56: Elective Cesarean Delivery

Dr. Bergoy walks us through the risks and benefits of elective cesarean delivery.

neonatal and maternal mortality

• https://www.acog.org/Clinical-Guidance-and-Publications/Obstetric-Care-Consensus-Series/Safe-Prevention-of-the-Primary-Cesarean-Delivery

  1. https://www.ncbi.nlm.nih.gov/pubmed/?term=24631705%5Buid%5D

  2. https://www.uptodate.com/contents/cesarean-delivery-on-maternal-request?search=cesarean%20section%20complications&source=search_result&selectedTitle=6~150&usage_type=default&display_rank=6#H16

• Primary cs vs trial of labor

• Visco et al’s reviewhttps://www.ncbi.nlm.nih.gov/pubmed/?term=visco+cesarean+delivery+on+maternal+request+obstetrics+and+gynecology+2006

  1. Declercq et al’s studyhttps://www.ncbi.nlm.nih.gov/pubmed/?term=Declercq+et+al%2C+green+journal%2C+109(3)%2C+2007+%C2%ABMaternal+Outcomes+Associated+With+Planned+Primary+Cesarean+Births+Compared+With+Planned+Vaginal+Births%C2%BB

  2. Allen et alhttps://www.ncbi.nlm.nih.gov/pubmed/16880297

  3. Liu et al, AJOG, vol 212 issue 6 2015. “Cesarean delivery on maternal request in China: what are the risks and benefits?”https://www.ncbi.nlm.nih.gov/pubmed/?term=25640048

  4. Liu et al, CMAJ, vol 176, issue 4 2007 “Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term”https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1800583/

• TOLAC vs secondary elective cesarean

• Guise et al, Obstet gynecol, june 2010 vol 115, no 6, “Vaginal birth after cesarean: new insights on maternal and neonatal outcomes.”https://www.ncbi.nlm.nih.gov/pubmed/?term=20502300

  1. Crowther et al, PLoS med, 2012, 9(3). «Planned Vaginal Birth or Elective Repeat Caesarean: Patient Preference Restricted Cohort with Nested Randomised Trial«

• RDS

• Hansen et al BMJ 2008 “Risk of respiratory morbidity in term infants delivered by elective caesarean section: cohort study”https://www.bmj.com/content/336/7635/85

• Long term complications

• Marshall et al «Impact of multiple cesarean deliveries on maternal morbidity: a systematic review» Am J Obstet Gynecol
  2011;205:262.e1-8.https://www.ncbi.nlm.nih.gov/pubmed/22071057

  1. Keag et al systematic review and metaanalysis of long term risks and benefits of cs vs vag delivery for mother and child from jan 18 in PLoS medhttps://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002494

  2. editorial in the green journal from 2011 on the evidence of CS as protective of pelvic floor damagehttps://www.ncbi.nlm.nih.gov/pubmed/21934440

• composite outcomes

• Freemantle et al Jama 2003https://jamanetwork.com/journals/jama/fullarticle/196588

  1. Cordoba et al BMJ 2010https://www.bmj.com/content/341/bmj.c3920

• Various

• An article on how to counsel a patient on risks and benefits woth cesarean on maternal request from Jama 2013https://jamanetwork.com/journals/jama/fullarticle/1685873

  1. NNThttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4524406/