User:Mr. Ibrahem/Caesarean section

Template:Infobox medical intervention Caesarean section, also known as C-section, or caesarean delivery, is the use of surgery to deliver babies.[1] A caesarean section is often necessary when a vaginal delivery would put the baby or mother at risk.[1] Reasons for this may include obstructed labor, twin pregnancy, high blood pressure in the mother, breech birth, or problems with the placenta or umbilical cord.[1][2] A caesarean delivery may be performed based upon the shape of the mother's pelvis or history of a previous C-section.[1][2] A trial of vaginal birth after C-section may be possible.[1] The World Health Organization recommends that caesarean section be performed only when medically necessary.[2][3] Some C-sections are performed without a medical reason, upon request by someone, usually the mother.[1]

A C-section typically takes 45 minutes to an hour.[1] It may be done with a spinal block, where the woman is awake, or under general anesthesia.[1] A urinary catheter is used to drain the bladder, and the skin of the abdomen is then cleaned with an antiseptic.[1] An incision of about 15 cm (6 inches) is then typically made through the mother's lower abdomen.[1] The uterus is then opened with a second incision and the baby delivered.[1] The incisions are then stitched closed.[1] A woman can typically begin breastfeeding as soon as she is out of the operating room and awake.[4] Often, several days are required in the hospital to recover sufficiently to return home.[1]

C-sections result in a small overall increase in poor outcomes in low-risk pregnancies.[2] They also typically take longer to heal from, about six weeks, than vaginal birth.[1] The increased risks include breathing problems in the baby and amniotic fluid embolism and postpartum bleeding in the mother.[2] Established guidelines recommend that caesarean sections not be used before 39 weeks of pregnancy without a medical reason.[5] The method of delivery does not appear to have an effect on subsequent sexual function.[6]

In 2012, about 23 million C-sections were done globally.[7] The international healthcare community has previously considered the rate of 10% and 15% to be ideal for caesarean sections.[3] Some evidence finds a higher rate of 19% may result in better outcomes.[7] More than 45 countries globally have C-section rates less than 7.5%, while more than 50 have rates greater than 27%.[7] Efforts are being made to both improve access to and reduce the use of C-section.[7] In the United States as of 2017, about 32% of deliveries are by C-section.[8] The surgery has been performed at least as far back as 715 BC following the death of the mother, with the baby occasionally surviving.[9] Descriptions of mothers surviving date back to 1500.[9] With the introduction of antiseptics and anesthetics in the 19th century, survival of both the mother and baby became common.[9]

References

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  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 "Pregnancy Labor and Birth". Office on Women’s Health, U.S. Department of Health and Human Services. 1 February 2017. Archived from the original on 28 July 2017. Retrieved 15 July 2017.  This article incorporates text from this source, which is in the public domain.
  2. 2.0 2.1 2.2 2.3 2.4 "Safe Prevention of the Primary Cesarean Delivery". American Congress of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine. March 2014. Archived from the original on 2 March 2014. Retrieved 20 February 2014.
  3. 3.0 3.1 "WHO Statement on Caesarean Section Rates" (PDF). 2015. Archived (PDF) from the original on 1 May 2015. Retrieved 6 May 2015.
  4. Lauwers, Judith; Swisher, Anna (2010). Counseling the Nursing Mother: A Lactation Consultant's Guide. Jones & Bartlett Publishers. p. 274. ISBN 9781449619480. Archived from the original on 11 September 2017.
  5. American Congress of Obstetricians and Gynecologists, "Five Things Physicians and Patients Should Question", Choosing Wisely: an initiative of the ABIM Foundation, American Congress of Obstetricians and Gynecologists, archived from the original on 1 September 2013, retrieved 1 August 2013
  6. Yeniel, AO; Petri, E (January 2014). "Pregnancy, childbirth, and sexual function: perceptions and facts". International Urogynecology Journal. 25 (1): 5–14. doi:10.1007/s00192-013-2118-7. PMID 23812577.
  7. 7.0 7.1 7.2 7.3 Molina, G; Weiser, TG; Lipsitz, SR; Esquivel, MM; Uribe-Leitz, T; Azad, T; Shah, N; Semrau, K; Berry, WR; Gawande, AA; Haynes, AB (1 December 2015). "Relationship Between Cesarean Delivery Rate and Maternal and Neonatal Mortality". JAMA. 314 (21): 2263–70. doi:10.1001/jama.2015.15553. PMID 26624825.
  8. "Births: Provisional Data for 2017" (PDF). CDC. May 2018. Archived (PDF) from the original on 17 May 2018. Retrieved 18 May 2018.
  9. 9.0 9.1 9.2 Moore, Michele C.; Costa, Caroline M. de (2004). Cesarean Section: Understanding and Celebrating Your Baby's Birth. JHU Press. p. Chapter 2. ISBN 9780801881336. Archived from the original on 27 July 2020. Retrieved 29 July 2020.