Introduction
Why is obstetrical surgery important for reproductive health morbidity care in 2023? What are the systems (primary/secondary) and clinical factors that create morbidity for pregnant people? What evidenced-based management tools and implemented processes can be considered or used to provide enhanced safety and quality for obstetrical surgery?
The rates of caesarean delivery (CD) and the associated accreta spectrum disorder have increased steadily over the past 3 decades, while the clinical use of operative vaginal delivery and vaginal birth after CD – trial of labor after caesarean (VBAC /TOLAC) have decreased. The impact of obstetrical surgery on a person’s reproductive outcomes and future options is important. The clinical management of the first pregnancy (>20 weeks of gestation) and the utilized delivery method will have a significant impact on future reproductive choices. Clinical delivery training, maternity care pathways/systems, and hospital -birthing resources will influence the complexity of counselling, informed consent, and shared decision- making.1–8
This health care leadership commentary is directed toward the common obstetrical surgeries (caesarean delivery,…
