Article
Obstetrics & Gynecology
Melissa Amyx, Marianne Philibert, Alex Farr, Serena Donati, Alexander K. Smarason, Vlad Tica, Petr Velebil, Sophie Alexander, Melanie Durox, Maria Fernandez Elorriaga, Guenther Heller, Theopisti Kyprianou, Ewa Mierzejewska, Ivan Verdenik, Irisa Zile-Velika, Jennifer Zeitlin
Summary: The study assessed changes in caesarean section (CS) rates in Europe from 2015 to 2019, and used the Robson Ten Group Classification System (TGCS) to evaluate the contribution of different obstetric populations to overall CS rates and trends. The findings showed that CS rates and trends varied among the 28 European countries. The TGCS analysis revealed that labour induction increased in most countries, while multiple pregnancies decreased. Countries with decreasing CS rates tended to see decreases across all TGCS groups, whereas countries with increasing rates tended to see increases in most groups. In countries with the greatest increase in CS rates, the absolute contribution of certain TGCS groups to the overall CS rate tended to increase.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Obstetrics & Gynecology
J. Zeitlin, M. Durox, A. Macfarlane, S. Alexander, G. Heller, M. Loghi, J. Nijhuis, H. Sol Olafsdottir, E. Mierzejewska, M. Gissler, B. Blondel
Summary: This study evaluates the feasibility of deriving Robson's Ten-Group Classification System (TGCS) from routine data in Europe and its use in analyzing national caesarean rates. The findings suggest that using TGCS in Europe provides valuable comparator and baseline data. Countries with higher caesarean rates tended to have higher rates in all TGCS groups, indicating the importance of effective routine information systems in implementing evidence-based caesarean policies.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2021)
Article
Respiratory System
Gozde Gurdeniz, Madeleine Ernst, Daniela Rago, Min Kim, Julie Courraud, Jakob Stokholm, Klaus Bonnelykke, Anders Bjorkbom, Urvish Trivedi, Soren J. Sorensen, Susanne Brix, David Hougaard, Morten Rasmussen, Arieh S. Cohen, Hans Bisgaard, Bo Chawes
Summary: Cesarean section is related to newborn metabolomic profiles, gut microbiome data, and cord blood immunology, indicating an increased risk of childhood asthma.
EUROPEAN RESPIRATORY JOURNAL
(2022)
Article
Multidisciplinary Sciences
Charlotta Larsson, Elin Djuvfelt, Anna Lindam, Katarina Tunon, Par Nordin
Summary: Caesarean section is associated with an increased risk for complications such as bowel obstruction, incisional hernia, and abdominal pain. Factors such as smoking, obesity, and multiple previous caesarean deliveries significantly contribute to these risks. Preventing smoking and obesity in fertile women remains crucial for reducing complications post-cesarean section.
Article
Obstetrics & Gynecology
Ana Maria Palacios-Marques, Maria Asuncion Quijada-Cazorla, Josefa Marcos-Sanmartin, Alejandra Garcia-Villalba, Lucia Perez-Silvestre, Maria Dolores Jimenez-Martinez, Juan Carlos Martinez-Escoriza
Summary: This study aimed to implement the RTGCS to identify main contributors to CS rate and evaluate the impact of obstetrical interventions on reducing the rate. Results showed a significant decrease in CS rate in specific intervention groups post-implementation, with no effect on perinatal outcomes.
JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2021)
Article
Obstetrics & Gynecology
Grace E. Boyd, Jade Lodge, Christopher J. Flatley, Sailesh Kumar
Summary: The study found that caesarean delivery is more beneficial for periviable breech infants, especially those over 24 weeks gestation, in improving perinatal outcomes.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2021)
Article
Infectious Diseases
Thor Haahr, Tine Dalsgaard Clausen, Jonathan Thorsen, Morten A. Rasmussen, Martin S. Mortensen, Jenni Lehtimaki, Shiraz A. Shah, Mathis H. Hjelmso, Klaus Bonnelykke, Bo L. Chawes, Gisle Vestergaard, Bo Jacobsson, Per-Goran Larsson, Susanne Brix, Soren J. Sorensen, Hans Bisgaard, Jakob Stokholm
Summary: The study found that changes in vaginal microbiota during pregnancy correlated with bacterial vaginosis status and vaginal community state type. A novel vaginal dysbiosis score was developed and found to be significantly associated with an increased risk of emergency cesarean section.
CLINICAL MICROBIOLOGY AND INFECTION
(2022)
Article
Obstetrics & Gynecology
Adebayo Adekunle Akadri, John Osaigbovo Imaralu, Omotayo Felicia Salami, Chimaobi Chukwuemeka Nwankpa, Akinmade Adekunle Adepoju
Summary: This study evaluated the cesarean section (CS) rate and the groups with the highest risk of CS at Babcock University Teaching Hospital using the Robson classification system. The results showed that multiparous women with previous CS, single cephalic term women with induced labor or pre-labor CS, preterm single cephalic term women, and single cephalic term multiparous women in spontaneous labor were the major contributors to the high CS rate. Interventions targeting the first CS and improving the management of spontaneous and induced labors can effectively reduce the CS rate.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Multidisciplinary Sciences
Hoang Thi Nam Giang, Do Thi Thuy Duy, Le Tho Minh Hieu, Nguyen Lam Vuong, Nguyen Thi Tu Ngoc, Mai Thi Phuong, Nguyen Tien Huy
Summary: This study investigated the rate and associated factors of caesarean deliveries in urban areas of Vietnam. The findings revealed a high overall caesarean section rate, with significantly higher rates in private hospitals compared to public hospitals. Factors associated with a higher rate of caesarean section included increasing age, pre-pregnancy body mass index, gestational weight gain, and infant's birth weight; being a first-time mother; living in urban areas; and giving birth in private hospitals. These findings highlight the urgent need for comprehensive investigations into the reasons for caesarean deliveries in Vietnam.
Article
Multidisciplinary Sciences
Neeraj Puro, Reena J. Kelly, Mandar Bodas, Scott Feyereisen
Summary: This study reveals that the rate of C-sections is higher among expectant mothers covered by private insurance compared to those covered by public insurance. Although the majority of the difference in C-section rates remains unexplained (approximately 66.3%), advancing maternal age and socioeconomic status of the expectant mother contribute to the remaining 33.7% difference.
Review
Obstetrics & Gynecology
Julia Wangberg Nordborg, Therese Svanberg, Annika Strandell, Ylva Carlsson
Summary: This systematic review assessed the safety of different modes of delivery for term breech presentation infants. The results showed that planned cesarean section may reduce the risk of perinatal mortality and morbidity for both the infant and some maternal outcomes compared to planned vaginal delivery. However, it remains uncertain whether there is any difference in maternal mortality, and the conversion rate from planned vaginal delivery to emergency cesarean section is high.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2022)
Article
Multidisciplinary Sciences
Wisdom Klutse Azanu, Joseph Osarfo, Roderick Emil Larsen-Reindorf, Evans Kofi Agbeno, Edward Dassah, Anthony Ofori Amanfo, Anthony Kwame Dah, Gifty Ampofo
Summary: Inadequate pain control was found in post-caesarean section women within the first 12 hours, potentially impacting early mother-child interaction. Some participants did not receive analgesics as prescribed. Exploration of adjunct pain control measures is recommended, and healthcare workers should pay more attention to patients' pain relief needs.
Article
Multidisciplinary Sciences
Shintaro Terashita, Taketoshi Yoshida, Kenta Matsumura, Takehiro Hatakeyama, Hidekuni Inadera
Summary: Caesarean section (CS) birth is a risk factor for childhood obesity. However, it is unclear whether this risk also applies in the Japanese population. A large-scale birth cohort study in Japan revealed that CS birth modestly increases the risk of obesity at 3 years of age in Japanese children.
SCIENTIFIC REPORTS
(2023)
Article
Multidisciplinary Sciences
Alex J. van Duinen, Josien Westendorp, Thomas Ashley, Lars Hagander, Hampus Holmer, Alimamy P. Koroma, Andrew J. M. Leather, Mark G. Shrime, Arne Wibe, Hakon A. Bolkan
Summary: The study found that many women in Sierra Leone face catastrophic expenditure related to caesarean section, mainly through food and travel expenses, and the poor are disproportionally affected. The Free Health Care Initiative is effective in reducing the risk of catastrophic expenditure related to caesarean section, but additional support is needed for Sierra Leone's poorest patients.
Review
Obstetrics & Gynecology
Amelia G. Q. Peak, Elena Barwise, Kate F. Walker
Summary: Impacted fetal head is a complication in caesarean birth where the baby's head is deeply engaged in the pelvis and difficult to deliver. There is no consensus on the best technique for managing this complication. This review aims to determine the technique with the best maternal and neonatal outcomes.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2023)
Article
Health Care Sciences & Services
Sung Wook Kim, Lazaros Andronis, Anna-Veera Seppanen, Adrien M. Aubert, Henrique Barros, Elizabeth S. Draper, Mariane Sentenac, Jennifer Zeitlin, Stavros Petrou
Summary: This study aims to describe the health-related quality of life outcomes of children born very preterm and extremely preterm at five years of age, and explores the mediation effects of bronchopulmonary dysplasia and severe non-respiratory neonatal morbidity on those outcomes. The results suggest that extremely preterm birth and complications such as bronchopulmonary dysplasia and severe non-respiratory morbidity significantly impair health-related quality of life.
QUALITY OF LIFE RESEARCH
(2023)
Article
Pediatrics
Thierry Debillon, Loic Sentilhes, Gilles Kayem, Marie Chevallier, Jennifer Zeitlin, Olivier Baud, Antoine Vilotitch, Veronique Pierrat, Isabelle Guellec, Pierre Yves Ancel, Nathalie Bednarek, Anne Ego
Summary: In newborns with hypoxic-ischemic encephalopathy (HIE), early neurological and biological examinations were found to be associated with unfavorable outcomes, including death and abnormal MRI results, despite the widespread use of hypothermia treatment (HT).
PEDIATRIC RESEARCH
(2023)
Article
Pediatrics
Aloysius Ph. Koendjbiharie, Ashna D. Hindori-Mohangoo, Wilco C. W. R. Zijlmans, Jeffrey K. Wickliffe, Arti Shankar, Hannah H. Covert, Maureen Y. Lichtveld, Antoon W. Gruenberg, Stacy S. Drury
Summary: The aim of this study was to investigate the effects of prenatal exposure to perceived stress, probable depression, and lead on toddlers' neurodevelopment. The results showed that prenatal lead exposure was associated with lower communication scores, while maternal probable depression was associated with lower motor scores. However, prenatal stress was not found to have an impact. Furthermore, the combined exposure to stress, depression, and lead was found to predict fine motor scores in toddlers.
Article
Pediatrics
Rym El Rafei, Rolf Felix Maier, Pierre Henri Jarreau, Mikael Norman, Henrique Barros, Patrick Van Reempts, Arno Van Heijst, Pernille Pedersen, Marina Cuttini, Samantha Johnson, Raquel Costa, Michael Zemlin, Elizabeth S. Draper, Jennifer Zeitlin
Summary: This study aimed to investigate whether extrauterine growth restriction (EUGR) during neonatal hospitalisation in extremely preterm infants is associated with cerebral palsy (CP) and cognitive and motor abilities at 5 years of age. The findings suggested that severe EUGR among extremely preterm infants was associated with decreased IQ at 5 years of age.
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION
(2023)
Article
Clinical Neurology
Raquel Costa, Adrien M. Aubert, Anna-Veera Seppanen, Ulrika Aden, Iemke Sarrechia, Michael Zemlin, Marina Cuttini, Mairi Mannamaa, Veronique Pierrat, Arno van Heijst, Henrique Barros, Jennifer Zeitlin, Samantha Johnson
Summary: This study aimed to assess the accuracy of parent-reported gross motor impairment (GMI) at age 2 in predicting significant movement difficulties at age 5 in extremely preterm children. The results showed that parent reports of GMI at age 2 accurately classified movement difficulties at age 5 in most children. However, there were some cases where children with movement difficulties at age 5 were not identified at age 2.
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
(2023)
Article
Clinical Neurology
Adrien M. Aubert, Raquel Costa, Samantha Johnson, Ulrika Aden, Veronique Pierrat, Marina Cuttini, Mairi Mannamaa, Iemke Sarrechia, Jo F. Lebeer, Arno F. F. Van Heijst, Rolf F. Maier, Mariane Sentenac, Jennifer Zeitlin
Summary: This study aimed to measure the association between cerebral palsy (CP) and non-CP-related movement difficulties and health-related quality of life (HRQoL) among 5-year-old children born extremely preterm. The results showed that children with CP and non-CP-related movement difficulties had lower HRQoL compared to children without movement difficulties. The decrease in HRQoL was more pronounced at lower centiles for children with non-CP-related movement difficulties.
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
(2023)
Article
Obstetrics & Gynecology
Olivia Anselem, Francois Goffinet, Pierre-Henri Jarreau, Jennifer Zeitlin, Isabelle Monier
Summary: This study in France investigated the management and survival of very preterm singletons born because of fetal growth restriction (FGR) with or without maternal hypertensive disorders. The results showed that the proportion of terminations of pregnancy (TOP) was higher when FGR was associated with hypertensive disorders, while the proportion of stillbirths was higher in isolated FGR.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2023)
Article
Obstetrics & Gynecology
Victoire Pauphilet, Francois Goffinet, Diane Korb, Jennifer Zeitlin, Heloise Torchin, Thomas Schmitz
Summary: This study evaluated the rate of mother-child separation in twin pregnancies delivered in maternity units offering an appropriate level of neonatal care. The study found that the rate of mother-child separation was 2.1%, and it differed by level of care in the maternity units.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Environmental Sciences
Firoz Abdoel Z. Wahid, Ashna D. Hindori-Mohangoo, Hannah H. Covert, Maryam Karimi, Samain Sabrin, Martin Shafer, Anisma R. Gokoel, Arti Shankar, Wilco Zijlmans, Maureen Lichtveld, Jeffrey K. Wickliffe
Summary: This study assessed the exposure to metals and essential elements in pregnant women in Suriname and found that pregnant women are exposed to levels of mercury and lead that exceed public health concern levels. The findings highlight the importance of developing, implementing, and monitoring environmental health policies.
JOURNAL OF EXPOSURE SCIENCE AND ENVIRONMENTAL EPIDEMIOLOGY
(2023)
Article
Obstetrics & Gynecology
Melissa Amyx, Marianne Philibert, Alex Farr, Serena Donati, Alexander K. Smarason, Vlad Tica, Petr Velebil, Sophie Alexander, Melanie Durox, Maria Fernandez Elorriaga, Guenther Heller, Theopisti Kyprianou, Ewa Mierzejewska, Ivan Verdenik, Irisa Zile-Velika, Jennifer Zeitlin
Summary: The study assessed changes in caesarean section (CS) rates in Europe from 2015 to 2019, and used the Robson Ten Group Classification System (TGCS) to evaluate the contribution of different obstetric populations to overall CS rates and trends. The findings showed that CS rates and trends varied among the 28 European countries. The TGCS analysis revealed that labour induction increased in most countries, while multiple pregnancies decreased. Countries with decreasing CS rates tended to see decreases across all TGCS groups, whereas countries with increasing rates tended to see increases in most groups. In countries with the greatest increase in CS rates, the absolute contribution of certain TGCS groups to the overall CS rate tended to increase.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Obstetrics & Gynecology
Isabelle Monier, Nathalie Lelong, Alexandra Benachi, Jean-Marie Jouannic, Babak Khoshnood, Jennifer Zeitlin
Summary: Despite advancements in prenatal screening, there is still room for improvement in the prenatal diagnosis of congenital anomalies. The study shows a relatively high proportion of anomalies that go undetected during pregnancy, with lower postnatal detection rates for severe anomalies.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2023)
Article
Nutrition & Dietetics
Melissa Amyx, Diane Korb, Jennifer Zeitlin, Thomas Schmitz, Camille Le Ray
Summary: The objective of this study was to describe gestational weight gain (GWG) and assess the applicability of the 2009 Institute of Medicine (IOM) guidelines in a French cohort. The study found that almost half of the women had insufficient GWG according to the IOM recommendations, with only a small percentage having excessive GWG, regardless of BMI or parity. The JUMODA-derived GWG adequacy classification was lower than the IOM recommendations, indicating that a significant proportion of French women had inadequate GWG.
MATERNAL AND CHILD NUTRITION
(2023)
