Our Summary

This research study examined whether attending antenatal classes during pregnancy could reduce the rate of cesarean births in southern Italy. The researchers chose three local health authorities with varying rates of cesarean delivery for their study. They interviewed 1893 mothers who had brought their children for vaccinations. During the interviews, the mothers were asked about their attendance in antenatal classes and their history of childbirth.

The researchers found that the main reasons for cesarean births given during the interviews were medical indications (61%), having had a previous cesarean birth (31%) and the mother’s preference (8%). When they excluded emergency cesarean births from the data, they found a moderate link between attendance in antenatal classes and a reduction in cesarean births. The reduction was approximately 10%. However, even with this reduction, the rate of cesarean births remained high.

The researchers concluded that while antenatal classes did have a moderate effect in reducing cesarean births, further study is needed to create a standardized model of antenatal classes to assess their effectiveness. They hope to implement this model across the entire region.

FAQs

  1. What were the main reasons for cesarean births according to the research study conducted in Southern Italy?
  2. Did the study find any link between attending antenatal classes and a reduction in cesarean births?
  3. What did the researchers conclude about the effectiveness of antenatal classes in reducing cesarean births and what are their future plans?

Doctor’s Tip

A helpful tip a doctor might tell a patient about cesarean section is to attend antenatal classes during pregnancy. These classes can provide valuable information on childbirth, labor, and delivery, as well as techniques for managing pain and stress during labor. Additionally, they may help reduce the likelihood of needing a cesarean section by providing guidance on optimal positioning for labor, breathing techniques, and other strategies for promoting a smooth delivery. It is important to discuss any concerns or preferences with your healthcare provider and attend these classes to prepare for a positive birth experience.

Suitable For

Patients who are typically recommended cesarean section include those with medical indications such as placenta previa, breech presentation, multiple pregnancies, fetal distress, or maternal health conditions that may complicate vaginal delivery. Patients who have had a previous cesarean birth may also be recommended for a repeat cesarean section. Additionally, some patients may choose to have a cesarean birth based on personal preference, although this is less common.

Timeline

Before cesarean section:

  • Patient attends antenatal classes during pregnancy
  • Patient may have medical indications, previous cesarean birth, or personal preference for cesarean delivery
  • Patient discusses birth plan with healthcare provider
  • Patient may undergo labor induction or experience complications during labor
  • Decision is made by healthcare provider to proceed with cesarean section

After cesarean section:

  • Patient is prepared for surgery and given anesthesia
  • Incision is made in abdomen and uterus to deliver the baby
  • Baby is delivered and checked by healthcare providers
  • Patient is monitored closely for any complications
  • Patient may experience pain and discomfort post-surgery
  • Patient receives post-operative care and instructions for recovery
  • Patient may have longer recovery time compared to vaginal delivery
  • Patient may need additional support for breastfeeding and caring for newborn

What to Ask Your Doctor

  1. What are the risks and benefits of having a cesarean section compared to a vaginal delivery?
  2. What are the common reasons for needing a cesarean section?
  3. How can I prepare for a cesarean section, both physically and emotionally?
  4. What is the recovery process like after a cesarean section?
  5. Are there any long-term effects or complications associated with having a cesarean section?
  6. What are the chances of needing a repeat cesarean section in future pregnancies?
  7. Can I discuss my preferences for a birth plan with you, including my preferences for a cesarean section if necessary?
  8. Are there any alternative options or interventions that could potentially reduce the need for a cesarean section?
  9. How will the cesarean section be performed, and what can I expect during the procedure?
  10. What are the risks and benefits of scheduling a cesarean section versus having one done in an emergency situation?

Reference

Authors: Cantone D, Pelullo CP, Cancellieri M, Attena F. Journal: Women Birth. 2017 Apr;30(2):e83-e88. doi: 10.1016/j.wombi.2016.09.004. Epub 2016 Sep 28. PMID: 27686842