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Elective caesarean section in low-risk women at term : consequences for mother and offspring [printed text] / Sabine Stordeur, Author ; Pascale Jonckheer , Author ; Nicolas Fairon , Author ; Chris De Laet , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2016 . - 76 p. : ill., ; A4. - (KCE Reports. Health Technology Assessment (HTA); 275) .
ISSN : D/2016/10.273/83 : € 0,00
Languages : English (eng)

Descriptors:	Indexation 2015-09 ; Cesarean Section ; Delivery, Obstetric ; Elective Surgical Procedures ; Mortality ; R275 Classification WQ 415 Delivery (including preparatory manipulation)
Contents note:	TABLE OF CONTENTS 1 -- LIST OF FIGURES 4 -- LIST OF TABLES 5 -- LIST OF ABBREVIATIONS 6 -- SCIENTIFIC REPORT 8 -- 1 OBJECTIVES AND SCOPE 8 -- 2 CAESAREAN SECTION 9 -- 2.1 WORLD HEALTH ORGANISATION RECOMMENDATIONS 9 -- 2.2 INDICATIONS FOR CAESAREAN SECTION 9 -- 2.3 CAESAREAN SECTION RATES WORLDWIDE 10 -- 3 BELGIAN SITUATION 11 -- 3.1 REGISTRATION PROCESS 11 -- 3.2 FLANDERS 11 -- 3.3 WALLONIA 12 -- 3.4 THE BRUSSELS REGION 12 -- 3.5 COMPARING BELGIAN REGIONS USING THE ROBSON CLASSIFICATION 13 -- 4 LITERATURE REVIEW ON CAESAREAN SECTION OUTCOMES: METHODS 16 -- 4.1 INTRODUCTION 16 -- 4.2 RESEARCH QUESTIONS AND PICOS 16 -- 4.3 LITERATURE SEARCH STRATEGY 18 -- 4.3.1 Iterative approach 18 -- 4.3.2 Databases and limits 18 -- 4.3.3 Studies selection 18 -- 4.3.4 Quality appraisal 18 -- 4.4 DATA EXTRACTION 19 -- 4.5 SEARCH RESULTS 19 -- 5 SHORT-TERM MATERNAL OUTCOMES 20 -- 5.1 MATERNAL MORBIDITY 20 -- 5.1.1 Background 20 -- 5.1.2 Systematic review 20 -- 5.2 MATERNAL MORTALITY 22 -- 5.2.1 Background 22 -- 5.2.2 Systematic review 23 -- 5.3 BREASTFEEDING 23 -- 5.3.1 Background 23 -- 5.3.2 Systematic reviews and meta-analyses 24 -- 5.3.3 Update with primary studies 24 -- 6 LONG-TERM MATERNAL OUTCOMES 26 -- 6.1 URINARY INCONTINENCE 26 -- 6.1.1 Background 26 -- 6.1.2 Systematic reviews and meta-analyses 26 -- 6.2 FAECAL INCONTINENCE 27 -- 6.2.1 Background 27 -- 6.2.2 Systematic reviews 27 -- 6.2.3 Update with primary studies 29 -- 6.3 POSTNATAL DEPRESSION 29 -- 6.3.1 Background 29 -- 6.3.2 Systematic reviews and meta-analyses 29 -- 6.3.3 Update with primary studies 30 -- 7 IMPACT ON FUTURE PREGNANCIES: MATERNAL OUTCOMES 30 -- 7.1 SUBSEQUENT FERTILITY 30 -- 7.1.1 Background 30 -- 7.1.2 Systematic reviews and meta-analyses 31 -- 7.1.3 Update with primary studies 31 -- 7.2 SUBSEQUENT ECTOPIC PREGNANCY 33 -- 7.2.1 Background 33 -- 7.2.2 Systematic reviews and meta-analyses 34 -- 7.2.3 Update with primary studies 34 -- 7.3 PLACENTA PRAEVIA, PLACENTA ACCRETA, PLACENTAL ABRUPTION AND UTERINE RUPTURE 35 -- 7.3.1 Background 35 -- 7.3.2 Systematic reviews and meta-analyses 35 -- 7.3.3 Primary studies 35 -- 8 SHORT-TERM OFFSPRING OUTCOMES 38 -- 8.1 NEONATAL MORTALITY 38 -- 8.1.1 Background 38 -- 8.1.2 Systematic reviews and meta-analyses 38 -- 8.1.3 Update with primary studies 39 -- 8.2 NEONATAL RESPIRATORY PROBLEMS 39 -- 8.2.1 Background 39 -- 8.2.2 Systematic reviews and meta-analyses 40 -- 8.2.3 Update with primary studies 40 -- 8.3 CEREBRAL PALSY 41 -- 8.3.1 Background 41 -- 8.3.2 Systematic reviews and meta-analyses 42 -- 8.3.3 Update with primary studies 42 -- 9 LONG-TERM OFFSPRING OUTCOMES 43 -- 9.1 IMMUNE DISORDERS 43 -- 9.1.1 General background 43 -- 9.1.2 Asthma 43 -- 9.1.3 Respiratory infections 47 -- 9.1.4 Atopy 48 -- 9.1.5 Diabetes mellitus type 1 49 -- 9.1.6 Inflammatory bowel disease (IBD) 51 -- 9.1.7 Gastro-enteritis 53 -- 9.1.8 Coeliac disease 54 -- 9.2 BMI, OVERWEIGHT, OBESITY 55 -- 9.2.1 Background 55 -- 9.2.2 Systematic reviews and meta-analyses 55 -- 9.2.3 Update with primary studies 57 -- 9.3 CHILDHOOD CANCER 58 -- 9.3.1 Background 58 -- 9.3.2 Systematic reviews and meta-analyses 59 -- 9.3.3 Update with primary studies 59 -- 9.4 DEVELOPMENTAL AND BEHAVIOURAL OUTCOMES 60 -- 9.4.1 Background 60 -- 9.4.2 Systematic reviews and meta-analyses 61 -- 9.4.3 Update with primary studies 61 -- 9.5 LONG-TERM CHILD MORTALITY 62 -- 10 IMPACT ON FUTURE PREGNANCIES: OFFSPRING OUTCOMES 63 -- 10.1 STILLBIRTH IN SUBSEQUENT PREGNANCIES 63 -- 10.1.1 Background 63 -- 10.1.2 Systematic reviews and meta-analyses 63 -- 10.1.3 Update with primary studies 63 -- 11 OVERALL CONCLUSION 65 -- 11.1 CAESAREAN SECTION: NATIONAL AND INTERNATIONAL TRENDS 65 -- 11.2 TOWARDS AN IDEAL RATE OF CAESAREAN DELIVERIES? 65 -- 11.3 ASSOCIATION BETWEEN DELIVERY MODES AND OUTCOMES: LEVEL OF EVIDENCE 66 -- 11.4 CAESAREAN SECTION: MATERNAL AND OFFSPRING OUTCOMES 66 -- 11.5 COUNSELLING WOMEN ON THE MODE OF DELIVERY 68 -- 12 EXISTING INITIATIVES 68 -- REFERENCES 70
Link for e-copy:	https://kce.fgov.be/sites/default/files/page_documents/KCE_275_Caesarean_section [...]
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Record link:	https://kce.docressources.info/index.php?lvl=notice_display&id=3936