Mode of childbirth following cesarean section: Informing women's decision-making

March 27, 2012, Public Library of Science

In this week's PLoS Medicine, the PLoS Medicine editors discuss new research studies on the risks associated with mode of childbirth following caesarean section.

In the first, Caroline Crowther and colleagues found that the risks of very severe outcomes—such as fetal or infant death—were lower among women who planned a repeat than among women who planned a vaginal birth. In the second, Kathryn Fitzpatrick and colleagues showed that the risk of uterine rupture is higher among women who have had two or more previous caesarean sections, and if the time period since the last caesarean section is less than 12 months.

The editors comment: "The bigger issue raised by these findings relates to how clinicians and women can work together to make the best possible decision when so many questions remain unanswered…Together, these findings highlight the importance of pragmatic research studies, with the overall goal of improving care for future generations of mothers and babies."

Explore further: Uterine rupture is rare in the UK but increases with the number of previous cesarean deliveries

More information: The PLoS Medicine Editors (2012) New Research on Childbirth Has the Potential to Empower Women's Decision Making, but More Is Needed. PLoS Med 9(3): e1001197. doi:10.1371/journal.pmed.1001197

Related Stories

Uterine rupture is rare in the UK but increases with the number of previous cesarean deliveries

March 13, 2012
An analysis of the UK Obstetric Surveillance System published in this week's PLoS Medicine shows that uterine rupture—a serious complication of pregnancy in which the wall of the uterus (womb) tears during pregnancy ...

Reduced baby risk from another cesarean

March 13, 2012
A major study led by the University of Adelaide has found that women who have had one prior cesarean can lower the risk of death and serious complications for their next baby - and themselves - by electing to have another ...

Local efforts can stem the increasing unnecessary cesarean sections

July 26, 2011
Caesarean section rates are steadily increasing globally. Requiring two doctors to agree that a Caesarean section is the best way to deliver a baby, rather than just needing one opinion, providing internal feedback to doctors ...

QCMB research examines the myths behind Queensland’s rising caesarean rates

January 18, 2012
Researchers from UQ's Queensland Centre for Mothers & Babies have explored the reasons for the rising rates of caesarean sections in Queensland.

Recommended for you

Study shows how fetal infections may cause adult heart disease

January 23, 2018
Recent studies have shown that infants born prematurely have a higher risk of developing heart disease later in life. Now, a study led by researchers at the University of Washington School of Medicine in Seattle shows that, ...

Rise in preterm births linked to clinical intervention

January 18, 2018
Research at the University of Adelaide shows preterm births in South Australia have increased by 40 percent over 28 years and early intervention by medical professionals has resulted in the majority of the increase.

New report calls into question effectiveness of pregnancy anti-nausea drug

January 17, 2018
Previously unpublished information from the clinical trial that the U.S. Food and Drug Administration relied on to approve the most commonly prescribed medicine for nausea in pregnancy indicates the drug is not effective, ...

New study finds 'baby brain' is real, but the cause remains mysterious

January 15, 2018
So-called "baby brain" refers to increased forgetfulness, inattention, and mental "fogginess" reported by four out of five pregnant women. These changes in brain function during pregnancy have long been recognised in midwifery ...

Sleep quality improves with help of incontinence drug

January 12, 2018
A drug used to curtail episodes of urinary incontinence in women also improves quality of sleep, a researcher at the Stanford University School of Medicine reports.

Frozen embryos result in just as many live births in IVF

January 10, 2018
Freezing and subsequent transfer of embryos gives infertile couples just as much of a chance of having a child as using fresh embryos for in vitro fertilization (IVF), research from Ho Chi Minh City, Vietnam, and Adelaide, ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.