Birth - Caesarean Delivery: Difference between revisions
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'''Links:''' [http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=7584&nbr=4454 USA Guideline (2005)] | [http://consensus.nih.gov/2010/vbacstatement.htm NIH Consensus - Vaginal Birth After Cesarean (2010)] | '''Links:''' [http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=7584&nbr=4454 USA Guideline (2005)] | [http://consensus.nih.gov/2010/vbacstatement.htm NIH Consensus - Vaginal Birth After Cesarean (2010)] | ||
==Caesarean Classification== | |||
There is no standard classification system for caesarean delivery, with at least 27 classifications identified.<ref name=PMID21283801><pubmed>21283801</pubmed>| [http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0014566 PLoS One.]</ref> Recent studies of data from several countries<ref name=PMID24892928><pubmed>24892928</pubmed>| [http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0097769 PLoS One.]</ref> suggests that the 10 group classification system (Robson Classification), or a modification of this system, may be the current best applied system. | |||
===Robson Classification === | |||
The Robson's classification (10 group classification) is based on several simple obstetrical parameters; parity, previous CS, gestational age, onset of labour, fetal presentation and the number of fetuses. | |||
:'''Links:''' [http://www.who.int/reproductivehealth/topics/maternal_perinatal/robson-classification/en WHO Robson Classification] | |||
==References== | ==References== |
Revision as of 08:38, 19 June 2014
Introduction
The term "caesarean" comes from the historic description of Julius Ceasar's birth, though probably ficticious as his mother Aurelia survived his birth. The procedure involves surgically cutting skin, abdominal wall and uterus to allow abdominal delivery.
The rate of caesarean delivery compared to normal vaginal birth is variable between countries (12-25%, 20% of all births in Australia) and increasing, particularly in older women. There are a number of different explanations as to why this is occuring, including maternal or fetal complications of either development or delivery.
Importantly this is a maternal surgical procedure which requires time for recovery and there are several studies that have looked also into the effects of caesarean delivery on potential future normal vaginal births.
Please note the UK/Australian "Caesarean" versus USA "Cesarean" spelling differences. Clinically, cesarean section may also be abbreviated to c-section or C/S.
Video Webcast: Hartford Hospital Cesarean Childbirth (September 23rd, 2005)
Some Recent Findings
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More recent papers |
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This table allows an automated computer search of the external PubMed database using the listed "Search term" text link.
More? References | Discussion Page | Journal Searches | 2019 References | 2020 References Search term: Caesarean Birth <pubmed limit=5>Caesarean Birth</pubmed> |
USA Caesarean Rate by Gestational Age
Trial of Labor
Trial of Labor (TOL) or trial of labor after cesarean (TOLAC) is a term used in relation to the offer for a normal vaginal delivery after a previous cesarean delivery. The resulting birth is described as vaginal birth after cesarean (VBAC), in recent years this option has been decreasing while the general caesarian rate increases.
Positive Factors
(increased likelihood of successful VBAC)
- Maternal age <40 years
- Prior vaginal delivery (particularly prior successful VBAC)
- Favorable cervical factors
- Presence of spontaneous labor
- Nonrecurrent indication that was present for prior cesarean delivery
Negative Factors
(decreased likelihood of successful VBAC)
- Increased number of prior cesarean deliveries
- Gestational age >40 weeks
- Birth weight >4,000 g
- Induction or augmentation of labor
Links: USA Guideline (2005) | NIH Consensus - Vaginal Birth After Cesarean (2010)
Caesarean Classification
There is no standard classification system for caesarean delivery, with at least 27 classifications identified.[7] Recent studies of data from several countries[8] suggests that the 10 group classification system (Robson Classification), or a modification of this system, may be the current best applied system.
Robson Classification
The Robson's classification (10 group classification) is based on several simple obstetrical parameters; parity, previous CS, gestational age, onset of labour, fetal presentation and the number of fetuses.
- Links: WHO Robson Classification
References
Books
Walsh WF, Chescheir NC, Gillam-Krakauer M, et al. Maternal-Fetal Surgical Procedures [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011 Apr. (Comparative Effectiveness Technical Briefs, No. 5.) Bookshelf
Reviews
<pubmed>14974041</pubmed>
- Journal of American Medical Association JAMA Patient Page: Cesarean Delivery (USA) - one page Caesarean delivery information sheet (PDF)
- electronic Med J Aust Caesarean section: a matter of choice? by de Costa, C.M. MJA 1999; 170: 572-573
Articles
<pubmed></pubmed> <pubmed></pubmed> <pubmed>19874628</pubmed>
Search PubMed
Search Pubmed: Caesarean Delivery | Cesarean Delivery
External Links
External Links Notice - The dynamic nature of the internet may mean that some of these listed links may no longer function. If the link no longer works search the web with the link text or name. Links to any external commercial sites are provided for information purposes only and should never be considered an endorsement. UNSW Embryology is provided as an educational resource with no clinical information or commercial affiliation.
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Cite this page: Hill, M.A. (2024, May 4) Embryology Birth - Caesarean Delivery. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Birth_-_Caesarean_Delivery
- © Dr Mark Hill 2024, UNSW Embryology ISBN: 978 0 7334 2609 4 - UNSW CRICOS Provider Code No. 00098G