Cesarean versus Planned Delivery at Term

Paper Summary:

In this article the writer reviews the scholarly article, "Maternal Mortality and Severe Morbidity Associated with Low-risk Planned Cesarean Delivery versus Planned Vaginal Delivery at Term", about the relative dangers of cesarean section versus vaginal delivery for women. The paper looks at the purpose of the study and summarizes the results. The writer then describes its strengths and weaknesses and outlines how such findings should be utilized in the future. In addition, two key questions that should guide future investigation are enumerated.

Outline:
Abstract
Purpose of the study
Results of the study
Strengths of the study
Weaknesses of the study
How to use these findings in practice
Two questions for future research

From the Paper:

"The strengths of the study lie in the fact that few studies this writer has reviewed have been more comprehensive. To wit, the planned cesarean group comprised 46,766 women; for the planned vaginal delivery group, the figure was 2,292,420. Every bit as importantly, the study is longitudinal in nature. Specifically, the study encompasses a 14-year period - a length of time seemingly sufficient to ensure that curious aberrations or anomalies in particular years did not cause fundamental distortions in the findings of the study. Additionally, to ensure the validity of the data findings, the researchers employed adjusted odds ratio and confidence intervals; as well, the authors used multivariate analysis to control for "confounding variables" such as age, year of delivery, and elderly primigravidity - among other factors."

Sample of Sources Used:

• Liu, Shiliang, Liston, Robert M., Joseph, K.S., Heaman, Maureen, Sauve, Reg, and Kramer, Michael S. (2007). Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term. Canadian Medical Association Journal, 176(4): 455-460.

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