Reducing the incidence of dystocia with different childbirth management strategies is one key to reducing unnecessary cesareans
(Paul and Miller 1995).
We found that the higher the malpractice premiums, or the more malpractice claims filed against obstetricians in the hospital, the greater the risk that a woman in the hospital will have a cesarean
," says lead author A.
SAN FRANCISCO -- Excessive gestational weight gain increased the risk of cesarean
delivery in all ages; however, less so in pregnant teens than in adults in a population-based cohort study of more than 1,000,000 births.
section rate rose from 3% to 39% in China from 1988 to 2008, and it was especially high among urban, wealthy and highly educated women, according to analyses of data from four cross-sectional surveys.
These flaws include the use of studies that were too small to be statistically significant or to be able to measure specific outcomes with accuracy, the inclusion of studies where there was no vaginal birth comparison group, the inclusion of studies looking specifically at mode of delivery outcomes for breech birth, and the clear omission of the only available national data about cesareans
on maternal request from the mothers themselves, provided by the second national Listening to Mothers survey that was released just prior to the meeting.
Nationwide, the analysts estimate, 540,174 primary and 371,863 repeat cesareans
were performed in 2001.
CIMS is especially concerned about the ongoing increase in first cesareans
because most women having a first cesarean
will go on to have more despite the fact that elective repeat cesarean
section is more hazardous for the mother and not any safer for the baby.
These mothers must take the drug AZT and deliver by planned cesarean
section, two studies show.
Camann, an early adopter of what the Brigham calls "gentle cesareans
We came from different backgrounds and trainings but our common bond was our understanding that something must shift, something must change or the rate of Cesareans
will continue to climb and the Cesarean
section will become the "norm" for childbirth.
Wilkes PT et al, Risk factors for cesarean
delivery at presentation of nulliparous patients in labor, Obstetrics & Gynecology, 2003, 102(6):1352-1357
27 /PRNewswire/ -- An 18-month study covering six years of cesarean
delivery rates by Minnesota's largest health carrier shows that using data in the quality improvement process encourages safer baby deliveries and lowers health care costs.
Malloy and his co-workers at the National Institute of Child Health and Human Development find that cesareans
improve the survival chances of these babies only during their first 24 hours.
If HA were planning three or more pregnancies, given the current evidence regarding risks of repeat cesareans
, I would not consider her request a reasonable health care alternative, and I would refuse to support it.
The similarity in the gestational age at the time of delivery between both types of cesareans
is surprising and may reflect that the overwhelming number of elective deliveries are at term and the number of women induced for post dates in the nonelective group, who then fail the induction, may balance the number of preterm deliveries in that group.