ibusinesslines.com November 14, 2018

Cesarean Births Nearly Doubled Globally Since 2000

15 October 2018, 05:53 | Melissa Porter

Surgery in progress. /COURTESY

Surgery in progress. /COURTESY

Based on data from the World Health Organization (WHO) and UNICEF, researchers found that the global use of c-section increased by 3.7 percent per year, with North America, Latin America, the Caribbean, and Western Europe overusing the procedure. That translates to 16 million of the 132 million live births in 2000 and 30 million of the 141 million live births in 2015. They said that while 10-15% of live births require C-section, most countries exceed this level.

This trend seems to be driven, at least in part, by higher-income women and those in urban areas, who may elect for C-sections because they fear labor pain, sexual dysfunction or incontinence related to vaginal birth, the authors write.

In Brazil, Egypt and Turkey, more than half of all births are done via C-section.

The nation with the highest rate for using the surgery to assist childbirth is the Dominican Republic with 58.1%.

But in close to a quarter of nations surveyed, caesarean section use is significantly lower than average.

Authors pointed out that while the procedure is generally over-used in many middle- and high-income settings, women in low-income situations often lack necessarily access to what can be a life-saving procedure.

In the article, the World Congress of Gynecology and Obstetrics in Brazil puts forward several hypotheses as to the reasons for this "epidemic", including a decline in the competence of the medical profession to accompany a potentially hard childbirth by natural means, the comfort of scheduling day births, and more attractive rates for doctors and clinics in case of caesarean section.

Dr Jane Sandall, professor of social science and women's health at King's College London and a study author, said there were a variety of reasons for women increasingly opting for surgery.

"Globally, drivers for the increasing rates vary between countries and include a lack of midwives to prevent and detect problems, loss of medical skills to confidently and competently attend a [potentially difficult] vaginal delivery, as well as medico-legal issues".

The reproduction of the story/photograph in any form will be liable for legal action.

But experts also warn that the increase in C-sections needs to come alongside a greater awareness of the health risks that accompany the procedure.

It also identified an emerging gap between wealthy and poorer regions within the same country.

While the U.S. saw more than a quarter of all births performed by C-section, some states used the procedure more than twice as often as others.

"In cases where complications do occur, c-sections save lives, and we must increase accessibility in poorer regions, making c-sections universally available", says Temmerman, "but we should not overuse them".

C-section is a type of major surgery, which carries risks that require careful consideration.

Nearly 30 million C-sections were performed globally in 2015, accounting for 21% of all live births, according to World Health Organization and UNICEF data published Thursday in the Lancet.

The procedure scars the womb, which can lead to bleeding, ectopic pregnancies, as well as stillbirths and premature future births. The procedure is 1.6 times more likely to take place in a private institution rather than a public one, perhaps due to persistent shortages of staff and facilities in rural and vulnerable regions.

It has also become "fashionable" and considered "modern" or safer to have a C-section in some countries, the research said.

In a comment accompanying the study, Gerard Visser of the University Medical Centre in the Netherlands, called the rise in C-sections 'alarming'.

"The medical profession on its own can not reverse this trend".

Other News

Trending Now

West Virginia Tourism partners with Bethesda for release of 'Fallout 76'
Let's start with one of our favorite PC Fallout 4 mods that quickly made it over to console. Participants will be under an NDA, and your progress in the stress test won't be saved.

Samsung unveils Galaxy A9 with 4-rear camera, in India next month
The Galaxy A9 will be available in the United Kingdom from November, at Samsung .com/uk (RRP Ã, Ã, £549), and selected partners. As we said, the technology is developing day by day, so people interested of it do not mind spreading rumors and leaks about it.

Tom Thibodeau Goes Off on Media Regarding Jimmy Butler Rumors
As the Minnesota Timberwolves/Jimmy Butler Reality TV Hostage Tour ground through Day 19 Friday, the collateral damage mounted. "I thought it was a normal practice, but it was new for guys who haven't spent as long playing with Butler", Gibson said.

White House: More talks with Saudi crown prince
Cengiz and Khashoggi met at a conference in May, where they soon "became emotionally involved and chose to marry", she said. Khashoggi has been a prominent critic of Riyadh and a USA resident who has written columns for the Washington Post .

This is how Facebook Messenger's unsend feature looks and works
Deleting the message will remove the message from your end, but unsending will remove the message for both the parties. One should note, though, that the feature will only allow users to exercise the option within a limited time period.

Ariana Grande Has Reportedly Split From Pete Davidson & Called Off Their Engagement
Their engagement has been called off, and the former lovers have also made a decision to end their romantic relationship. A source gave more details to People magazine saying, "It was way too much too soon". "It's not shocking to anyone".

Alex Cora ejected for arguing bad strike call on Benintendi
He slammed down his helmet and bat down and jawed with plate umpire James Hoye before Red Sox coaches ran in to get between them. This came after the offense scored two runs to tie the game at two in the frame against Justin Verlander .