C-section births rise rapidly to more than 20 percent worldwide

Surgery in progress. /COURTESY

C-sections can save the lives of women and babies when there are birth complications such as fetal distress, or abnormal positioning.

The number of births by caesarean section has nearly doubled in the world in 15 years, from 12% to 21% between 2000 and 2015, exceeding even 40% in 15 countries.

The research tracked trends in C-section use globally and in nine regions based on data from 169 countries from World Health Organization and UNICEF databases.

Series authors estimate that more than one in four countries in 2015 had lower levels (28%, 47/169 countries) of C-Sections than medically recommended.

The US, Bangladesh, and Brazil reported C-section use in more than 25 per cent of births nationally, but some regions within these countries used C-section around twice as much 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".

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.

But at least 15 countries C-section use exceeds 40 per cent, research found.

Improvements have been slow across sub-Saharan Africa (around 2% per year), where C-section use has remained low, increasing from 3% to 4.1% of births in West and Central Africa, and from 4.6% to 6.2% in Eastern and Southern Africa.

"The large increases in C-section use - mostly in richer settings for nonmedical purposes - are concerning because of the associated risks for women and children", said Dr. Marleen Temmerman, lead author of three studies published October 11 in The Lancet.

In places such as Brazil and China, numerous c-sections performed were in women with low-risk pregnancies, in women who previously had c-sections, and in women who were well-educated.

But in close to a quarter of nations surveyed, caesarean section use is significantly lower than average. There is emerging evidence that babies born via C-section have different hormonal, physical, bacterial and medical exposures during birth, which can subtly alter their health.

Compared to vaginal births, C-sections can actually come with a higher chance of complications, a more hard recovery process and more risks during subsequent pregnancies, according to the report.

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.

"Pregnant mothers must have access to professional and informed advice in order to make a decision".

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

There is an urgent need for intervention in the medical field to reduce the use of cesarean sections, the researchers said.

The World Congress of Gynecology and Obstetrics (FIGO) advocates several measures to limit the abuse of caesareans: to apply a single rate for births, by caesarean section or not, to force hospitals to publish their statistics, to better inform women of the risks and improve training in natural birth. "Joint actions with governmental bodies, the health care insurance industry, and women's groups are urgently needed to stop unnecessary C-sections and enable women and families to be confident of receiving the most appropriate obstetric care for their individual circumstances".

Related News:



Most liked

Molinari Takes Aim At European No. 1 Spot After Ryder Cup Heroics
Certainly, neither will ever be found wanting for self- confidence but there's nothing wrong with that when you can back it up with deed.

Turkish newspaper names 15 Saudis in case of missing reporter
Sabah newspaper published the names and years of birth of 15 Saudis it said arrived at Istanbul's Ataturk airport on October 2. Khashoggi, a former Saudi government adviser, had been living in the United States since past year fearing arrest.

Amazon-Flipkart register record sales in Festive Sale offer
This means that the company has so far surpassed this target and it has completed sales of 55 hundred crore rupees. "We see them [ Amazon ] as becoming a global platform for premium Indian books and home goods buyers", said Mr.

Review about Google Pixel 3 and Pixel 3 XL
Both smartphones possess a 12.2 MP dual-pixel camera at the rear and an 8PM at the front, and are equally capable of 4K video. The Google Pixel 3 XL is characterized by the presence of notch on its screen, something not everyone likes.

Gold inches up as retreat of bond yields weigh on dollar
US crude oil futures dropped 0.5 percent to $74.61 a barrel and Brent crude futures eased 0.2 percent to $84.80 a barrel. The dollar dipped due to a fall in USA bond yields after touching a seven-week peak against a basket of currencies.

Seann Walsh's girlfriend breaks silence on comedian's romance with Strictly partner
The bookies' spokesperson said: "The odds suggest that Seann will struggle to get enough votes to be out of the bottom two". Seann, 32, who was dumped by Rebecca in a brutal tweet on Monday, has promised to carry on in Strictly .

Prince William: Save rhinos for the next generation
Funding consists of £3million from the UK's department for worldwide development and £0.5million from the foreign office. The royal also says the fight to end wildlife crime can no longer be a priority only for conservationists.

College basketball fixer describes 'black op' payments
Gassnola told a jury he delivered the money in cash to the coach, Orlando Early , on a trip to Raleigh, North Carolina, in 2015. Billy Preston had committed to play for Kansas before becoming involved in a crash and also turned professional.

Woman Removed From US Flight For Bringing ‘Emotional Support Squirrel’ On Board
I refuse. "You can't let people take your rights away". "I am going all the way. I'm contacting an attorney", she added.

IU men's basketball earns two preseason All-Big Ten selections
He was both a third-team All-Big Ten selection and a conference All-Defensive Team selection a year ago . But the reality for the Big Ten is it failed to play up to its reputation.

Pres. Trump heading to KY. to hold MAGA rally, support GOP candidates
Former Vice President Joe Biden rallied for McGrath on Friday in Owingsville, stressing the significance of the midterm vote. McConnell took the stage briefly to highlight the record 84 new federal judges confirmed through the Senate.

Kanye West Returns to Twitter with Live Video Rant About 'Mind Control'
It is here when Trump has an internal monologue saying that he is "cuckoo" and how he "doesn't listen to anyone but himself".

Bigger Moons Have Moons, And Some Are Calling Them 'Moonmoons'
Scientists exploring the possibility of a moon having a moon of its own have suggested that the wee orbs be called moonmoons . The IAU, International Astronomical Union , is the body responsible for giving celestial objects their official names.

WBO President Looking To Suspend Billy Joe Saunders For Six Months
But if the Englishman fails to satisfy the WBO appeal, it says it will "declare the title vacant". Billy Joe Saunders underwent testing by both WADA and VADA. "VADA bans everything.

Trump announces slight fall in Obamacare premiums in 2019
Twenty-three more insurance companies are participating on HealthCare.gov in 2019 than in 2018, while 29 insurers are expanding. From 2017 to 2018, the bench mark rose 37 percent, officials said, and in the prior year it rose 25 percent.