A doctor performs an ultrasound scan on a pregnant woman at a hospital in Chicago on Aug. 7, 2018. THE CANADIAN PRESS/AP-Teresa Crawford

A doctor performs an ultrasound scan on a pregnant woman at a hospital in Chicago on Aug. 7, 2018. THE CANADIAN PRESS/AP-Teresa Crawford

Study co-author says planned C-sections may be less risky for some moms and babies

C-sections carry their own risks, including infection, blood clots, pain and a long recovery period

Planned caesarean sections are safe for low-risk deliveries and may be associated with a lower chance of complications for both mother and baby compared with vaginal deliveries, according to the co-author of a study published Monday in the Canadian Medical Association Journal.

Still, maternal fetal medicine specialist Dr. Darine El-Chaâr said women should consult their doctor on what’s best for them, and called for more research on the long-term effects of planned caesareans, including how the health of babies born this way differs from their vaginally born counterparts.

El-Chaâr said the research compared the outcomes of C-section deliveries that were requested and found that about 60 per cent of the mothers and their babies fared better.

Researchers analyzed birth-registry data from Ontario on 422,210 low-risk pregnancies between 2012 and 2018 and found 46,533 babies were born by C-section. They focused on 1,827 cases, or nearly four per cent, involving women who’d requested the procedure in advance.

They then looked for 10 common problems that can stem from labour and delivery, including rupture of the uterus, tears to the pelvic floor as well as whether the newborn was admitted to neonatal intensive care for issues such as respiratory distress.

“The findings are significant from a statistical point of view but we’d love to see this in a larger population,” said El-Chaâr, associate scientist at the Ottawa Hospital.

She said multiple factors including medical history may influence someone’s decision to opt for a C-section.

The study found women who chose a caesarean delivery were more likely to be white, aged 35 or older and live in a higher-income neighbourhood. They were also more likely to have conceived by in-vitro fertilization, and be delivering their first baby.

Ontario is believed to be the only province with a birth registry that includes information on scheduled C-sections, so it’s not known how many women elsewhere in Canada ask for the procedure.

El-Chaâr said some of her older patients requested a C-section to reduce risk of complications with a vaginal birth, but fear of childbirth was among the most common reasons for seeking the procedure.

“I see, as a physician, women who are just so scared of what labour is, and the pain, that they truly cannot be reasoned into the process of vaginal delivery,” El-Chaâr said.. “Women often are scared of it in the first pregnancy but as you talk to them, as they take prenatal classes, they are used to the idea and they are more comfortable with it.”

“There are also patients who’ve gone through traumatic sexual assault and they just don’t feel comfortable delivering,” she added. “These are very rare.”

C-sections carry their own risks, including infection, blood clots, pain and a long recovery period.

But scheduled C-sections are sometimes medically necessary for older women who face greater risk of complications with a vaginal birth if they have certain conditions such as high blood pressure, diabetes and arthritis, El-Chaâr said.

An abnormal fetal heart rate is the most common reason for a caesarean delivery, she added.

The World Health Organization saysthe ideal rate of C-sections is between 10 and 15 per cent.

Data from the Canadian Institute for Health Information show almost 30 per cent of deliveries in Canada were by C-section between 2019 to 2020. British Columbia had the highest rate, at nearly 38 per cent, and the Northwest Territories had the lowest at 19 per cent. Ontario was closest to the national average.

British Columbia recently began an online interactive program to help women decidehow they want to deliverafter a previous C-section.

Sarah Munro, who led the research and development of the project and is an assistant professor in obstetrics and gynecology at the University of British Columbia, said the goal is to let families know about the potential benefits and harms of whatever decision they make.

“We’ve been making a lot of effort across different parts of the health-care system to improve shared decision-making, so providing patients with tools to make choices about mode of birth and providing care providers with strategies to have those conversations.”

Camille Bains, The Canadian Press


Like us on Facebook and follow us on Twitter.

BirthsHealthcare

Just Posted

Justin Bond’s Bahrain 1 took a team around a year to construct. It gets its name because the Sheik of Bahrain is a major sponsor of the team. / Photo courtesy of Justin Bond.
Mission dragracer wins Atlanta race, ousts back-to-back world champion

Justin Bond goes quarter-mile in 5.738-seconds, beating champ Stevie ‘Fast’ Jackson on home turf

Former UFV Cascades wrestling coach Arjan Singh Bhullar is now the ONE heavyweight champion after defeating Brandon Vera via TKO in round two on Saturday in Singapore. (ONE Championship)
Former UFV wrestling coach wins MMA championship

Arjan Singh Bhullar captures ONE heavyweight title, first Indian origin fighter to achieve honour

Jamie and Erin O’Neill, who are renting a 107-year-old house at 45837 Knight Rd., are wanting to save it from the wrecking ball and move it when it comes time for the owners of the house to build a new house on the property. They are pictured here outside the home on Tuesday, May 11, 2021. (Jenna Hauck/ Chilliwack Progress)
Chilliwack couple wants to save 107-year-old home from demolition, asking for community support

O’Neills have less than year to find new property, raise funds to move Knight Road house

Archway Community Services is among local agencies receiving one-time grants through the Civil Forfeiture Crime Prevention and Remediation grant program. (Photo courtesy of Archway)
Nine Abbotsford projects receive $345K in civil forfeiture grants

Funds awarded to projects aimed at prevention of crime and domestic violence

Karl Eha showing off a fishing rod that was originally made in 1972. Patrick Penner photo.
Mission’s Eha Sports offering store credit for old fishing gear, plans to donate to poor Latin American children

Karl Eha recalls time as hungry kid in post-war Germany, says fishing kept him full

Daily confirmed COVID-19 cases reported to B.C. public health, seven-day rolling average in white, to May 12, 2021. (B.C. Centre for Disease Control)
B.C. preparing ‘Restart 2.0’ from COVID-19 as June approaches

Daily infections fall below 500 Friday, down to 387 in hospital

The Independent Investigations Office of BC (IIO) (File Photo)
Police watchdog investigating after man found dead in Surrey following a wellness check

IIO says officers ‘reportedly spoke to a man at the home before departing’

On Friday, May 14 at Meadow Gardens Golf Club in Pitt Meadows, Michael Caan joined a very elite club of golfers who have shot under 60 (Instagram)
Crowds at English Bay were blasted with a large beam of light from an RCMP Air-1 helicopter on Friday, May 14. THE CANADIAN PRESS/Marc Grandmaison
Police enlist RCMP helicopter to disperse thousands crowded on Vancouver beach

On Friday night, police were witness to ‘several thousand people staying well into the evening’

People shop in Chinatown in Vancouver on Friday, February 5, 2021. THE CANADIAN PRESS/Jonathan Hayward
Vancouver community leaders call for action following 717% rise in anti-Asian hate crimes

‘The alarming rise of anti-Asian hate in Canada and south of the border shows Asians have not been fully accepted in North America,’ says Carol Lee

Sinikka Gay Elliott was reported missing on Salt Spring Island on Wednesday, May 12. (Courtesty Salt Spring RCMP)
Body of UBC professor found on Salt Spring Island, no foul play suspected

Sinikka Elliott taught sociology at the university

The first Black judge named to the BC Supreme Court, Selwyn Romilly, was handcuffed at 9:15 a.m. May 14 while walking along the seawall. (YouTube/Screen grab)
Police apologize after wrongly arresting B.C.’s first Black Supreme Court Justice

At 81 years old, the retired judge was handcuffed in public while out for a walk Friday morning

Surrey RCMP in the 4900-block of 148th Street, a short road just off of King George Boulevard, on May 15, 2021 after a male was allegedly assaulted with a “pipe-like” weapon that morning. (Photo: Shane MacKichan)
Surrey RCMP investigating after person reportedly injured with ‘pipe-like’ weapon

Police investigating incident in the 4900-block of 148th Street

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

Most Read