Maternal-choice caesarean section versus planned vaginal birth in low-risk primigravid women.
Stephen J RobsonCaroline de CostaCindy WoodsPauline DingAjay RanePublished in: The Australian & New Zealand journal of obstetrics & gynaecology (2018)
Rising rates of caesarean section (CS) have been attributed, in part, to maternal-choice CS (MCCS). There are few published data regarding maternal and perinatal risks comparing MCCS with planned vaginal birth (VB) in uncomplicated first pregnancies to inform choice. We report the results of a pragmatic patient-preference cohort study of private patients in Australia: 64 women planning MCCS and 113 women planning VB. There were few differences in outcome between the two groups. The study highlighted the well-recognised difficulties in undertaking prospective research into MCCS.
Keyphrases
- pregnancy outcomes
- pregnant women
- birth weight
- gestational age
- polycystic ovary syndrome
- end stage renal disease
- chronic kidney disease
- healthcare
- ejection fraction
- newly diagnosed
- case report
- type diabetes
- prognostic factors
- decision making
- clinical trial
- preterm birth
- insulin resistance
- randomized controlled trial
- risk assessment
- weight gain
- breast cancer risk
- health insurance
- double blind