Short- and Long-term Outcomes after Cesarean Section

Rosalie M Grivell; Jodie M Dodd

Disclosures

Expert Rev of Obstet Gynecol. 2011;6(2):205-215. 

In This Article

Expert Commentary

Cesarean section is common and rates are increasing over time in all developed and many developing countries. The increasing rates are likely to be due to a number of factors, including advanced maternal age, maternal obesity, multiple pregnancy, IOL and preferences and care practices around labor and birth, particularly in relation to VBAC. Some of these influences may be potentially amenable to intervention either prior to or during pregnancy. Other factors, including advanced maternal age at time of first birth and maternal obesity, require a more public health and societal approach to facilitate widespread education and health change. Adverse health outcomes after CS birth are well documented for a woman and her infant and include operative complications, severe maternal morbidity, infant respiratory complications and adverse outcomes in a subsequent pregnancy. Future research efforts should focus on modifiable risk factors for CS birth, including maternal obesity and IOL. Reducing the primary CS rate with a focus on risk factors would reduce the number of women faced with pregnancy complications in a subsequent pregnancy. Women and their caregivers should be adequately informed about the risks of VBAC in a prior pregnancy. Care around CS birth and VBAC should be evidence based and aim to prevent further maternal morbidity.

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