Bibliografie tematiche / Caesarean section

Letteratura scientifica selezionata sul tema "Caesarean section"

Autore: Grafiati
Pubblicato: 4 giugno 2021
Ultima modifica: 9 marzo 2023

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Articoli di riviste sul tema "Caesarean section"

1

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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Abstract (sommario):
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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2

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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Abstract (sommario):
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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3

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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4

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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Abstract (sommario):
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. Keywords: Level of anxiety, caesarean section surgery, labor.
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5

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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6

Ahamed, Dr Toufiqua, e Dr Khaleda Jahan. "Caesarean Delivery in a Tertiary Care Hospital; A One-Year Survey". Scholars Journal of Applied Medical Sciences 10, n. 11 (29 novembre 2022): 2036–41. http://dx.doi.org/10.36347/sjams.2022.v10i11.039.

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Abstract (sommario):
Background: Caesarean section (CS) rates are growing worldwide. It contributes to substantial maternal and perinatal morbidity and mortality. South Asian countries including Bangladesh have recorded substantial increases in caesarean section rates over the past decade. Prolonged labour and cervical dystocia, hypertensive disorder, malpresentation were also contributing factors for caesarean section. The World Health Organization (WHO) has recognized an ideal caesarean section (CS) rate for a nation of around 10-15%. In recent times the proportion of delivery conducted by caesarean section has improved. Objectives: The aim of this study is to assess A One-year survey of caesarean delivery in a tertiary care hospital. Methods: This is an observational study. The study used to be carried out in the admitted patient’s Department of Gynecology and Obstetrics, Dhaka Medical College Hospital, Dhaka, Bangladesh. In Bangladesh for the duration of the period from January 2007 to June 2008. Results: This study shows that the according to age of 250 Patients aged 20 to 40 years where, 96(38.4%) were 20-25 years, 108(43.32%) were 26-30 years, 33(13.2%) were 31-35 and 13(5.2%) were 36-40 years And according to Gestational age, 17(6.8%) were 30-35 years, 200(80.0%) were 36-40 years, and 33(13.2%) were 40+ years and according to outcome, improved were 243(90.00%) and death were 7(2.8%).Conclusions: Careful monitoring of the fetus and selecting patients for CS at all levels of health care services, and consciousness among general population about the difficulties of the caesarian sections would decrease the caesarian sections.
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7

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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8

Osegi, Nkencho, e Olakunle I. Makinde. "Towards optimizing caesarean section: a five-year review of caesarean sections at a Southern Nigeria hospital". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, n. 1 (26 dicembre 2019): 205. http://dx.doi.org/10.18203/2320-1770.ijrcog20196021.

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Background: Monitoring caesarean sections at hospital level is essential to reduce unnecessary caesarean sections while still ensuring adequate access to caesarean section. This study was conducted to determine the caesarean section rate and indications for caesarean section at the study centre and provide objective data for institutional interventions towards reducing unnecessary caesarean sections in the centre.Methods: A retrospective descriptive study of patients that had caesarean sections between 1st January 2013 and 31st December 2017 at the Federal Medical Centre, Yenagoa, Nigeria. Data were analyzed using Statistical Package for Social Sciences version 22.Results: There were 5,793 deliveries and 1,654 were by caesarean section. The average caesarean section rate was 28.6%. The leading indications for caesarean section were cephalopelvic disproportion (26.6%), previous cesarean section (18.2%), suspected fetal distress (11.2%), severe preeclampsia/eclampsia (7.9%), obstructed labour (6%), and breech presentation (5.9%).Conclusions: The 28.6% caesarean section rate in this study falls within a widely varied rate across Nigeria at hospital level but is comparable to rates within the south-south geopolitical zone of Nigeria. The leading indications for caesarean section are modifiable, thus there is room for institutional intervention to reduce unnecessary caesarean sections. Collaborative research between institutions is required to assess peculiar regional determinants of caesarean section towards developing suitable interventions to reduce unnecessary caesarean sections regionally.
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9

Nastiti, Aria Aulia, Mira Triharini, Ni Komang Ayu Santika, Yulis Setiya Dewi, Najla A. Barnawi e Hidayat Arifin. "Determinants of caesarean section delivery: a nationwide study in Indonesia". British Journal of Midwifery 30, n. 5 (2 maggio 2022): 282–89. http://dx.doi.org/10.12968/bjom.2022.30.5.282.

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Background The number of caesarean section deliveries among mothers in Indonesia has increased every year. Aim This study was conducted to identify the prevalence and determinants of caesarean section in Indonesia. Methods A cross-sectional design using the 2017 Indonesian Demographic Health Survey was conducted. A total of 12 789 mothers were recruited, and bivariate analysis and binary logistic regression were used. Results The determinants among women that were significant factors in performing caesarian section deliveries were maternal age >35 years, urban residence, high level of education, poorest wealth index, having more than four visits to antenatal care centres, close proximity to health facilities and first-time birth. Conclusions The rate of caesarean section deliveries in Indonesia was 17.7%. Monitoring and evaluation of the increasing number of caesarean sections without medical necessity and the severity of labour is needed.
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10

Somani, Sonali S., Sunita Sudhir, Shashikant G. Somani e Bushra. "A study of intra-operative maternal morbidity after repeating caesarean section". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, n. 1 (25 dicembre 2017): 291. http://dx.doi.org/10.18203/2320-1770.ijrcog20175864.

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Background: Caesarean section (CS) is one of the most common obstetric procedures worldwide and an increased rate of caesarean section has been observed in recent studies. Maternal morbidities and mortality associated with repeat caesarean section is an important health problem. The present study aims at knowing the various intraoperative complications encountered during repeat caesarean sections. Objective was to study the incidence and type of surgical difficulties encountered in repeat cesarean sectionsMethods: It was a prospective observational study of 118 cases of repeat cesarean sections. Intra-operative findings of all cases were analyzed to know the difficulties encountered because of previous cesarean section.Results: In present study, out of total 118 cases of previous cesarean sections, 71 (60.17%) cases were of previous one caesarean section and 47(39.83%) were of previous two cesarean sections. Following intraoperative morbidities were encountered – adhesions (1 caesarean section vs 2 caesarean section – 40.85 vs 65.96% respectively) , thin lower uterine segment (1 caesarean section vs 2 caesarean section – 21.13 vs 36.17% respectively), advanced bladder(1 caesarean section vs 2 caesarean section – 15.49 vs 36.17 % respectively) , extension of uterine incision(1 caesarean section vs 2 caesarean section – 9.86 vs 19.15% respectively) , scar dehiscence(1 caesarean section vs 2 caesarean section –7.04 vs 31.91% respectively), excess blood loss (1 caesarean section vs 2 caesarean section –7.04 vs 19.15% respectively), 1 case of placenta accrete was found in previous 2 caesarean section 2.13%) which needed caesarean hysterectomy. uterine rupture and bladder injury seen in one patients of previous 2caesarean section. Time taken for surgery was more in repeat CS group Delivery.Conclusions: An increasing number of CS is accompanied by increased maternal morbidity. Intraoperative complication which increase the risk of morbidity are adhesion, placenta accreta. It is prudent to involve a senior experienced obstetrician in repeat cesarean section. The best way to reduce this is by reducing primary caesarean section rates. Patients with previous caesarean section should be considered as high risk and should be counseled for regular antenatal check-up and they should be given option of vaginal birth after CS whenever possible.
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Più fonti

Tesi sul tema "Caesarean section"

1

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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2

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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Abstract (sommario):
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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3

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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4

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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Копиця, Тетяна Володимирiвна, Татьяна Владимировна Копица e Tetiana Volodymyrivna Kopytsia. "Relationship between abnormal placentation and previous caesarean section". Thesis, Sumy State University, 2015. http://essuir.sumdu.edu.ua/handle/123456789/41289.

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Hesselman, Susanne. "Caesarean Section : Short- and long-term maternal complications". Doctoral thesis, Uppsala universitet, Obstetrik & gynekologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-327934.

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Caesarean section is a common major surgical procedure and long-term complications have not been fully investigated. By longitudinal population based register studies, based on National health registers and medical data records, maternal complications after caesarean delivery at subsequent labour (N=7 683), among extremely preterm births (N=406), and at remote gynaecologic surgery (N=25 354) were explored. In Paper I, uterine closure was investigated in respect to uterine rupture in a subsequent delivery after caesarean section. Uterine rupture occurred in 1.3 % of women with a previous caesarean section. There was no increased risk of uterine rupture with single compared with double layers for closure of the uterus (adjusted Odds Ratio 1.17, 95 % CI 0.78-1.70). Modifiable risk factors of uterine rupture in a trial of labour after caesarean section included induction of labour and use of epidural analgesia. In Paper II, maternal outcomes and surgical aspects of caesarean section in the extremely preterm period were assessed. Maternal complications were more frequently reported in extremely preterm- compared with term caesarean delivery. No increase in short-term morbidity was observed at 22-24 compared with 25-27 gestational weeks, but uterine corporal incisions were performed more frequently (18.1 % vs. 9.6 %, p=0.02). Furthermore, risk factors for abdominal adhesions after caesarean section and organ injury in remote gynaecologic surgery were analysed (Paper III and IV). Numbers of prior caesarean sections were the most important factor for formation of adhesions. Advanced maternal age, obesity, infection and delivery year 1997-2013 were factors associated with adhesions in conjunction with caesarean section. Organ injury occurred in 2.2 % of women undergoing benign hysterectomy. A history of caesarean section increased the risk (adjusted Odds Ratio 1.74, 95 % CI 1.41-2.15), but was only partly explained by the presence of adhesions. The organ affected depended on medical history; prior caesarean predisposed for bladder injury, prior bowel/pelvic surgery for bowel injury and endometriosis was associated with ureter injury at time of hysterectomy. In conclusion; data from National health registers indicates that caesarean delivery is associated with long-term complications, although the absolute risk of severe complications for the woman is low.
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Munday, Judy. "Perioperative temperature management for women undergoing Caesarean section". Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/103084/1/Judith%20Munday%20Thesis.pdf.

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Perioperative hypothermia is a significant problem for women undergoing caesarean section but this population has been previously neglected in internationally accepted evidence-based recommendations for thermal care in surgical patients. This three-phased, in depth exploration of the phenomenon, has advanced understanding of the effectiveness of methods to prevent perioperative maternal hypothermia, particularly for women receiving intrathecal morphine. Findings confirm that temperature decline is significant across this vulnerable population and support recommendations for the development of health service policies and thermal management guidelines that incorporate consistent use of combined, multi-modal, effective warming strategies employed both preoperatively and intraoperatively in the place of single interventions.
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Chung, Pui-yi Rebecca, e 鍾佩儀. "A clinical audit on Caesarean section indications and outcomes". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31971003.

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Chung, Pui-yi Rebecca. "A clinical audit on Caesarean section indications and outcomes". Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31971003.

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Libri sul tema "Caesarean section"

1

National Institute for Clinical Excellence., a cura di. Caesarean section. London: National Institute for Clinical Excellence, 2004.

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National Institute for Clinical Excellence., a cura di. Caesarean section. London: National Institute for Clinical Excellence, 2004.

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Odent, Michel. The caesarean. London: Free Association Books, 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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1947-, Drife J. O., e Walker James 1916-, a cura di. Caesarean section: Current practice. London: Baillière Tindall, 2001.

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

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

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

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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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Capitoli di libri sul tema "Caesarean section"

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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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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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Diemunsch, Pierre, e Eric Noll. "General Anaesthesia for Caesarean Section". In Anesthesia for Cesarean Section, 85–93. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-42053-0_6.

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Chapman, Vicky. "Vaginal birth after caesarean section". In The Midwife's Labour and Birth Handbook, 227–38. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119235064.ch12.

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Capogna, G., D. Celleno e R. Parpaglioni. "Anaesthesia for Emergency Caesarean Section". In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 343–46. Milano: Springer Milan, 1999. http://dx.doi.org/10.1007/978-88-470-2145-7_33.

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Alexander, R. "Caesarean section in an emergency". In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 1059–68. Milano: Springer Milan, 2004. http://dx.doi.org/10.1007/978-88-470-2189-1_32.

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Stjernholm, Ylva Vladic. "Caesarean Section: Reasons for and Actions to Prevent Unnecessary Caesareans". In Caesarean Section. InTech, 2018. http://dx.doi.org/10.5772/intechopen.76582.

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J. Mashamba, Tshililo. "Caesarean Section". In Caesarean Section [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.97290.

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Caesarean section is a procedure performed to save the life of the fetus and sometime to save the life of the woman. Although risks are low, affected women suffer from severe complications. The first caesarean section performed has a bearing on management of subsequent pregnancies. It is crucial that the procedure is performed when necessary. The evolution of caesarean section has shown marked improvement in maternal outcome especially after the introduction of antibiotics. The resistance of bacteria to antibiotics may lead to rethinking about the procedure performed long ago to try and minimised complications related to sepsis. Complications of caesarean sections are common in patients who have had a previous caesarean section. Training in previous caesarean sections will be vital in preventing these complications.
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Atti di convegni sul tema "Caesarean section"

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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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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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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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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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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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Miklyaeva, A., e P. Rumyantseva. "TRANSITION TO MOTHERHOOD VIA CAESAREAN SECTION: SOCIAL REPRESENTATION IN INTERNET DISCUSSIONS". In PSYCHOLOGICAL HEALTH OF THE PERSON: LIFE RESOURCE AND LIFE POTENTIAL. Verso, 2017. http://dx.doi.org/10.20333/2541-9315-2017-258-266.

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Frapsauce, A., C. Ghnassia e R. Bessard. "CP-048 Early recovery after caesarean section and evaluation of carbetocin". In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.47.

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Rapporti di organizzazioni sul tema "Caesarean section"

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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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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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