Caesarean section without medical indications is associated with an increased risk of adverse short-term maternal outcomes
have a look at the following article
but why should it be in a neurointervention blog?
because we all are physicians and human and i am a to be father
and because unwanted caesareans are rampant and kill mothers and babies and put strain over the economy
we must detest theses so called advancements
The article
Caesarean section without medical indications is associated with an increased
risk of adverse short-term maternal outcomes: the 2004-2008 WHO Global
Survey on Maternal and Perinatal Health
BMC Medicine 2010, 8:71 doi:10.1186/1741-7015-8-71
Joao P Souza (souzaj@who.int)
Ahmet M Gulmezoglu (gulmezoglum@who.int)
Pisake Lumbiganon (pisake@kku.ac.th)
Malinee Laopaiboon (laopaiboonmalinee@yahoo.co.uk)
Guillermo Carroli (gcarroli@crep.com.ar)
Bukola Fawole (fawoleo@yahoo.co.uk)
P Ruyan (pangruyan@yahoo.com)Abstract
Background
There is worldwide debate about the appropriateness of caesarean sections
performed without medical indications. In this analysis, we aim to further
investigate the relationship between caesarean section without medical indication
and severe maternal outcomes.
Methods
This is a multicountry, facility-based survey that used a stratified multistage cluster
sampling design to obtain a sample of countries and health institutions worldwide.
A total of 24 countries and 373 health facilities participated in this study. Data
collection took place during 2004 and 2005 in Africa and the Americas and during
2007 and 2008 in Asia. All women giving birth at the facility during the study period
were included and had their medical records reviewed before discharge from the
hospital. Univariate and multilevel analysis were performed to study the
association between each group’s mode of delivery and the severe maternal and
perinatal outcome.
Results
A total of 286,565 deliveries were analysed. The overall caesarean section rate
was 25.7% and a total of 1.0 percent of all deliveries were caesarean sections
without medical indications, either due to maternal request or in the absence of
other recorded indications. Compared to spontaneous vaginal delivery, all other
modes of delivery presented an association with the increased risk of death,
admission to ICU, blood transfusion and hysterectomy, including antepartum
caesarean section without medical indications (Adjusted Odds Ratio (Adj OR),
5.93, 95% Confidence Interval (95% CI), 3.88 to 9.05) and intrapartum caesarean
section without medical indications (Adj OR, 14.29, 95% CI, 10.91 to 18.72). In
addition, this association is stronger in Africa, compared to Asia and Latin America.
Conclusions
Caesarean sections were associated with an intrinsic risk of increased severe
maternal outcomes. We conclude that caesarean sections should be performed
when a clear benefit is anticipated, a benefit that might compensate for the higher
costs and additional risks associated with this operation.
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