2002, Number 4
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Gac Med Mex 2002; 138 (4)
Cesarean-Associated Complications: the Importance of Scarcely Justified Use.
Cárdenas R
Language: Spanish
References: 186
Page: 357-366
PDF size: 69.60 Kb.
ABSTRACT
Undoubtedly, cesarean section is one of the most important surgical procedures for solving obstetrical problems. However, the steady increase in its use might be reflecting a non-medically justified utilization. This work reviews the main complications associated to cesarean section and their effect on the health of mothers and their children. An additional objective is to highlight the importance of establishing clinical protocols aimed at identifying those cases in which a cesarean section shouid be practiced. The implementation of these guidelines might help to reduce the effect that factors such as preferences of medical personnel or women's demand exert upon the increase of cesarean section use.
REFERENCES
1. Stafford RS. Recent trends in cesarean section use in California. West J Med 1990;153:511-4.
2. Muziarelli A, Trentadue R, Di Masi M. Estudio retrospectivo de la cesárea en los años 1974-87. Minerva Ginecol 1989;41:353-8.
3. Sakala C. Medically unnecessary cesarean section births- lntroduction to a symposium. Soc Sci Med 1993;37:1177-98.
4. Smith GC. A population study of birthweight and the risk of caesarean section: Scotland 1980-1996. Br J Obstet Gynecol 2000;107(6):740-4.
5. Murray SF, Serani Pradenas F. Cesarean birth trends in Chile, 1986 to 1994. Birth 1997;124:258-63.
6. Vazquez-Calzada JL. Cesarean childbirth in Puerto Rico: the facts. Puerto Rico Health Study J 1997;16:395-400.
7. Silva AA, Barbieri MA, Gomes UA, Bettiol H. Trends in low birth weight: a comparison of two birth cohorts separated by a 15-year interval in Ribeirao Preto, Brazil. Bull World Health Organ 1998;76:73-84.
8. Campos TP, Carvalho MS. Atención obstétrica durante el parto en Río de Janeiro: prácticas hospitalarias y acceso del usuario. Cad Saude Publica 2000;16(2):411-20.
9. Secretaría de Salud, 1991. Boletín de Información Estadística no. 10. México.
Secretaría de Salud, 2000. Boletín de Información Estadística no. 19. México.
Olivares-Morales AS, Santiago-Ramírez JA, Cortés-Ramírez P. Frecuencia e indicaciones de la cesárea en el Hospital Central Militar. Ginecol Obstet Mex 1996;64:79-84.
Buttino I, Tozzi L, Bocciolone L, Pírotta N, Prazzini F. Determinantes de la frecuencia de cesárea en Italia, 1980-1983. Ann Obstet Ginecol Med Perinat 1990;111: 245-56.
Parazzini F, Pirotta N, LaVecchia C, Fedele L. Determinants of caesarean section rates in ltaly. Br J Obstet Gynaecol 1992;99(2):203-6.
Taffel SM. Cesarean delivery in the United States, 1990. Vital & Health Statistics. Series 21. Data on Natality, Marriage & Divorce 1994. p.1-24.
Woolbright LK. Why is the cesarean delivery rate so high in Alabama? An examination of risk factors, 1991-1993. Birth 1996;23:20-5.
Cárdenas R. La práctica de la cesárea en las áreas urbanas de México. En: Salud Reproductiva y Sociedad. 1a. edición Stem C, Echarri CJ (Comps.) México, D.F. El Colegio de México; 2000. p. 301-327.
Gould JB, Davey B, Stafford RS. Socioeconomic differences in rates of cesarean section. N Engl J Med. 1989;321:233-9.
Renwick MY. Caesarean section rates, Australia 1986: variations at state and smali area level. Austr NZ J Obstet Gynaecol 1991;31:299-304.
Tshibangu K. Mboloko E, Kizonde K Bolemba L, Biayi M, Engendju K Sinamuli K. Particularidades de la gravidez-puerperio en Africa Central. 1. Operación cesárea en tres ambientes distintos de Zaire. J Gynecol Obstet Biol Reprod 1991;20:69-73.
Webster LA, Daling JR, McFarlane C, Ashley D, Warren CW. Prevalence and determinants of caesarean section in Jamaica. J Biosoc Sci 1992;24:515-25.
Cárdenas R. Determinantes de la operación cesárea en las áreas metropolitanas de México. En: Hemández Bringas HH, Menkes C. Coordinadores 1a. edición. La población de México al final del Siglo XX. Serie Investigación demográfica en México. Universidad Nacional Autónoma de México, Centro Regional de Investigaciones. México, D. F. Multidisciplinarias, Sociedad Mexicana de Demografía 1 a. Edición, Ciudad de México, 1998. p. 169-181.
Cai WW, Marks JS, Chen CH, Zhuang YX, Morris L, Harris JR. lncreased cesarean section rates and emerging patterns of health insurance in Shangai, China. Am J Public Health 1998;88:777-80.
Ciarke SC, Taffel S. Changes in cesarean delivery in the United States, 1988 and 1993. Birth 1995;22:63-7.
Di Lallo D, Perucci CA, Bertollini R, Mallone S. Cesarean section rates by type of maternity unit and level of obstetric care: an area-based study in central Italy. Prev Med 1996;25(2):178-85.
Haas JS, Udvarhelyi S, Epstein AM. The effect of health coverage for uninsured pregnant women on maternal health and the use of cesarean section. JAMA 1993-1270:61-4.
Hueston WJ. Site-to-site variation in the factors affecting cesarean section rates. Arch Fam Med 1995;4:346-51.
Stafford RS, Suilivan SD, Gardner LB. Trends in cesarean section use in California, 1983 to 1990. Am J Obstet Gynecol 1993;168:1297-302.
Aron DC, Gordon HS, DiGiuseppe DL, Harper DL, Rosenthal GE. Variations in risk-adjusted delivery rates according to race and health insurance. Med Care 2000; 38(1):35-44.
Onion DK Meyer DL, Wennberg DE, Soule DN. Primary cesarean section rates in uninsured, Medicaid and insured populations of predominandy rural Northern New England. J Rural Health 1999;15(1):108-12.
Matshidze KP, Richter LM, Ellison GT, Levin JB, Mclntyre JA. Caesarean section rates in South Africa: evidence of bias among different "population groups". Ethn Health 1998;3:71-9.
Roberts CL, Tracy S, Peat B. Rates for obstetric intervention among private and public patients in Australia: population based descriptive study. Br Med J 2000; 321(7254):125-6.
Rock SM. Variability and consistency of rates of primary and repeat cesarean sections among hospitals in two states. Public Health Rep 1993;108:514-6.
Tissot-Gueffaz F, Moussy L, Agniel F, Andre A, Reverdy ME, Miellet CC, Audra P, Putet G, Sepetjan M, Dargent D. Infección hospitalaria en la maternidad. Tres años de vigilancia en 9,204 partos de los cuales 1333 fueron cesáreas. J Gynecol Obstet Biol Reprod 1990;19:19-24.
Pothinam S, Chanpoo T, Lumbiganon P. Post-cesarean section puerperal morbidity. The incidence and risk factors at Srinagarind Hospital. J Med Assoc Thai. 1992;75:173-7.
Hillan EM. Postoperative morbidity following caesarean delivery. J Adv Nurs 1995;22:1035-42.
Lydon-Rochelle M, Hoft VL, Martin DP, Easterling TR. Association between method of delivery and maternal rehospitalization. JAMA 2000-1283(18):2411-6.
Henderson E, Love EJ. Incidence of hospital-acquired infections associated with caesarean section. J Hosp Infect 1995-,29:245-55.
Chaim W, Bashiri A, Bar-David J, Shoham-Vardi I. Prevalence and clínical significance of postpartum endometritis and wound infection. lnfect Dis Obstet Gynecol 2000;8(2):77-82.
Borruto F, Audra P. Infective-hemorrhagic complications of cesarean section. A case review of 2220 subjects. Clin Exp Obstet Gynecol 1989;16:97-100.
Beattie PG, Rings TR, Huntet MF, Lake Y. Risk factors for wound infection following cesarean section. Aust NZ J Obstet Gynaecol 1994;34:398-402.
Martens MG, Koirud BL, Faro S, Maccato M, Hammill H. Development of wound infection or separation after cesarean delivery. Prospective evaluation of 2,431 cases. J Reprod Med 1995;40:171-5.
Roberts S, Maccato M, Faro S, Pinell P. The microbiology of post-cesarean wound morbidity. Obstet Gynecol 1993;81:383-6.
Vermillíon ST, Lamoutte C, Soper DE, Verdeja A. Wound infection after cesarean: effect of subcutaneous tissue thickness. Obstet Gynecol 2000; 95:923-6.
Nice C, Feeney A, Godwin P, Mohanraj M, Edwards A, Baldwin et al. A prospective audit of wound infection rates after caesarean section in five West Yorkshire hospitals. J Hosp lnfect 1996;33:55-61.
Parrott T, Evans AJ, Lowes A, Dennis KJ. lnfection following caesarean section. J Hosp lnfect 1989;13:349-54.
Perlow JH, Morgan MA. Massive maternal obesity and perioperative cesarean morbidity. Am J Obstet Gynecol 1994;170:560-5.
Tren TS, Jamulitrat S, Chongauvivatwong V, Geater A. Risk factors for postcesarean surgical site infection. Obstet Gynecol 2000;95(3):367-71.
Desjardins C, Dallo HO, Audet-Lapointe P, Harel F. Estudio retrospectivo de endometritis postcesárea. 1992-1993, Hospital de Notre Dame, Montreal, Canadá. J Gynecol Obstet Biol Reprod 1996;25:419-23.
Suonio S, Saarikoski S, Vohionen I, Kauhanen O. Risk factors for fever, endometritis and wound infection after abdominal delivery. lnt J Gynaecol Obstet 1989;29:135-42.
Webster J. Post-cesarean wound infection: a review of the risk factors. Aust NZ J Obstet Gynaecol 1988;28:2017.
Ali Y. Analysis of caesarean delivery in Jimma Hospital, South-Western Ethiopia. East Afr Med J 1995;72:60-3.
King C. lnfection following caesarean section: A study of the literature and cases with emphasis on prevention. Cent Afr J Med 1989;35:556-70.
de Muylder X. Cesarean section morbidity at district level in Zimbabwe. J Trop Med Hyg 1989;92:89-92.
Larsen JV, Janowski K, Krolílowski A. Secondary post partum haemorrhage due to uterine wound dehiscence. Cent Afr J Med 1995;41:294-6.
Posner MP, Fowler JE Jr, Meeks GR. Vesical endometriosis 12 years after a cesarean section. Urology 1994;44-285-7.
Pauzner D, Wolman I, Abramov L, Lidor A, David MP. Post-cesarean-section necrotizing fasciitis: report of a case and review of the literature. Gynecol Obstet lnvest 1994;37:59-62.
Goepfert AR, Guinn DA, Andrews VM, Hauth JC. Necrotizing fasciitis after cesarean delivery. Obstet Gynecol 1997;89:409-12.
Martínez-Velasco IG, Plascencia-Valadez V, Salinas-Treviño, Sánchez-Guitérrez J, Tirado-Saldivar A. Fascitis necrotizante postcesárea. Sinergismo bacteriano o infección mixta de tejidos blandos? Ginecol Obstet Mex 1996;64:58-63.
Brumfield CG, Hauth JC, Andrews WW. Puerperal infection after cesarean delivery: evaluation of a standardized protocol. Am J Obstet Gynecol 2000;182(5):1147-51.
Naef RW 3rd, Ray MA, Chauhan SP, Roach H, Blake PG, Martin JN Jr. Trial of labor after cesarean delivery with a lower-segment, vertical uterine incision: is it safe? Am J Obstet Gynecol 1995;172:1666-73.
Parker KM, Embry JH. Fatal post-cesarean endometritis: report of two Alabama cases. Ala Med 1995;64:13-6.
Urrio TF. Maternal deaths at Songea Regional Hospital, Southern Tanzania. East Afr Med J 1991;68:81-7.
Evans LC, Combs CA. Increased maternal morbidity after cesarean delivery before 28 weeks of gestation. Int J Gynaecol Obstet 1993;40:227-33.
Magee KP, Blanco JD, Graham JM, Raybum C, Prien S. Endometritis after cesarean: the effect of age. Am J Perinatol 1994;11(1):24-6.
Berenson AB, Hammill HA, Martens MG, Faro S. Bacteriologic findings of post-cesarean endometritis in adolescents. Obstet Gynecol 1990;75:627-9.
Andrews WW, Shah SR, Goldenberg RL, Cliver SP, Hauth JC, Cassell GH. Associacion of postcesarean delivery endometritis with colonization of the chorioamnion by Creaplasma urealyticum. Obstet Gynecol 1995;85:509-14.
Petrozza V, Magliocca FM, Pulvirenti S, Massimi G, de Salazar C, Carpino F. Endometriosis peritoneal asintomática después de una cesárea. Minerva Ginecol 1993;45:349-53.
Wotf GC, Singh KB. Cesarean scar endometriosis: A review. Obstet Gynecol Surv 1989;44:89-95.
Barrón-Vallejo J, Moreno-Molier M, Ortega-Díaz R, Kably-Ambe A. A propósito de dos casos de endometriosis de la pared abdominal. Ginecol Obstet Mex 1997;65:538-40.
Capanna A, Caioni L, Basile M, Tempesti M, leraci A, Russo A. Endometriosis de la pared abdominal. Reporte de un caso secundario a cesárea. G Chir 1995;16:352-6.
Dell'Acqua S, Colosi E, Angiolillo M, Rivela G, Bovenga S, Natale A. Endometriosis de la pared abdominal después de cesárea. Minerva Ginecol 1993;45:327-31.
Rivlin ME, Das SK Patel RB, Meeks GR. Leuprolide acetate in the management of cesarean scar endometriosis. Obstet Gynecol 1995;85:838-9.
Sartori CA, Zamburlini G, di Natale I, Donadi M, Adamo W, Romagnoli GC, Patelli G, Sorato R. Endometriosis de la cicatriz cesárea. A propósito de 3 casos. Minerva Chir 1989-144:2043-5.
Wong-Chen FJ, Juárez-Azpilcueta A, Villarreal-Peral C, Duarte Torres R, Motta-Martínez E. Endometriosis cutánea en cicatriz abdominal, posterior a operación cesárea. Informe de un caso y revisión de la literatura. Ginecol Obstet Mex 1995;63:222-5.
Picucci I, AJibrandi M, Persico Stella L, Crescenzi A. Un caso de endometriosis umbilical posterior a cesárea. Minerva Ginecol 1995;47:165-70.
Bottino G, Madnello M, Menna C, Torchio B, Vergano R. Endometriosis de la pared abdominal inferior. Reporte de dos casos secundarios a cesárea. Minerva Ginecol 1990;42:283-5.
Nirula R, Greaney GC. lncisional endometriosis: an underappreciated diagnosis in general surgery. J Am Coll Surg 2000;190(4):404-7.
García-González JI, Extramiana-Cameno J, Estebán-Calvo JM, Diez-Rodríguez JM, Estebán-Artiaga R, Arrizabalaga-Moreno M, Paniagua-Andrés P. Endometriosis vesical tras cesárea: aspectos diagnóstico-terapéuticos. Actas Urol Esp 1997;21:785-8.
McMahon MJ, Li R, Schenck AP, Oishan AF, Royce RA. Previous cesarean birth. A risk for placenta previa? J Reprod Med 1997;42:409-12.
Taylor VM, Kramer MD, Vaughan TL, Peacock S. Placenta previa and prior cesarean delivery: how strong is the association? Obstet Gynecol 1994;84:55-57.
To WW, Leung WC. Placenta previa and previous cesarean section. lnt J Gynaecol Obstet 1995;51:25-31.
Hendricks MS, Chow YH, Bhagavath B, Singh K. Previous cesarean section and abortion as risk factors for developing placenta previa. J Obstet Gynaecol Res 1999; 25(2):137-42.
Rasmussen S, AJbrechtsen S, Daiaker K. Obstetric history and the risk of placenta previa. Acta Obstet Gynecol Scand 2000;79(6):502-7.
Chattopadhyay SK, Karif H, Sherbeeni MM. Placenta previa and accreta after previous caesarean section. Eur J Obstet Gynecol Reprod Biol 1993;52:151-6.
Zaideh SM, Abu-Heija AT, El-Jaliad MF. Placenta previa and accreta: analysis of a two-year experience. Gynecol Obstet lnvest 1998;46:96-8.
Gardeil F, Daly S, Tumer MJ. Histerectomía periparto: Reporte de 11 casos. Rev Fr Gyneol Obstet 1995; 90:431-4.
Stanco LM, Schimmer DB, Paul RH, Mishell DR Jr. Emergency peripartum hysterectomy and associated risk factors. Am J Obstet Gynecol 1993;163:879-83.
Nieisen TF, Hagberg H, Ljungbiad U. Placenta previa and antepartum hemorrhage after previous cesarean section. Gynecol Obstet lnvest 1989;27:88-90.
HershkoWitz R, Fraser D, Mazor M, Leiberman JR. One or multiple previous cesarean sections are associated with similar increased frequency of placenta previa. Eur J Obstet Gynecol Reprod Biol 1995;62:185-8.
Abu-Heija AT, Jaliad MF, Abukteish F. Maternal and perinatal outcome of pregnancies after the age of 45. J Obstet Gyneaecol Res 2000; 26(1):27-30.
Abu-Heija AT, El-Jaliad F, Ziadeh S. Placenta previa: effect of age, gravidity, parity and previous caesarean. Gynecol Obstet lnvest 1999;47-6-8.
Macones GA, Sehdev HM, Parry S, Morgan MA, Berlin JA. The association between maternal cocaine use and placenta previa. Am J Obstet Gynecol 1997;177:1097-100.
Eltabbakh GH, Watson JD. Pospartum hysterectomy. lnt J Gynaecol Obstet 1995;50:257-62.
Lira-Plascencia J, Ibargüengoitia-Ochoa F, Argueta-Zúñiga M, Karchmer S. Placenta previa accreta y cesárea previa. Experiencia de cinco años en el Instituto Nacional de Perinatología. Ginecol Obstet Mex 1995;63:337-40.
Makseed D, el-Tomi N, Moussa M. A retrospective analysis of pathological placental implantation site and penetration. lnt J Gynaecol Obstet 1994;51:25-31.
Millar DA, Chollet JA, Goodwin TM. Clinical risk factors for placenta previa-placenta accreta. Am J Obstet Gynecol 1997;177:210-4.
Rasmussen S, lrgens LM, Dalaker K. A history of placental dysfunction and risk of placental abruption. Paediatr Perinat Epidemiol 1999;13:9-21.
Davis JR, Millar HS, Feng JD. Vemix caseosa peritonitis: report of two cases with antenatal onset. Am J Clin Pathol 1998;109:320-3.
George E, Leyser S, Zimmer HL, Simonowitz DA, Agress RL, Nordin DD. Vemix caseosa peritonitis. An infrequent complication of cesarean section with distinctive hístopathological features. Am J Clin Pathol 1995;103:681-4.
Tawfik 0, Prather J, Bhatia P, Woodroof J, Gunter J, Webb P. Vemix caseosa peritonitis as a rare complication of cesarean section. A case report. J Reprod Med. 1998; 43:547-50.
Cantiello L, Laghi A, Ferrara I, Lauro C. Síndrome de Ogilvie. Reporte de dos casos. Minerva Ginecol 1996;48:211-4.
Comier JL, Batila J, Jallut J, Lahaye C, Favier M, Malinas Y. Dilatación idiopática aguda del colon derecho o síndrome de Ogilvie. A propósito de un caso encontrado después de una cesárea. Rev Fr Gynecol Obstet 1990;85:194-8.
Rane AM, Murray A. Peritonitis due to colonic ileus after cesarean section. A report of two cases. J Reprod Med 1993;38:403-4.
Roberts CA. Ogilvie's syndrome after cesarean delivery. J Obstet Gynecol Neonatal Nurs 2000;29(3):239-46.
Rodríguez-Ballesteros R, Torres-Bautista A, Torres-Valadez F, Ruiz Moreno JA. Ogiivie's syndrome in the postcesarean section patient. lnt J Gynaecol Obstet. 1989;28(2):185-7.
Sperling LS, Schantz AL, Toftager-Larsen K Oviisen B. Non-obstructive cecal dilatation and perforation after cesarean sectíon. Acta Obstet Gynecol Scand 1990;69: 437-9.
Waiss-Rodríguez RJ, Hernández-Román P, Siller-Rodríguez G. Pseudoobstrucción del colon (síndrome de Ogilvie), asociado a operación cesárea. Informe de dos casos y revisión de la literatura. Ginecol Obstet Mex 1990;58:289-91.
Weber P, Heckel S, Hummel M, Dellenbach P. Síndrome de Ogilvie después de una cesárea. A propósito de tres casos. J Gynecol Obstet Biol Reprod 1993;22:653-8.
Wignakumar V, Eriksen CA, Ebbs SR. Acute pseudo-obstruction of the colon (Ogilvie's syndrome) following caesarean section under epidural anaesthesia. S Afr J Surg 1995;33:73-5.
Schuiz-Lobmeyr I, Wenzi R. Complications of elective cesarean delivery necessitating postpartum hysterectomy. Am J Obstet Gynecol 2000;182(3):729-30.
Joswik M, Joswik M, Lotocki W. Vesicouterine fistula- an analysis of 24 cases from Poland. lnt J Gynaecol Obstet 1997;57:169-72.
Ismail SM, Lewis CG, Shaw RW. Postcaesarean section uterovesical fistula lined by persistent intermediate trophoblast. Am J Surg Pathol 1995-119:1440-3.
Hemal AK, Wadhwa SN, Ktipiani A, Hemal U. Youssefs syndrome: an appraisal of hormonal treatment. Urol lnt 1994;52:55-7.
Williams JC, Heaney JA, Young W. Respiratory distress following cesarean section: cryptic presentation of bladder injury. Urology 1994;44:441-3.
Issa MM, Schmid HP, Stamey TA. Youssefs syndrome: preservation af uterine function with subsequent successful pregnancy following surgical repair. Urol lnt 1994;52:220-2.
Michieisen DP, Wyndale JJ, Batchvarov YA. Vesico-uterine fistula secondary to cesarean section. Acta Urol Beig 1998;66:21-3.
Nouira Y, Ben Younes A, Barrak A, Chelly H, Horchani A. Fístula uretero-uterina: ¿cuál es el papel de la ureteroscopia? J Gynecol Obstet Biol Reprod (París) 2000; 29(4):423-5.
Ozmen E, Yalcinkaya F, Gulhan N, Unal S. Vesicouterine fístula (Youssef s syndrome): case report. lnt Urol Nephrol 1998;30:451-3.
Vu KK, Brittain PC, Fontenot JP, Harlass FE, Hawiey-Bowland CG, Díaz-Bail F. Vesicouterine fistula after cesarean section. A case report. J Reprod Med 1995;40:221-2.
el Mansouri A. Ruptura uterina: 50 casos. Rev Fr Gynecol Obstet 1995;90:208-14.
Chazotte C, Cohen WR. Catastrophic complications of previous cesarean section. Am J Obstet Gynecol. 1990;163:738-42.
Sagiamtas M, Vicdan K, Yalcin H, Yilmaz Z, Yesilyurt H, Gokmen O. Rupture of the uterus. lnt J Gynaecol Obstet. 1995;49:9-15.
Chen LH, Tan KH, Yeo GS. A ten-year review of uterine rupture in modern obstetric practice. Ann Acad Med Singapore 1995;24:830-5.
Osefo NJ. Cesarean and postpartum hysterectomy in Enugu, 1973-1986. lnt J Gynaecol Obstet 1989;30:93-7.
Sinha P, De KC. A 5-year study of caesarean hysterectomy cases. J lndian Med Assoc 1993;91:238-9.
Shimonovitz S, Botosneano A, Hochner-Ceinikier D. Successful first vaginal birth after cesarean section: a predictor of reduced risk for uterine rupture in subsequent deliveries. lsr Med Assoc 2000;2(7):526-8.
Poma PA. Rupture of a cesarean-scarred uterus: a community hospital experience. J Natl Med Assoc 2000; 92(6):295-300.
Dicie O, Kücükler C, Pirnar T, Erata Y, Posaci C. Magnetic resonance imaging evaluation of incision healing after cesarean sections. Eur Radiol 1997;7:31-4.
Morris H. Surgical pathology of the lower uterine segment caesarean section scar: is the scar a source of clinical symptoms? lnt J Gynecol Pathol 1995;14:16-20.
Kawakami S, Togashi K, Sagoh T, Kimura I, Noguchi M, Takakura K, et al. Uterine deformity caused by surgery during pregnancy. J Comput Assist Tomogr 1994;18:272-4.
de Muylder X. Maternal mortality audit in a Zimbabwe an province. Arch Gynecol Obstet 1990;247:131-8.
Kampikaho A, Irwig LM. Risk factors for maternal mortality in five Kampala hospitals, 1980-1986. Int J Epidemiol 1990;19:1116-8.
Longombe AO, Wood PB, Dix R. Cesarean section-indications and risks in rural Zaire. lnt J Gynaecol Obstet 1990;33:199-202.
Picaud A, Nlome-Nze AR, Kovahe V, Faye A, Ondo-Mve R. Indicaciones de la cesárea y sus resultados en el Hospital Central de Libreville. Rev Fr Gynecol Obstet 1990;85:393-8.
Remy N, Jaluvka V, Weitzel HK. Mortalidad y letalidad después de una cesárea en Berlín Occidental entre 1975 y 1989. Zentralbl Gynakoi 1993;115:7-12.
Thonneau P, Toure B, Cantrelle P, Barry TM, Papiemick E. Risk factors for maternal mortality: results of a case control study conducted in Conakry (Guinea). lnt J Gynaecol Obstet 1992;39:87-92.
Hógberg U. Maternal deaths related to cesarean section in Sweden 1951-1980. Acta Obstet Gynecol Scand 1989;68: 351-7.
Shearer EL. Cesarean section: medical benefits and costs. Soc Sci Med 1993;37:1223-31.
Lilford RJ, van Coeverden de Groot HA, Moore PJ, Bingham P. The relative risks of caesarean section (intrapartum and effective) and vaginal delivery: a detailed analysis to exclude the effects of medical disorders and other acute pre-existing physiological disturbances. Br J Obstet Gynaecol 1990;97:883-92.
Evrard JR, Gold EM. Cesarean section and maternal mortality in Rhode lsland. lncidence and risk factors, 1965-1975. Obstet Gynecol 1977;50:594-7.
Bouillin D, Foumier G, Gueye A, Diadhiou F, Cisse CT. Vigilancia epidemiológica y cirugía de las distocias obstétricas en Senegal. Sante 1994;4:399-406.
Cisse CT, Andriamady C, Faye O, Diouf A, Bouiilin D, Diadhiou F. Indicaciones y pronóstico de cesáreas en el CHU de Dakar. J Gynecol Obstet Biol Reprod 1995;24:194-7.
Broe S, Khoo SK. How safe is cesarean section in current practice? A survey of mortality and serious morbidity. Aust NZ J Obstet Gynaecol 1989;29:93-8.
Sandmire HF, DeMott RK. The Green Bay Cesarean Section Study. III. Falling cesarean birth rates without a formal curtailment program. Am J Obstet Gynecol 1994;170:1790-9.
Seiler JS. The demise of vaginal operative obstetrics: a suggested plan for its revival. Obstet Gynecol 1990; 75:710-3.
Boo NY, Nasri NM, Cheong SK, Sivamohan N. A 2-year study of neonatal mortality in a large Malaysian hospital. Singapore Med J. 1991;32:142-7.
Mavalankar DV, Trivedi CR, Gray RH. Levels and risk factors for perinatal mortality in Ahmedabad, India. Bull World Health Org 1991;69:435-42.
Yúnes-Zarraga JL, Rodríguez-Aguilar DF, Velázquez-Quintana N, Villanueva-Salinas J. Enfermedad de membrana hialina. Bol Med Hosp lnfant Mex 1993; 50:284-93.
Curet LB, Zachman RD, Rao AV, Poole WK Morrison J, Burkett G. Effect of mode of delivery on incidence of respiratory distress syndrome. lnt J Gynaecol Obstet 1988;27:165-70.
Hales KA, Morgan MA, Thumau GR. Influence of labor and route of delivery on the frequency of respiratory morbidity in term neonates. lnt J Gynaecol Obstet 1993;43:35-40.
Parilla BV, Dooley SL, Jansen RD, Socol ML. Iatrogenic respiratory distress syndrome following elective repeat cesarean delivery. Obstet Gynecol 1993;81:392-5.
Roberts SW, Leveno KJ, Sidawi JE, Luces MJ, Keliy MA. Fetal acidemia associated with regional anesthesia for elective cesarean delivery. Obstet Gynecol. 1995;85:79-83.
Bekku S, Mitsuda N, Ogita K, Suehara N, Fujimura M, Aono T. High incidence of respiratory distress syndrome (RDS) in infants born to mothers with placenta previa. J Matern Fetal Med 2000;9(2):110-3.
Lindemann R. Respiratory muscle rigidity in a preterm infant after use of fentanyl during Caesarean section. Eur J Pediatr 1998;157:1012-3.
Bessier H, Kuperman A, Beilín B, VJinger G, Gurary N, Mozas C, Sirota L. Labor affects cytokine production in newborns. Am J Reprod lmmunol 1998;39:27-32.
Morini A, Cantonetti G, Spina V, Bonessio L. Lesiones fatales debidas a bisturí durante cesárea: un estudio de 58 casos. Los registros de 3,117 cesáreas ocurridas durante 5 años en el Instituto Clínico de Ginecología y Obstetricia de la Universidad de Roma “La Sapienza”. Minerva Ginecol 1995;47:305-14.
Fryklund B, Tuilus K, Burman LG. Epidemiology of enteric bacteria in neonatal units. lnfluence of procedures and patient variables. J Hosp lnfect 1991;18:15-21.
Mèakinen JI, Meltomaa SS, Ekblad UU. Hospital stay due to various hysterectomies, caesarean section and normal delivery in Turku University Central Hospital area from 1983 to 1992. Ann Chir Gynaecol Suppl 1994;208:54-7.
Escorihuela-Estebán R, Otero-Fraguas M, Sandiumenge-Bech J, Femández-Burgos P, SánchezPérez V, Hemaez-Cobeno MA, et al. Atención neonatal en un centro primario. An Esp Pediatr 1992;37:283-6.
Mushinski M. Average charges for uncomplicated cesarean and vaginal deliveries, United States 1993. Stat Bull Metrop lnsur Co 1994;75:27-36.
Adlerberth I, Carisson B, De Man P, Jalil F, Khan SR, Larsson P, et al. Intestinal colonization with Enterobacteriaceae in Pakistani and Swedish hospital-delivered ínfants. Acta Paediatr Scand 1991;80:602-10.
Groniund MM, Lehtonen OP, Eerola E, Kero P. Fecal microflora in healthy infants born by different methods of delivery: permanent changes in intestinal flora after cesarean delivery. L Pediatr Gastroenterol Nutr 1999;128:19-25.
Mansfield CJ, Daniel HJ, Sumpter EA, Barnes J, Coggins D, Young M. Tipo de nacimiento y otitis media. Arch Fr Pediatr 1993;50:97-100.
Chapman DJ, Pérez-Escamilla R. Identification of risk factors for delayed onset of lactation. J Am Diet Assoc 1999;99:450-4
Mansbach IK, Greenbaum CW, Sulkes J. Onset and duration of breast feeding among Israeli mothers: relationships with smoking and type of delivery. Soc Sci Med 1991;33:1391-7.
Enzunga A, Fischer PR. Neonatal weight loss in rural Zaire. Ann Trop Paediatr 1990;10:159-63.
Barros FC, Victora CG. Breastfeeding and diarrhea in Brazilian children. Demographic and Health Surveys Further Analysis Series No. 3. NY: The Population Council and Demographic and Health Surveys Program; 1990.
Weiderpass E, Barros FC, Victora CG, Tomasi E, Halpem R. Incidencia y duración de la lactancia por tipo de parto: un estudio longitudinal en el sureste de Brasil. Rev Saude Publica 1998;32:225-31.
Chen Y. Factors associated with artificial feeding in Shanghai. Am J Public Health 1992;82:264-6.
Forman MR, Berendes HW, Lewando-Hundt G, Sarov B, Naggan L. Perinatal factors influencing infant feeding practices at birth: the Bedouin lnfant Feeding Study. Paediatr Perinat Epidemiol 1991;5:168-80.
Bibi M, Megdiche H, Ghanem H, Sfaxi I, Nouira M, Essaidi H, et al. Antibiótico profiláctico en cesárea sin alto riesgo de infección. Experiencia de una maternidad tunecina. J Gynecol Obstet Biol Reprod 1994;23:451-5.
Jakobi P, Weissman A, Sigier E, Margolis K, Zimmer EZ. Post-cesarean section febrile morbidity. Antibiotic prophylaxis in low-risk patients. J Reprod Med 1994;39:707-10.
Ehrenkranz NJ, Blackweider WC, Pfaff SJ, Poppe D, Yerg DE, Kaslow RA. lnfections complicating low-risk cesarean sections in community hospitals: efficacy of antimicrobial prophylaxis. Am J Obstet Gynecol. 1990;162:337-43.
Soper DE. Infections following cesarean section. Curr Opin Obstet Gynecol 1993;5:517-20.
Litta P, Vita P, Konishi de Toffoli J, Onnis GL. Risk factors for complicating infections after cesarean section. Clin Exp Obstet Gynecol 1995;22:71-5.
Ismail MA, Neison KE, Larson P, Moses VK. Selective effect of cefoxitin prophylaxis on postcesarean-section microbial flora. J Reprod Med 1990;35:168-74.
Poka R, Nagy G, Redai I, Lampe L. Clinical significance of amniotic fluid bacteriological cultures taken at caesarean section. Clin Exp Obstet Gynecol 1994;21:99-102.
Ojo VA, Adetoro OO, Okwerekwu FE. Characteristics of maternal deaths following cesarean section in a developing country. lnt J Gynaecol Obstet 1988;27:171-6.
Sherman SJ, Greenspoon JS, Nalson JM, Paul RH. Obstetric hemorrhage and blood utilization. J Reprod Med 1993;38:929-34.
Fenton PM. Blood transfusion for Caesarean section in Malawi. A study of requirements, amount given and effect on mortality. Anaesthesia 1999;54(11):1055-8.
Ransom SB, Fundaro G, Dombrowski MP. Cost-effectiveness of routine blood type and screen testing for cesarean section. J Reprod Med 1999; 44(7):592-4.
Turrentine MA, Ramírez MM. Adverse perinatal events and subsequent cesarean rate. Obstet Gynecol 1999; 94(2):185-8,
Graham WJ, Hundley V, McCheyne AL, Hall MH, Gurney E, Milne J. An investigation of women's involvement in the decision to deliver by caesarean section. Br J Obstet Gynaecol 1999;106(3):213-20.
Poma PA. Effects of obstetrician characteristics on cesarean delivery rates. A community hospital experience. Am J Obstet Gynecol 1999;180:1364-72.
Quinlivan JA, Petersen RW, Nichols CN. Patient preference the leading indication for elective caesarean section in public patients. Results of a 2-year prospective audft in a teaching hospital. Aust NZ J Obstet Gyneacol 1999; 39(2):207-14.
Turnbuil DA, Wilkinson C, Yaser A, Carty V, Svigos JM, Robinson JS. Women's role and satisfaction in the decision to have a cesarean section. Med J Aust 1999;170(12):580-3.