Unit 8 Week 12: Discussion

(Unit 8 Week 12: Discussion)

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The evidence-based project topic is the impact of caesarian sections on postoperative care. Research shows that a higher percentage of urinary catheters were left in place after surgery, more blood transfusions were needed in the postnatal period, and febrile morbidity was more common in women who gave birth via emergency Caesarean section (Filippi et al., 2017). The emergency group experienced more wound infections, intrauterine infections, and chest infections, which led to a larger percentage of the women needing antibiotic medication in the postpartum period. According to Filippi et al. (2017), cesarean deliveries are associated with significant postoperative morbidity, especially if they are done in an emergency situation. With such evidence, there is a serious concern about how CS impacts postoperative care and recovery.

Unit 8 Week 12: Discussion

The selected guideline is WHO recommendations for non-clinical interventions to reduce unnecessary cesarean sections. According to WHO, over the past few decades, cesarean section rates have steadily risen globally. There have been no notable maternal or perinatal advantages to this trend. Contrarily, there is data suggesting that, at a certain point, rising cesarean section rates may be linked to higher rates of maternal and perinatal morbidity (World Health Organization, 2018). Cesarean birth carries both immediate and long-term dangers that might influence the mother’s, the child’s, and future pregnancies’ health for many years after the delivery. Costly medical expenses are linked to high rates of cesarean sections. It is proven that CS has significant effects on various dimensions of health. There is a need to reduce unnecessary CS. This guideline provides options for non-clinical interventions to reduce unnecessary CS. The guideline is well-documented and supported by a robust body of evidence for every recommendation and intervention. Based on AGREE II, the guideline is high quality. (Unit 8 Week 12: Discussion)

References

Filippi, V., Ganaba, R., Calvert, C., Murray, S. F., & Storeng, K. T. (2017). After surgery: the effects of life-saving caesarean sections in Burkina Faso. BMC pregnancy and childbirth, 15(1), 1-13. https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0778-7

World Health Organization. (2018). WHO recommendations non-clinical interventions to reduce unnecessary caesarean sections. World Health Organization. https://iris.who.int/bitstream/handle/10665/275377/9789241550338-eng.pdf?sequence=1#:~:text=Implementation%20of%20evidence%2Dbased%20clinical%20practice%20guidelines%20combined%20with%20structured,opinion%20for%20caesarean%20section%20indication.

Unit 8 Week 12: Discussion