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Cesarean Delivery Upon Request in Pregnancies Following Vaginal Delivery: A Nationwide Study.
J Korean Med Sci
December 2024
Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
Article Synopsis
- The study investigates the rising cesarean delivery (CD) rates and reasons why some mothers opt for CD in subsequent pregnancies after a vaginal delivery (VD).
- The research analyzed data from over 372,000 women who had a VD in their first pregnancy and assessed factors influencing the choice for CD, focusing on those without medical contraindications.
- Key factors linked to the decision to request a CD included older maternal age, shorter intervals between pregnancies, and prior complications such as hypertension and gestational diabetes.
Automating Racism: Is Use of the Vaginal Birth After Cesarean Calculator Associated with Inequity in Perinatal Service Delivery?
J Racial Ethn Health Disparities
December 2024
Department of Anthropology, History and Social Medicine, University of California, San Francisco, USA.
Objective: The clinical application of race-adjusted algorithms may perpetuate health inequities. We assessed the impact of the vaginal birth after cesarean (VBAC) calculator, which was revised in 2021 to address concerns about equity. The original algorithm factored race and ethnicity and gave lower VBAC probabilities to Black and Hispanic patients.
View Article and Find Full Text PDFEvaluate the effectiveness of using non-pharmacological intervention during childbirth: an improvement project in Jordanian maternity hospitals.
BMC Womens Health
November 2024
Director of Nursing, Hamad Medical Corporation, Doha, Qatar.
Background: Unnecessary childbirth interventions are still common in most hospitals in Jordan. Despite the recommendations from the WHO that unnecessary interventions during childbirth should be avoided, these interventions are still used. Non-pharmacological pain management interventions are considered a convenient alternative to unnecessary childbirth interventions because they can prevent unsafe side effects for mothers during childbirth.
View Article and Find Full Text PDFBarriers and facilitators of choosing a vaginal birth after cesarean: A mixed-methods systematic review.
Int J Nurs Stud
January 2025
School of Nursing, Lanzhou University, Gansu Province 730011, China. Electronic address:
Article Synopsis
- - The text discusses the benefits of vaginal birth after cesarean (VBAC), including reduced cesarean rates, better breastfeeding rates, shorter recovery times, and lower hospitalization durations, yet notes that the practice remains underutilized in many places.
- - It aims to analyze the barriers and facilitators influencing decision-making regarding VBAC through a mixed-methods systematic review of studies from various countries, focusing on individual, interpersonal, and healthcare system factors.
- - The review included 55 studies published from 2002 to 2024, assessing the quality of the research as moderate to high and categorizing the influencing factors into four main areas with nine subcategories, highlighting the complexity of decisions surrounding VBAC.
Analysis of risk factors for postpartum depression after cesarean section in women with early-onset preeclampsia.
World J Psychiatry
October 2024
Department of Anesthesiology, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei Province, China.
Article Synopsis
- Early-onset preeclampsia raises health risks for both mothers and babies, leading many to opt for cesarean sections; however, there's limited research on postpartum depression (PPD) following these procedures in affected women.
- The study analyzed data from 287 women who had cesarean sections due to early-onset preeclampsia, assessing them at several points during and after pregnancy to identify PPD prevalence and its risk factors.
- Findings showed a PPD prevalence of 20.9% in this group, with significant risk factors including advanced maternal age, previous instances of preeclampsia, obesity, gestational diabetes, existing hypertension, early postpartum depression symptoms, high anxiety scores, and pain experienced at
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