What is it about?

This study from a hospital in Kenya explores the increasing trend of caesarean deliveries, specifically focusing on the risks associated with second-stage caesareans. Second-stage caesareans occur later in labour and may be riskier due to the baby's position in the mother's pelvis and the manoeuvres required for delivery. The study aimed to understand how these later-stage caesarean deliveries compare to earlier ones regarding safety for both mother and baby. The study found that second-stage caesarean deliveries were less common but significantly riskier. Mothers were more likely to experience complications like surgical injuries, excessive bleeding, and longer hospital stays. Babies born through second-stage caesareans also faced more challenges, including lower health scores shortly after birth, higher needs for intensive newborn care, and an increased risk of death of the baby.

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Why is it important?

This study sheds light on the specific risks associated with the timing of caesarean deliveries, a topic of growing importance as caesarean rates continue to rise globally. By comparing the outcomes of caesareans performed in the first versus the second stage of labour, the study provides valuable insights that can guide doctors and policymakers in making informed decisions to enhance the safety and well-being of mothers and their babies. Increasing awareness of the specific risks associated with late-stage caesarean deliveries can also lead to better planning, resource allocation, and, ultimately, safer childbirth practices.

Read the Original

This page is a summary of: Comparing adverse maternal and perinatal outcomes in primary caesarean delivery during first versus second-stage of labour in Kenya: An institution-based cohort study, PLoS ONE, November 2023, PLOS,
DOI: 10.1371/journal.pone.0294266.
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