Incidence of second-stage (fully dilated) cesarean sections and how best to represent it: A multicenter analysis
| Autor: | Asad Rahim, Gareth Lock, Christina Cotzias |
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| Rok vydání: | 2021 |
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Alternative methods
medicine.medical_specialty Obstetrics business.industry Vaginal delivery Singleton Vaginal birth Cesarean Section Incidence (epidemiology) Incidence Obstetrics and Gynecology General Medicine Delivery Obstetric Elective Surgical Procedures Pregnancy Epidemiology medicine Humans Observational study Female Stage (cooking) business reproductive and urinary physiology Retrospective Studies |
| Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and ObstetricsREFERENCES. 156(1) |
| ISSN: | 1879-3479 |
| Popis: | Objective To gather multicenter data on the incidence of second-stage cesarean sections and suggest alternative methods by which the data can be represented. Methods Retrospective, observational study over a 12-month study period. Numbers of term, singleton live births were collated from each of six maternity units. Data were separated by mode of delivery-unassisted vaginal birth, assisted (instrumental) vaginal delivery and elective, first-stage, and second-stage cesarean sections. Second-stage cesarean sections were expressed as a proportion of all deliveries, of all laboring women (i.e. excluding elective cesarean sections), and all women who reach full dilatation (i.e. excluding elective and first-stage cesarean sections). Results Of the 28 867 deliveries included in the analysis, 493 of these were second-stage cesarean sections. This represented an incidence of 1.7% of all deliveries, 2.0% of all women in labor, and 2.5% of all women who reach full dilatation. Conclusion Second-stage cesarean sections continue to be common. Safe delivery of a deeply impacted fetal vertex is essential in modern obstetric practice. |
| Databáze: | OpenAIRE |
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