Articles: mode-of-delivery.
-
Childbirth has a significant impact on maternal health, and the high rate of cesarean delivery is a global health concern. Few studies have used validated measures to explore depression, pain, and sexual dysfunction following vaginal or cesarean delivery over a prolonged time period. ⋯ Cesarean delivery was associated with an increased prevalence of depressive symptoms at 3 months and higher pain levels that persisted at 6 months postpartum in Taiwan. We found no difference in sexual function between vaginal and cesarean delivery after 6 weeks postpartum, and no differences in the trends related to depressive symptoms or in sexual functioning (except for desire) within 1 year postpartum.
-
Am. J. Obstet. Gynecol. · Aug 2015
Mode of delivery of twin gestation with very low birthweight: is vaginal delivery safe?
The purpose of this study was to determine whether planned vaginal delivery is associated with increased risk of perinatal death and morbidity in twin pregnancies that are complicated by a very low birthweight of the second twin. ⋯ Vaginal delivery of very low birthweight twins is associated with an increased risk of intraventricular hemorrhage, regardless of presentation. Because of the small sample size and the retrospective cohort design, large prospective randomized studies are needed.
-
Pediatr Allergy Immunol · Jun 2015
Mode of delivery and childhood fractional exhaled nitric oxide, interrupter resistance and asthma: the Generation R study.
Previous studies suggest that caesarean section may influence the risk of childhood asthma. We examined the associations of different modes of delivery with childhood wheezing patterns, asthma, fractional exhaled nitric oxide (FeNO) and airway interrupter resistance (Rint) up to school age. ⋯ Both elective and emergency caesarean sections are associated with increased risks of early and persistent wheezing up to school age. This might be explained by increased airway inflammation reflected by higher FeNO levels.
-
Randomized Controlled Trial Multicenter Study Comparative Study
Routine labour epidural analgesia versus labour analgesia on request: a randomised non-inferiority trial.
To assess the effect on mode of delivery of the routine use of labour epidural analgesia (EA) compared with analgesia on request. ⋯ Non-inferiority of routine EA could not be demonstrated in this trial. Routine EA use is likely to lead to more operative deliveries and more maternal adverse effects. The results of our study do not justify routine use of EA.
-
Am. J. Obstet. Gynecol. · Feb 2015
Mode of delivery and postpartum depression: the role of patient preferences.
The purpose of this study was to explore the relationship between strength of preference for vaginal delivery, delivery mode undergone, and postpartum depression. ⋯ Women who have a strong antepartum preference for vaginal delivery and deliver by cesarean may be at increased risk for depression in the early postpartum period.