Latest Research News on Caesarean Delivery: Nov – 2019

Neonatal respiratory morbidity risk and mode of delivery at term: influence of timing of elective caesarean delivery

Aim: to ascertain whether or not the temporal order of delivery between thirty seven + zero and forty one + 6wk gestation influences baby metastasis outcome in elective cesarian, following uncomplicated gestation, therefore providing data which will be wont to aid designing of elective delivery at term. Methods: All pregnant girls United Nations agency were delivered by elective cesarian at term throughout a 3‐y amount were known from a perinatal info and compared retrospectively with pregnant girls matched for week of gestation, United Nations agency were vaginally delivered. Maternal characteristics, baby outcome, incidence of metastasis distress syndrome (RDS) and transient tachypnea of the newborn (TTN) were analysed. throughout now, 1284 elective cesarean section deliveries occurred at or when thirty seven + zero wk of gestation. Results: baby metastasis morbidity risk (odds magnitude relation, OR), as well as RDS and TTN, was considerably higher within the baby cluster delivered by elective cesarian compared with epithelial duct delivery (OR a pair of.6; ninety fifth CI: one.35–5.9; p < zero.01). [1]

Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study

Objective To assess the risks and edges related to cesarean delivery compared with canal delivery.

Design Prospective cohort study inside the 2005 United Nations agency international survey on maternal and perinatal health.

Setting 410 health facilities in twenty four areas in eight every which way elect resident countries; 123 were randomly selected and a hundred and twenty participated and provided information

Participants 106 546 deliveries according throughout the 3 month study amount, with information out there for 97 095 (91% coverage).

Main outcome measures Maternal, fetal, and infant morbidity and mortality related to intrapartum or elective cesarean delivery, adjusted for clinical, demographic, pregnancy, and institutional characteristics. [2]

Caesarean delivery and risk of atopy and allergic disesase: meta‐analyses

Background Studies of delivery by abdominal delivery (c‐section) and therefore the offspring’s risk of allergic diseases are of current interest because of issues regarding the magnified use of c‐section in several countries. However, previous studies have according inconsistent findings.

Objective we have a tendency to investigated whether or not delivery by c‐section is related to Associate in Nursing magnified risk of allergic reaction and allergic unwellness by reviewing the literature, playacting a meta‐analysis, and assessing publication bias.

Methods we have a tendency to used a scientific literature search of phone system (1966 to might 2007). Six common allergic outcomes were included: food allergy/food allergic reaction, inhalant allergic reaction, eczema/atopic eczema, hypersensitivity reaction, asthma, and hospitalization for respiratory illness. for every outcome a meta‐analysis was performed, wherever a outline odds quantitative relation (OR) was calculated taking into consideration heterogeneousness between the study‐specific relative risks. Publication bias was assessed victimization the funnel plot methodology. [3]

The Impact of Self-Reported Sleep on Caesarean Delivery in Women Undergoing Induction of Labour: A Prospective Study

216 girls admitted for labour induction were recruited to guage sleep length and alternative sleep measures on obstetrical delivery risk. The Pittsburgh Sleep Quality Index, Berlin (Obstructive Sleep Apnoea (OSA), Epworth temporary state Scale, International Restless Leg Syndrome, sleep disorder Symptom Questionnaires were applied. nap length was outlined as rumored night sleep length within the previous month below the study population median of 6 hours. when binomial analysis, obstetrical delivery when labour induction is related to nap length (RR one.8, 95% CI 1.1-2.9, P = 0.018), nulliparity, Bishop Score, prepregnant BMI and birth weight at P < 0.05. when adjustment for nulliparity, Bishop Score, prepregnant BMI and birth weight, nap length remains severally prophetical of obstetrical delivery AOR a pair of.4, 95% CI 1.1-5.0, P = 0.026. [4]

Is Caesarean Delivery Safe? Experience from a Low Resource Setting

Objective: In Federal Republic of Nigeria, girls loathe cesarean thanks to perceived complications arising from it. we have a tendency to compared the maternal morbidity and mortality related to caesarean and canal deliveries in Port Harcourt, Federal Republic of Nigeria to establish the security of cesarean.

Materials and Methods: This was a prospective study of one thousand consecutive caesarean deliveries at the University of Port Harcourt Teaching Hospital, Federal Republic of Nigeria over a annual amount. The management cluster consisted of girls matched for age and parity WHO had spontaneous canal delivery once the topic that had cesarean. info from the case notes was extracted onto a proforma completed by the doctor once delivery. Descriptive and comparative analysis of knowledge generated was done victimisation self-report personality inventory information Version half-dozen.04d. Chi-squared check was wont to measure variations within the morbidity and mortality rates between the 2 teams. [5]

Reference

[1] Zanardo, V., Simbi, A.K., Franzoi, M., Solda, G., Salvadori, A. and Trevisanuto, D., 2004. Neonatal respiratory morbidity risk and mode of delivery at term: influence of timing of elective caesarean delivery. Acta pædiatrica, 93(5), (Web Link)

[2] Villar, J., Carroli, G., Zavaleta, N., Donner, A., Wojdyla, D., Faundes, A., Velazco, A., Bataglia, V., Langer, A., Narváez, A. and Valladares, E., 2007. Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study. Bmj, 335(7628), (Web Link)

[3] Bager, P., Wohlfahrt, J. and Westergaard, T., 2008. Caesarean delivery and risk of atopy and allergic disesase: meta‐analyses. Clinical & Experimental Allergy, 38(4), (Web Link)

[4] The Impact of Self-Reported Sleep on Caesarean Delivery in Women Undergoing Induction of Labour: A Prospective Study
Aimee Chuin Ai Teong, Annabella Xinhui Diong, Siti Zawiah Omar & Peng Chiong Tan
Scientific Reports volume 7, (Web Link)

[5] C. Orazulike, N., O. Alegbeleye, J., N. Ogu, R. and A. Uzoigwe, S. (2017) “Is Caesarean Delivery Safe? Experience from a Low Resource Setting”, Asian Journal of Medicine and Health, 3(2), (Web Link)

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