Delivery after a previous cesarean section reviewed

Article Obstetrics & Gynecology

Timing of cesarean delivery in women with ≥2 previous cesarean deliveries

Shiri Shinar et al.

Summary: The study aimed to assess the risks for maternal and neonatal outcomes associated with elective delivery at different gestational ages ranging from 37 0/7 to 39 6/7 weeks among women with at least 2 previous cesarean deliveries. The results showed that elective delivery at 39 weeks was associated with decreased risk for adverse outcomes compared to expectant management.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2022)

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Article Public, Environmental & Occupational Health

Trends and projections of caesarean section rates: global and regional estimates

Ana Pilar Betran et al.

Summary: The global cesarean section rate has been steadily increasing since 1990, with projections showing continued rise by 2030. Southern Asia and sub-Saharan Africa are expected to face a complex scenario involving unmet need, overuse, resource drainage, and avoidable morbidity and mortality. Comprehensive action is needed to address this global priority in order to achieve Sustainable Development Goals.

BMJ GLOBAL HEALTH (2021)

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Article Medicine, General & Internal

Birth Volume and Geographic Distribution of US Hospitals With Obstetric Services From 2010 to 2018

Sara C. Handley et al.

Summary: This study found significant variations in birth volume, geographic distribution, proximity, and urban adjacency among US obstetric hospitals from 2010 to 2018. The findings related to geographic isolation and rural-urban distribution of low-volume obstetric hospitals suggest the need to balance proximity with volume to optimize effective referral and access to high-quality perinatal care.

JAMA NETWORK OPEN (2021)

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Article Medicine, General & Internal