par les femmes pour le choix d'une césarienne, 3) les principales sources d'information utilisées par les femmes. Méthodes : Au cours d'une année, les femmes enregistrées pour une césarienne, et éligible pour un accouchement vaginal selon le SOGC 2005, ont été approchées à l'hôpital postpartum et invitées à participer à l'étude. Le dossier médical a été utilisé pour déterminer l'éligibilité et d'autres caractéristiques médicales. Résultats : La majorité des femmes (77%) ont participé à la décision concernant le choix d'une césarienne, mais à peu près un quart (23 %) ont rapportée que la décision a été faite entièrement par le médecin. Les femmes ont indiqué que des raisons reliées aux peurs d'un accouchement vaginal, et aux recommandations du médecin, ont supporté le choix d'une césarienne. Les femmes nées ailleurs, avec moins de scolarité, ou allophones ont moins utilisé certaines sources d'informations, telles que l'Internet, et ont trouvé l'information dans le dépliant de l'hôpital moins utile. En général, les femmes ayant reçu moins d'information ont été plus susceptibles de rapporter une décision faite seulement par leur médecin. Conclusion : Bien qu'il y ait souvent la participation de la patiente dans le processus de décision, quelques décisions concernant le choix d'une césarienne sont faites sans la patiente. La peur d'un accouchement vaginal joue un rôle important dans la décision. Dans l'ensemble, les immigrantes pourraient moins bien comprendre leurs options d'accouchement que les femmes canadiennes. Considérer ces problèmes lors du suivi pré-natal pourrait aider au processus de consentement, soulager les peurs reliées à un accouchement vaginal, et peut-être augmenter l'acceptante d'un essai d'accouchement vaginal.

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Hillan, Edith M. "Outcomes of Caesarean section". Thesis, University of Glasgow, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.257964.

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Baston, Helen Amanda. "Women's experience of emergency caesarean birth". Thesis, University of York, 2006. http://etheses.whiterose.ac.uk/14082/.

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Churchill, Helen. "Caesarean birth : conflict in maternity services". Thesis, Middlesex University, 1994. http://eprints.mdx.ac.uk/6686/.

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This study investigates the history of caesarean section and women's experience of the operation today. There has been no systematic collection of historical data on caesarean section since 1944. This study now constitutes the most comprehensive compilation of the history of the operation to date. It illustrates the development of the medical ethos concerning women as patients and provides the background to the next phase of research: the experience of caesarean section. Previous research on caesarean section has exhaustively analysed the indications for the operation, reasons for the increasing rate and women's perceptions of abdominal delivery. This study differs in eliciting responses from women on a range of issues relating to caesarean birth in order to assess the quality of information given to women in hopital regarding the necessity for caesarean operations and analyse the effects of abdominal birth on women. Women's experiences were examined in a sample of 300 women who had delivered by caesarean section. Significant differences were found in reactions between women who had emergency operations and those whose caesareans were elective. The emergency caesarean women suffered more in all negative measures including increased feelings of pain and depression. Negative sequelae was found to relate to the unexpected nature of emergency operations and the use of general anaesthesia. Subjectively women report that they do not suffer as a result of caesarean birth, yet objectively it is clear that they do. This anomaly is attributed to the unequal relationship between women and doctors. Women feel grateful for the treatment offered by the doctors and therefore do not express dissatisfaction with their care. Recommendations are made suggesting practical ways in which maternity services, in respect of caesarean birth, can be improved.

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Taylor-Miller, Leanne. "Caesarean birth: too posh to push, or punished for not pushing? Exploring women's experiences of caesarean birth". Thesis, University of Auckland, 2010. http://hdl.handle.net/2292/6046.

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Caesarean birth is the mode of delivery for almost a quarter of births in New Zealand (NZ), and as the rate steadily rises, the expectation of a ��natural birth�� remains ubiquitous in society. Research investigating the impact of caesarean birth has previously demonstrated mixed findings regarding psychological outcomes, and recently caesareans have become topical with the addition of the idiom ��too posh to push�� to our lexicon. This implies that caesarean is an easy option, and may have shaped a sense of stigma against caesareans, particularly elective caesareans. The previous research demonstrating differences in psychological outcomes between planned and unplanned caesareans was conducted when caesarean birth was less common, and tended to be quantitative in design. The purpose of this qualitative research was to investigate the experiences of 32 women, including both first-time and non-first time mothers, who have undergone caesarean birth, half planned and half unplanned, in order to gain insight into their perceptions of their experiences and identify aspects that contributed to positive and negative experiences. Semi-structured interviews were used to explore their perceptions, including how they and others have reacted to their caesarean experience. These interviews were analysed using thematic analysis to identify themes to help to understand their experiences. This research supported a number of previous findings regarding caesarean birth including increased rates of induction associated with caesarean birth; differences in initial interaction between mother and infant for planned or unplanned caesareans; trust in medical experts; low occurrence of 'maternal' request for caesarean; and perceptions of societal attitudes towards caesarean. In addition, this research identified themes regarding the roles of expectations and preferences with the actual caesarean or breast feeding experience, influenced by individual and social factors. Negative outcomes were associated with a lack of reconciliation between actual experience, expectations and preferences; while positive outcomes were associated with effective reconciliation, through the development of rationales, applied both prospectively and retrospectively.

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Bedenko, Nadya. "Post traumatic stress disorder after childbirth : a comparison of vaginal, elective caesarean, emergency Caesarean and assisted instrumental deliveries". Thesis, University of Hull, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.252606.

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Shakoor, Jenan Akbar. "Raised maternal body mass index and caesarean section". Thesis, University of Newcastle Upon Tyne, 2013. http://hdl.handle.net/10443/1800.

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Introduction Maternal obesity (defined as a body mass index (BMI) ≥30kg/m2) and overweight (defined as BMI 25-29.9kg/m2) have adverse implications for both the mother and the baby, including an increased risk of caesarean section. The prevalence of caesarean section among the UK obstetric population has been increasing in recent years. Evidence suggests that caesarean section in obese women may carry a higher risk of postoperative complications, such as haemorrhage, wound infection and delayed healing. These complications may result in a longer length of stay in hospital after caesarean delivery. To date, UK evidence on the association between maternal BMI and caesarean section has been limited. Aim The overall aim of my PhD was to investigate the association between maternal BMI and caesarean section within the North East of England. Methods and Results My PhD consists of three phases: Phase one: a review of the available published literature that investigated the association between maternal BMI and caesarean section rate. The review found that most studies been carried out in the US with only six from the UK. The review highlighted the need for further research in the UK. Phase two: an investigation of the association between maternal early pregnancy BMI and caesarean section using an existing dataset of 42,362 deliveries in five hospitals in the North East of England. The objectives of this phase were; to identify the caesarean section rate among five hospitals in the North East of England; to describe the caesarean section rate by booking BMI; and to examine the independent impact of BMI on caesarean section, adjusting for potentially confounding variables including maternal age, gestational age, birth weight, ethnicity and socio-economic status in overweight and obese pregnant women compared to pregnant women with recommended BMI. In phase two, the overall caesarean section rate was 20.6%; 28.4% of obese and 21.9% of overweight women delivered by caesarean section, compared to 17.8% of women with recommended BMI. After adjusting for available confounding factors, the adjusted odds ratio (aOR) for caesarean section among obese women was 1.81 (95%CI: 1.67-1.97; p<0.0005) and 1.29 (95%CI: 1.20-1.39; p<0.0005) among overweight women compared to women with recommended BMI. Thus, there was an almost two-fold increased risk of delivery by caesarean section among women who were obese at the start of pregnancy and an increased risk for women who were overweight. Phase three: a case note review of 205 women with a singleton pregnancy in 2008, aged ≥16 years and delivered by caesarean section in a district general hospital in the North East of England. The study hypothesis was that overweight and obese pregnant women have more post-caesarean section complications than pregnant women with recommended BMI, resulting in a longer length of stay in hospital. The results of this study showed that from 205 cases (28% of all caesarean section deliveries in 2008), 86 (42.0%) were to women with recommended BMI, 54 (26.3%) to overweight and 65 (31.7%) to obese women. The median length of maternal stay in hospital was three days, with an inter quartile range (IQR) of 2-3. Twelve (18.5%) obese women stayed in hospital after caesarean section for four days compared to five (9.3%) overweight and eight (9.4%) women with recommended BMI, (p=0.44) but this was not significant. There were no significant differences in postoperative complications or length of stay in hospital between overweight and obese pregnant women compared to women with recommended BMI. Conclusion Overall, my study confirms that obese and overweight women in the North East of England are at increased risk of caesarean section. Among women delivered by caesarean section, however, there was no association between maternal BMI and post-operative complications or length of stay in hospital.

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Naji, Osama. "Ultrasound studies of caesarean section scar in pregnancy". Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/19445.

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Incomplete healing of CS scars has become a recognised sequel to this operation, and is associated with complications in later pregnancies. These can include caesarean scar pregnancy (CSP), a morbidly adherent placenta, scar dehiscence or rupture. To date there is uncertainty relating to the recognition of poor scar healing and the factors that lead to it. In recent years, there has been an increase in studies using ultrasound imaging to describe scars as deficient, or incompletely healed. However, these studies were carried out in the non-pregnant state, with a paucity of data to associate the described morphology of these scars to the functional integrity of the lower uterine segment (LUS) in subsequent pregnancy, or the actual performance in labour. We hypothesised that unenhanced transvaginal sonography (TVS) is a valid and reproducible method of assessing CS scars in pregnant women, and it can provide relevant clinical information on the effects these scars might have in pregnancy. To investigate the validity of TVS as the imaging modality of choice, we proposed a standardised approach for obtaining scar measurements. Furthermore we established a consensus agreement for nomenclature and methodology in imaging and reporting CS scars. We tested the reproducibility of the agreed methods throughout the course of pregnancy and our data showed that TVS could reliably delineate CS scar with good interobserver and intraobserver variability (IOV). We also investigated the influence of different scar dimensions on pregnant women from early pregnancy, during placental development, throughout the antenatal course and at delivery in terms of implantation sites, vaginal bleeding, and placental location, as well as the effects of scar changes on the final scar appearance at repeat CS, or during trials of vaginal birth after caesarean section (VBAC). Our data demonstrated that women who attended the early pregnancy assessment unit (EPAU) with a previous history of CS had more vaginal bleeding but similar spontaneous miscarriage rates in comparison to women without a history of CS. However, the implantation sites in the scarred uterus were significantly different from the non-scarred uterus. In the second trimester there were also significant differences in placental location. In the CS group there were more posterior and fewer fundal placentas than in the control group. We found that CS scars underwent significant changes to their shape and dimensions from the second trimester onwards. These scars were affected by the physical expansion of the gravid uterus and expanded accordingly in a cephalo- caudal pattern. Finally, we have demonstrated that certain scar measurements in the second trimester were associated with particular scar appearance at repeat caesarean delivery, and potentially predicted the likelihood of uterine scar rupture. We integrated this information and developed a prediction model on the likelihood of achieving successful VBAC from the earlier stages of pregnancy. In conclusion our data confirms that CS scar can be reliably assessed by ultrasound scan, and certain scar features are associated with complications that can be anticipated from as early as 6 weeks gestation. The results of our study provide important new information, which if validated externally may have significant bearing on our understanding of the impact of CS on the uterus, and the management of women planning to attempt a vaginal delivery after a previous CS.

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Tikkala, Jessica. "Trends in Caesarean Section Deliveries among nulliparous women". Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-48503.

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Murray, Susan Fairley. "Caesarean birth in the private sector in Chile". Thesis, Royal Holloway, University of London, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.271704.

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Più fonti

Libri sul tema "Caesarean"

Caesarean recovery. London: Carroll & Brown Publishers Ltd., 2010.

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Phelan, Jeffrey P. Caesarean delivery. London: Chapman & Hall, 1988.

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Odent, Michel. The caesarean. London: Free Association Books, 2004.

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Clement, Sarah. The Caesarean experience. London: Pandora Press, 1991.

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The caesarean experience. 2^a ed. London: Pandora, 1995.

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Lesley, Jenny. Birth after caesarean. Surbiton: Association for Improvements in the Maternity Services, 2004.

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Colin, Francome, e National Childbirth Trust, a cura di. Caesarean birth in Britain. London: Middlesex University Press, 1993.

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Chow, Ki Kit. Safe, cost effective Caesarean technique. Rome: CIC Edizioni Internazionali, 1995.

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Brooks, Melissa. Caesarean birth: A practical guide. London: Optima, 1989.

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Gina, Lowdon, Barlow Fiona e National Childbirth Trust (Great Britain), a cura di. Caesarean birth: Your questions answered. London: National Childbirth Trust, 2004.

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Capitoli di libri sul tema "Caesarean"

Charles, Cathy. "Caesarean section". In The Midwife's Labour and Birth Handbook, 211–26. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119235064.ch11.

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Chavan, Niranjan. "Caesarean Delivery". In Labour Room Emergencies, 297–303. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-10-4953-8_31.

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Walker, James Johnston. "Caesarean Section". In Medicolegal Issues in Obstetrics and Gynaecology, 147–51. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-78683-4_27.

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Simões, João, e George Stilwell. "Caesarean Section". In Calving Management and Newborn Calf Care, 181–208. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-68168-5_8.

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Dorairajan, Gowri. "Caesarean Section". In Management of Normal and High Risk Labour During Childbirth, 143–56. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781003034360-16.

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Padumadasa, Sanjeewa, e Hemantha Senanayake. "Difficult Caesarean Delivery". In Obstetric Emergencies, 129–39. Boca Raton: CRC Press, 2021. http://dx.doi.org/10.1201/9781003088967-11-11.

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"Caesarean decision making – who’s choosing the choices?" In Caesarean, 91–123. Routledge, 2007. http://dx.doi.org/10.4324/9780203960769-10.

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"The immediate implications of caesarean". In Caesarean, 124–44. Routledge, 2007. http://dx.doi.org/10.4324/9780203960769-11.

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"The long-term implications of caesarean". In Caesarean, 145–65. Routledge, 2007. http://dx.doi.org/10.4324/9780203960769-12.

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"The significance of trial of labour and VBAC (vaginal birth after caesarean)". In Caesarean, 166–82. Routledge, 2007. http://dx.doi.org/10.4324/9780203960769-13.

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Atti di convegni sul tema "Caesarean"

Azim, A. A. q. "Adhesion formation after previous caesarean section". In Scientific achievements of the third millennium. LJournal, 2019. http://dx.doi.org/10.18411/scienceconf-09-2019-20.

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Christiaens, G. C. M. L. "DIAGNOSIS AND MANAGEMENT OF ITP DURING THE PERINATAL PERIOD". In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644762.

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Although maternal and perinatal mortality and morbidity in pregnant patients with ITP are lower than previously assumed, they are not negligable. Significant postpartum hemorrhage occurs in 7% of the mothers with ITP. Thrombocytopenia is found in 51% of the newborns born from mothers with ITP and 6% of these have serious bleeding problems. Tests which predict which fetuses are at risk, are not yet available. Thrombocyte counts in a fetal blood sample are falsely low in 40% of cases.A prospective controlled randomized study done in the Netherlands failed to show an effect of antenatal corticosteroid treatment on neonatal platelet counts. Elective caesarean section has not been shown to protect against intracranial bleeding in thrombocytopenic newborns. The choice between vaginal delivery and caesarean section in ITP patients should be made on obstetric grounds with one exception: no other assisted vaginal delivery than the easy outlet forceps should be done. All cases of slow progress of the second stage of labour with insufficient descent should be terminated by caesarean section as well as breech delivery with suboptimal progress. Newborn thrombocyte counts should be done daily during the first week of life, since lowest platelet counts are often found between the 3rd and 5th postpartum day. Newborn thrombocytopenia is transient and does not warrant splenectomy, but can necessitate treatment with corticosteroids and/or high doses of immunoglobulin 6. Current data do not justify to dissuade breastfeeding.The recurrence of neonatal thrombocytopenia in subsequent patients is unknown.

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Kasiati, K., e Titi Maharrani. "The Difference of Anxiety in Intrapartum Mothers with Normal and Sectio Caesarea". In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the6thicph.03.134.

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ABSTRACT Background: Due to the painful nature of childbirth and its maternal and neonatal complications, the woman needs support in this phase of their life. The anxiety felt by women before caesarean delivery caused psychological problems, the increased of surgical pain therefore increased the need for pain relief, and prolong hospitalization. This study aimed to investigate the difference of anxiety in intrapartum mothers with normal and sectio caesarea. Subjects and Method: A cross sectional study was conducted at Haji hospital, Surabaya, East Java, Indonesia. A sample of 34 intrapartum mothers was selected by consecutive sampling. The dependent variable was anxiety. The independent variables were normal and section cesarea birth delivery. The data were collected by questionnaire and analyzed by independent t test. Results: There was no difference of anxiety in intrapartum mothers with normal birth delivery (Mean= 56.82; SD= 15.02) and mother those with section cesarea (Mean= 58.19; SD= 12.02). Conclusion: There is no difference of anxiety in intrapartum mothers with normal birth delivery and mother those with section cesarea. Keywords: anxiety, birth delivery, intrapartum mothers Correspondence: Firdausi Nuzula. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ulafn10@gmail.com. Mobile: 081553283675. DOI: https://doi.org/10.26911/the6thicph.03.134

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Freimüller, B., FH Tiefenbacher e EC Weiss. "Oral versus intravenous morphine for pain after caesarean section". In 29. Deutscher Kongress für Perinatale Medizin. Deutsche Gesellschaft für Perinatale Medizin (DGPM) – „Hinterm Horizont geht's weiter, zusammen sind wir stark“. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-3401134.

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Sai Lakshmi, B., e G. Gajendran. "Evaluation of efficiency of MAMFFN for predicting Caesarean deliveries". In 2ND INTERNATIONAL CONFERENCE ON MATHEMATICAL TECHNIQUES AND APPLICATIONS: ICMTA2021. AIP Publishing, 2022. http://dx.doi.org/10.1063/5.0110051.

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Babu, Kezia Susan, Raghavendra Rao, Sameer Desai e Manjunath. "Anaesthetic Management of Severe Aortic Stenosis for Caesarean Section". In ISACON KARNATAKA 2017 33rd Annual Conference of Indian Society of Anaesthesiologists (ISA), Karnataka State Chapter. Indian Society of Anaesthesiologists (ISA), 2017. http://dx.doi.org/10.18311/isacon-karnataka/2017/ep050.

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Popova, Nadezhda, Georgi Petrov, Daniela Mileshkina e Irina Nesheva. "PROGRESSION OF THE PHYSICAL ACTIVITY AFTER DELIVERY BY CAESAREAN SECTION". In INTERNATIONAL SCIENTIFIC CONGRESS “APPLIED SPORTS SCIENCES”. National Sports Academy "Vassil Levski", 2017. http://dx.doi.org/10.37393/icass2017/95.

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Sousa, C., D. Gonçalves, G. Norte, C. Sampaio e S. Caramelo. "B136 Quadratus lumborum block for postoperative analgesia after caesarean section". In ESRA Abstracts, 39th Annual ESRA Congress, 22–25 June 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/rapm-2022-esra.211.

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West, S., G. Gard e G. Burton. "252 Extra ovarian endodermal sinus tumour diagnosed at caesarean section". In IGCS 2020 Annual Meeting Abstracts. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/ijgc-2020-igcs.217.

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Lotliker, Sasmit Dipak, Bharathi Mallaiah, Shreyavathi Murthy e R. S. Raghavendra Rao. "Anaesthetic Management of Achondroplastic Dwarf Posted for Emergency Caesarean Section". In ISACON KARNATAKA 2017 33rd Annual Conference of Indian Society of Anaesthesiologists (ISA), Karnataka State Chapter. Indian Society of Anaesthesiologists (ISA), 2017. http://dx.doi.org/10.18311/isacon-karnataka/2017/ep052.

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Rapporti di organizzazioni sul tema "Caesarean"

Mulaku, Mercy N. Do non-clinical interventions reduce unnecessary caesarean section rates? SUPPORT, 2016. http://dx.doi.org/10.30846/1612112.

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There has been an increase in caesarean section rates globally. As much as caesarean sections might be life saving, some are unnecessary, they predispose the mother to potential harms, such as haemorrhage, and they have high costs. Non clinical interventions may reduce unnecessary caesarean section. This includes interventions such as providing education to health pro-fessionals and mothers, mandatory second opinions, financial in-terventions, and other guideline implementation strategies.

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Gagnon, Marie-Pierre. Should non-physician clinicians versus doctors be used for caesarean section? SUPPORT, 2016. http://dx.doi.org/10.30846/161011.

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Many low-income countries face a shortage of trained medical doctors, especially in rural areas. This situation has detrimental effects on healthcare outcomes for the population. Non-physician clinicians are trained to perform some tasks usually carried out by doctors, including obstetric care. In some countries, non-physician clinicians are authorized to carry out caesarean sections. As their training and salary are lower and their retention is better, these clinicians could offer an alternative to doctors for caesarean section in low-income countries.

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Wang, Jinping, Junli You, Murong Li e Junjie Zhou. The Effect of 15 degree Left lateral Tilt in Caesarean Section: A Systematic Review with Meta-Analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, gennaio 2021. http://dx.doi.org/10.37766/inplasy2021.1.0118.

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Fu, Dong-mei. Neonatal effect of remifentanil in caesarean section with general anesthesia: A protocol of systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review Protocols, aprile 2020. http://dx.doi.org/10.37766/inplasy2020.4.0028.

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Green, Stephen. Christians and Jerusalem in the Fourth Century CE: A Study of Eusebius of Caesarea, Cyril of Jerusalem, and the Bordeaux Pilgrim. Portland State University Library, gennaio 2000. http://dx.doi.org/10.15760/etd.6326.

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Vaginal cleansing before caesarean delivery reduces risk of infections. National Institute for Health Research, ottobre 2017. http://dx.doi.org/10.3310/signal-000497.

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Cell salvage during caesarean section doesn’t reduce blood transfusions. National Institute for Health Research, maggio 2018. http://dx.doi.org/10.3310/signal-00592.

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Balance of long-term benefits and risks of caesarean delivery explained. National Institute for Health Research, dicembre 2018. http://dx.doi.org/10.3310/signal-000601.

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Inducing labour in older women having their first baby does not increase the chance of caesarean delivery. National Institute for Health Research, aprile 2016. http://dx.doi.org/10.3310/signal-000231.

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