BCBSM found that cesarean delivery
rates were higher largely due to physician fear of malpractice claims, a universal desire to speed the delivery process, patient preference and differences in rates of reimbursement between cesarean and vaginal deliveries.
The trial participants were 60 healthy women with term singleton pregnancies who underwent elective cesarean delivery
with spinal anesthesia.
Five percent of the mothers had had at least one prior cesarean delivery
but did not plan a surgical delivery for the current pregnancy, 3% had previously had a cesarean section and intended to undergo this procedure again, 48% were multiparous and had no history of cesarean delivery
, and 44% were nulliparous.
6), or required a more urgent cesarean delivery
This is the first prospective longitudinal study to characterize chronic pain after cesarean delivery
using the SF-MPQ-2, and to our knowledge, is actually the first study that uses the SF-MPQ-2 that tries to characterize chronic postoperative pain," Dr.
To explore this, the researchers used the birth records of 9,206 low-risk women undergoing a planned repeat cesarean delivery
in the British Columbia Perinatal Database Registry for 2008-2011, and calculated the correlation between institutional rates of early-term delivery and rates of emergency cesarean delivery
for each of the 13 major obstetrical centers in British Columbia.
Within each PPBMI group, nulliparous women 40 years of age and older delivered at a significantly lower gestational age, had a greater incidence of cesarean delivery
, gestational diabetes, preterm birth, and both low and very low birth weight infants, compared with controls aged 20-29 years.
They identified 1,007 women - 95 with vaginal delivery with a tear, 353 with vaginal delivery without a tear, and 559 with cesarean delivery
After excluding patients with medical complications or prior cesarean delivery
, the researchers identified 118 consecutive cases diagnosed with arrest of dilatation and grouped them into one of four body mass index (BMI) classifications: BMI of less than 25 kg/[m.
Induction and cesarean delivery
are both important interventions that can improve outcomes for mothers and/or their babies when medically indicated.
No significant differences were seen in the risk of adverse neonatal outcomes between women with twin pregnancy who underwent planned cesarean delivery
and those who underwent planned vaginal delivery.
Two examples are the level of use of prenatal care and the rate of cesarean delivery
, according to a population-based case-control study conducted in North Carolina.
Although the Twin Birth Study was a "massive logistic effort," the findings are unlikely to lead to a major change in the use of cesarean delivery
for twin pregnancies, according to Dr.
Interventions such as cesarean delivery
and the use of epidural anesthesia were significantly less common in the collaborative care group than among women who received traditional care.
As a result of the change in practice, there were significant decreases in scheduled cesarean delivery
from 2004-2008 to 2010 and in scheduled induction, but significant increases in urgent inductions, urgent cesarean deliveries, and cesarean deliveries after labor.