Cesarean Delivery: From Surgical Procedure to System of Care
Issued Date
2026-01-01
Resource Type
ISSN
00029378
eISSN
10976868
Scopus ID
2-s2.0-105024581137
Pubmed ID
41485819
Journal Title
American Journal of Obstetrics and Gynecology
Volume
233
Issue
6
Start Page
S23
End Page
S28
Rights Holder(s)
SCOPUS
Bibliographic Citation
American Journal of Obstetrics and Gynecology Vol.233 No.6 (2026) , S23-S28
Suggested Citation
Romero R., Fox K.A., Chaemsaithong P., Stone J.L., Cetin I., Sanchez-Ramos L., Vintzileos A.M. Cesarean Delivery: From Surgical Procedure to System of Care. American Journal of Obstetrics and Gynecology Vol.233 No.6 (2026) , S23-S28. S28. doi:10.1016/j.ajog.2025.10.029 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/114771
Title
Cesarean Delivery: From Surgical Procedure to System of Care
Author's Affiliation
Università degli Studi di Milano
University of Michigan Medical School
Icahn School of Medicine at Mount Sinai
University of Florida College of Medicine
John Sealy School of Medicine
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
National Institute of Child Health and Human Development (NICHD)
MSU College of Human Medicine
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Ramathibodi Hospital
Lenox Hill Hospital
Northwell
University of Michigan Medical School
Icahn School of Medicine at Mount Sinai
University of Florida College of Medicine
John Sealy School of Medicine
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
National Institute of Child Health and Human Development (NICHD)
MSU College of Human Medicine
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Ramathibodi Hospital
Lenox Hill Hospital
Northwell
Corresponding Author(s)
Other Contributor(s)
Abstract
Cesarean delivery has evolved from an operation of last resort to the most frequently performed major surgical procedure worldwide, with nearly 29 million births each year. Advances in anesthesia, surgical technique, and perioperative care have greatly improved safety, yet the expansion of cesarean delivery raises complex clinical, psychological, and societal questions. This article introduces the American Journal of Obstetrics and Gynecology (AJOG) supplement “Cesarean Delivery”, which assembles expert reviews, clinical opinions, original research, clinical trials, and perspectives addressing key aspects of this transformation. Topics include preoperative ultrasound to guide incision planning, evolving methods of uterine closure, Enhanced Recovery After Surgery (ERAS) guidelines, management of complex cases such as placenta accreta, and the prevention of infection, hemorrhage, and thromboembolism. This issue introduces a new quality index that evaluates outcomes for the maternal–newborn dyad, integrating cesarean rate with both maternal and neonatal outcomes to provide a more meaningful measure of obstetric performance. Psychological sequelae such as post-traumatic stress disorder and postpartum depression, and neonatal consequences of elective and preterm cesarean deliveries are also discussed. Collectively, these contributions redefine cesarean delivery as part of an integrated continuum of care—one that values surgical technique, maternal and infant outcomes, and the ethical balance between safety and autonomy.