Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk...

52
Vaginal or Cesarean Birth : What Is at Stake for Women and Babies? A Best Evidence Review

Transcript of Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk...

Page 1: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

Vaginal or Cesarean Birth:What Is at Stake for Women and Babies?

A Best Evidence Review

Page 3: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

3

Table of Contents

Executive Summary 4

Introduction and Background 12

Methods 13

Results 15

1.15

2.20

3.22

4. 23

5. 25

6. 26

7.28

8. 32

9.35

10. 38

Discussion 40

References 48

Page 5: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

5

Table 1:

Page 6: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

6

What physical effects may occur in women more frequently with cesarean delivery?

Page 7: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

7

What physical effects may occur in babies more frequently with cesarean delivery?

What role may cesarean delivery play in the development of childhood chronic disease?

Page 8: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

8

What complications are unique to cesarean delivery?

What complications are unique to vaginal birth?

What are potential psychosocial consequences of cesareans?

Page 9: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

9

What are potential effects of cesareans on women in future pregnancies and births?

What are potential effects of a scarred uterus on future babies?

Page 10: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

10

Does cesarean delivery protect against sexual, bowel, urinary, or pelvic floor dysfunction?

Does cesarean delivery protect against injuries to babies?

Page 12: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

12

Introduction and Background

Page 13: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

13

Methods

Page 14: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

14

Table 1:

Page 15: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

15

Results1. What physical effects occur in women more frequently with cesarean delivery?

Page 16: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

16

Page 17: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

17

Page 18: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

18

Page 19: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

19

Page 20: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

20

2. What physical effects occur in babies more frequently with cesarean delivery?

Page 21: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

21

Page 22: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

22

3. What role may cesarean delivery play in the development of childhood chronic disease?

Page 23: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

23

4. What complications are unique to cesarean delivery?

Page 24: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

24

Page 25: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

25

5. What complications are unique to vaginal birth?

Page 26: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

26

6. What are potential psychosocial consequences of cesareans?

Page 27: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

27

Page 28: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

28

7. What are potential effects of cesareans on women in future pregnancies and births?

Page 29: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

29

Page 30: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

30

Page 31: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

31

Page 32: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

32

8. What are potential effects of a scarred uterus on future babies?

Page 33: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

33

Page 34: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

34

Page 35: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

35

9. Does cesarean delivery protect against sexual, bowel, urinary, or pelvic floor dysfunction?

Page 36: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

36

Page 37: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

37

Page 38: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

38

10. Does cesarean delivery protect against injuries to babies?

Page 39: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

39

Page 40: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

40

Discussion

Table 2:

Page 41: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

41

Table 2 cont’d

Page 42: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

42

Table 2 cont’d

Page 43: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

43

Strengths and Limitations

Page 44: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

44

Priorities for Future Research

Page 45: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

45

Implications for Policy and Practice

Page 46: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

46

Page 49: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

49

Page 50: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

50

Page 51: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

51

Page 52: Vaginal or Cesarean Birth - National Partnership for Women ... · cesarean delivery? 0dwhuqdo ghdwk 0ruh zrphq dsshdu wr glh dv d uhvxow ri fhvduhdq gholyhu\ lwvhoi exw wkh h[fhvv

Childbirth Connection260 Madison Avenue, 8th Floor

New York, NY 10016 USAT 1 212 - 777 - 5000, F 1 212 - 777 - 9320

[email protected]