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UC San Diego Health joins national research for maternal-fetal care

The University of California San Diego School of Medicine and UC San Diego Health are now part of the NICHD Maternal-Fetal Care Network, expanding access to research on pregnancy and newborn health. Clinical trials will focus on maternal mortality, prematurity birth rates, and infant mortality rates.

Caesarean sections for sale

A systematic review of 12 million births in 25 European countries found that private hospitals have a significantly higher caesarean section rate than public hospitals. Among low-risk first-time mothers, the increase in caesarean sections is attributed to non-medical factors such as local routines and financial incentives.

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Sexual minority individuals face higher cesarean risks

A new study from Columbia University's Mailman School of Public Health found that sexual minority individuals have a 7% higher odds of primary Cesarean birth compared to completely heterosexual participants. Disparities were especially pronounced when labor was induced, raising concerns about potential provider bias and unequal interve...

Pain during a C-section? New study challenges fears about general anesthesia

Research from the University of Pennsylvania School of Medicine finds that general anesthesia may be a suitable option for women undergoing C-sections, offering them more control over their delivery experience. The study analyzed 30 years' worth of data and found small differences in newborn health between babies born under general ane...

Study highlights risks of Caesarean births to future pregnancies

Researchers found that women who had Caesareans during advanced labor are eight times more likely to develop scars near or within the cervix, increasing the risk of premature births. The study also discovered that scars lower down the womb heal less well than those higher up.

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Severe maternal morbidity by race and ethnicity and birth mode

A cross-sectional study found elevated rates of severe maternal morbidity among marginalized racial and ethnic groups with planned cesarean births. The study emphasizes the need for interventions to improve quality of care and promote equity for this population.

Fatty liver in pregnancy may increase risk of preterm birth

Pregnant women with fatty liver disease are at an increased risk of giving birth prematurely, with a threefold higher risk compared to the general population. The study also found that women with fatty liver disease had a 63% higher risk of caesarean section.

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Better nurse staffing linked to fewer C-sections

Research suggests that labor and delivery units with adequate nurse staffing have lower cesarean birth rates and higher vaginal birth rates. Hospitals aligned with national standards for nurse staffing saw a 11% decrease in C-sections, indicating improved maternal outcomes.

Cesarean sections during labor appear associated with recurrent preterm birth and mid-trimester loss in subsequent pregnancies, and cervical damage may be an underlying mechanism, suggest the authors of a new Perspective article

A new study suggests that cesarean sections performed during labor are associated with an increased risk of recurrent preterm birth and mid-trimester loss in subsequent pregnancies. Cervical damage may be the underlying mechanism for these findings, highlighting a growing clinical concern.

Birth by C-section more than doubles odds of measles vaccine failure

A study by the University of Cambridge and Fudan University found that children born by C-section are up to 2.6 times more likely to fail their first measles vaccination compared to those born naturally. Two doses of the vaccine are necessary for robust protection against measles.

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Noninvasive bioelectronic treatment of postcesarean pain

A randomized clinical trial found that high-frequency electrical stimulation device reduced opioid use and prescribed opioids after cesarean delivery, suggesting a potential adjunct to decrease opioid use without compromising pain control.

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Single dose of azithromycin reduces maternal sepsis or death

A new study found that a single oral dose of azithromycin reduced the risk of maternal sepsis or death by 33% in women who delivered vaginally. The results showed lower rates of specific maternal infections and fewer hospital readmissions after delivery.

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Vaginal birth may be safer for pregnant women with kidney and liver transplants

A new study found that pregnant women with kidney or liver transplants can safely undergo trial of labor without increased risk to themselves or their babies. In fact, vaginal births resulted in improved outcomes for the baby without compromising maternal health. Conversely, cesarean births were associated with higher risks of complica...

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Delivery method associated with pelvic floor disorders after childbirth

A decade-long study found that vaginal childbirth substantially increases the probability of developing pelvic floor disorders, such as urinary incontinence and uterine prolapse, later in life. The study also identified delivery modes associated with higher risk, including spontaneous vaginal delivery and operative vaginal delivery.

Cesarean birth and brain development

Researchers found that vaginal births reduce cell death in brain regions, while C-sections lead to increased ultrasonic vocalizations and altered hormone expression at weaning. Cesarean-born mice also had greater body weight.

Inducing labor can help prevent cesarean births

A new national study has found that inducing labor in first-time mothers at 39 weeks can lower respiratory problems and potentially decrease cesarean rates and hypertension. Researchers suggest discussing induction with healthcare providers to inform the decision, as it may lead to significant changes in pregnancy management.

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Indigenous group add to evidence tying cesarean birth to obesity

A Purdue University study of an indigenous group of Maya people reinforces the link between Cesarean births and obesity. The study found that mothers who have high BMI and had a cesarean are going to have the fattest children in the village, with differences in child sizes suggesting birth method plays a role in development.

Cesarean birth appears associated with higher risk of obesity in children

A study published in JAMA Pediatrics suggests that children born by cesarean delivery are at a higher risk of becoming obese compared to those born via vaginal birth. The research found a 15% increase in the risk of obesity in children after cesarean birth, with siblings born vaginally being 64% more likely to be obese.

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Yale researchers pinpoint reasons for dramatic rise in cesarean births

A recent Yale study examining the rise in cesarean births found that a significant proportion of the increase was due to slow progress in labor and fetal heart rate concerns. The researchers also discovered that suspected large infants, twin pregnancies, and preeclampsia contributed to the increase despite stable rates in the population.

Increased risks of planned cesarean births must be clearly conveyed

A study published in the Canadian Medical Association Journal found that women having a planned cesarean section are at a significantly higher risk of severe complications. The rate of severe complications was found to be 27.3 per 1000 deliveries for cesarean sections, compared to 9.0 per 1000 deliveries for vaginal deliveries.

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Elective cesarean sections

The Canadian Medical Association Journal explores the trend of elective cesarean sections, highlighting concerns about comparing vaginal birth to planned cesarean delivery. Hannah argues that only a comparison of planned vaginal and planned cesarean births can determine which carries greater risk to mother and baby.