ArticlePloS one2025
Complications in cesarean sections: A national survey of obstetric protocols and outcomes in Spain.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- The Rising Global Cesarean Section Rates and Their Impact on Maternal and Child Health: A Scoping Review.Journal of clinical medicine · 2025Review
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3 authors.
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Abstract
introductionCesarean sections are among the most common obstetric surgeries worldwide. While generally safe, they can be complicated by numerous factors increasing risks for both mother and fetus, and posing significant challenges in clinical practice. In Spain, the absence of unified protocols for managing high-risk cases underscores the need for systematic guidance to improve maternal outcomes and reduce morbidity. MATERIALS AND
methodsA 45-question survey evaluated the management of complicated cesarean sections in Spain among members of the Perinatal Medicine Section of the Spanish Society of Gynecology and Obstetrics. The survey was developed and internally validated by the Spanish Society of Gynecology and Obstetrics. It was distributed online to all registered members. A total of 744 responses were collected between March and June 2024. Inclusion criteria were current obstetric practice and at least one year of experience.
resultsData from 744 Spanish gynecologists was gathered. Respondents, had a median of 15.0 (P25-P75 = 17.0-24.0) years of experience, reported performing an average of 43.4 (SD = 62.1) cesarean sections per month, with 21.9% classified as complicated. Hospital level influenced case volume and complexity, with higher-level hospitals reporting higher incidence of complicated cesarean sections. Only 14.5% of institutions had established preoperative protocols for complicated cesarean sections, showing improved outcomes when implemented. Key complications included blood loss (1000-1500 ml in 35.3% of cases), fetal extraction difficulties, uterine atony, and adjacent organ trauma. Postoperative issues such as infections and wound dehiscence were also common.
conclusionThis study highlights the need for standardized protocols in Spain to manage complicated cesarean sections. Their implementation could reduce intraoperative blood loss, decrease maternal morbidity from hemorrhage and trauma, and improve postoperative recovery and hospital stay duration.
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