SIGN UP FOR UPDATES!
Sign up for Englemed updates from TwitterSign up for Englemed updates from Facebook
ENGLEMED
Contact Englemed
Our contact email address.
We can provide a specialist, tailored health and medical news service for your site.
Click here for more information
RSS graphic XML Graphic Add to Google
About Englemed news services - services and policies.
Englemed News Blog - Ten years and counting.
Diary of a reluctant allergy sufferer - How the British National Health Service deals with allergy.
BOOKS AND GIFTS THIS WAY!
BookshopFor books on women's health, healthy eating ideas, mental health issues, diabetes, etc click here
SEARCH THIS SITE
Copyright Notice. All reports, text and layout copyright Englemed Ltd, 52 Perry Avenue, Birmingham UK B42 2NE. Co Registered in England No 7053778 Some photos copyright Englemed Ltd, others may be used with permission of copyright owners.
Disclaimer: Englemed is a news service and does not provide health advice. Advice should be taken from a medical professional or appropriate health professional about any course of treatment or therapy.
FreeDigitalPhotos
www.freedigitalphotos.net
FreeWebPhotos
www.freewebphoto.com
FROM OUR NEWS FEEDS
Premature birth needs to be in specialist centres - study
Thurs October 17th - Women facing premature labour should be enabled to give birth in hospitals with specialist neonatal intensive care units, researchers say today. More
How GPs can respond to private gene test results
Thurs October 17th - Doctors confronted by patients armed with the results of private gene testing should check for family genetic history that might support the claimed results, according to experts today. More
RECENT COMMENTS
On 08/02/2018 David Kelly wrote:
Would you like to write a piece about this to be i... on Researchers unveil new pain re...
On 23/10/2017 Cristina Pereira wrote:
https://epidemicj17.imascientist.org.uk/2017/06/21... on HIV breakthrough - MRC...
On 12/09/2017 Aparna srikantam wrote:
Brilliant finding! indeed a break through in under... on Leprosy research breakthrough...
On 01/07/2017 Annetta wrote:
I have been diagnosed with COPD for over 12 years.... on Seaweed plan for antimicrobial...
On 12/03/2017 Steph wrote:
The photo you have paired with this article is its... on 'Fat shaming' limits...
BOOKS ON WOMEN'S HEALTH
guide to breast disorders guide to womb disorders guide to menopause Complete Women's Health: from The Royal College of Obstetricians and Gynaecologists For books and family gift ideas click here
OTHER NEWS OF INTEREST
WOMEN'S HEALTH NEWS FEED
RSS graphic XML Graphic
ENGLEMED HEALTH NEWS

Global study highlights C-section death rates

Friday March 29th, 2019

Death rates from caesarean sections are disproportionately high in low and middle-income countries (LMIC), according to the largest study to date on risks following C-sections, published today.

The study, which was led by Queen Mary, University of London, UK, and is published in The Lancet, analysed data from 12 million pregnancies and found that women in sub-Saharan Africa are 100 times more likely to die following a C-section than a woman in the UK.

First author Dr Soha Sobhy from Queen Mary University of London said the outcomes for women in LMICs were “far worse than we expected”.

Lead author Professor Shakila Thangaratinam from Queen Mary University of London added: “Caesarean sections are the most commonly performed operation worldwide. They are meant to be life saving for both mother and baby, but because of many factors, such as poor access, late referrals, inappropriate procedures, poor resources and training, this is not always the case.

“Now that we know the risk factors and countries associated with poor outcomes, we can make a more targeted effort to improve conditions for mothers globally, so that timely and safe caesarean sections can be done wherever they are needed.”

Every year 300,000 women die during childbirth, 99% of whom are from LMICs. This study looked at data from 196 studies from 67 LMICs, covering 12 million pregnancies, and found that the risk of death from C-sections in LMICs was 7.6 per 1,000 procedures, with highest burden in sub-Saharan Africa at 10.9 per 1,000. In the UK, the figure is eight per 100,000.

Stillbirth rates following caesarean were also concerning: 56.6 per 1,000, with the highest rates in sub-Saharan Africa at 82.5 per 1,000, while the perinatal death rate was 84.7 per 1,000 caesarean sections. The worst regions were the Middle East and North Africa, where the rate was 354.6 per 1,000.

The study also discovered that one quarter of all women in LMICs who died while giving birth had undergone caesarean section, while women undergoing emergency caesarean section in LMICs were twice more likely to die than those delivering by elective caesarean section.

The research team called for specific training to reduce postpartum haemorrhage, which was found to be the commonest cause of maternal death following caesarean section. It also said policy makers and healthcare professionals must improve access to surgery, promote appropriate use of the procedure, provide safe surgical environments, and increase neonatal resuscitation to help improve outcomes to babies.

It also highlighted the need for training in labour management to reduce inappropriate caesarean sections, and to promote a reduction in caesarean sections performed in the second stage of labour, which are the riskiest.

Sobhy S, Arroyo-Manzano D, Murugesu N et al. Maternal and perinatal mortality and complications associated with caesarean section in low and middle-income countries: A systematic review and meta-analysis of 12 million pregnancies. Lancet 29 March 2019; doi: 10.1016/S0140-6736(18)32386-9

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32386-9/fulltext

Tags: Africa | Childbirth and Pregnancy | UK News | Women's Health & Gynaecology | World Health

Printer friendly page Printer friendly page

Comment on this article:

Name:
Email:
Comment:
<a>,<b> & <p> tags allowed
Please enter the letters displayed:
(not case sensitive)
CATEGORIES