A new approach to cesarean
delivery is the mother- and baby-centered cesarean
delivery, also known as the "natural cesarean
During the study period as a whole, rates of cesarean
deliveries were elevated among women who were wealthy, were insured, had at least a college education and were having their first birth.
But offering patient-choice cesareans
as a solution to these factors undermines the work that women can do prenatally to move beyond these challenges and fears towards an empowering normal birth.
We calculated the prevalence of total cesarean
deliveries and of cesareans
in each category, as a proportion of all births.
"Some people have said you're actually making cesareans
so pleasant that you might change the cesarean
section rate, maybe encourage people to have a cesarean
, and I want to directly address that by saying it is simply not the case at all," Dr.
These women should visit a specialist obstetrician to discuss the options of delivery before 36 weeks gestationso that they become aware of the risks and benefits of both vaginal birth andelective/planned cesarean
explainsDr Tasneem Husaini Rangwala, Specialist Gynaecologist, Zulekha Hospital,Dubai.
one out of three women gives birth by cesarean
and more than 90% of women with a prior cesarean
have a routine repeat operation.
Earlier studies have consistently found that cesarean
delivery is the most important risk factor for placenta accreta in a subsequent pregnancy, with the risk rising with the number of prior cesarean
In late March, the National Institutes of Health (NIH) convened a state-of-the-science conference entitled "Cesarean
Delivery on Maternal Request" to explore the safety of elective cesarean
section performed because the woman requested it rather than because it was medically necessary.
To assess the association between cesarean
delivery and stillbirth in subsequent pregnancy, the researchers examined the records of women who had had two consecutive singleton births at 20 or more weeks of gestation; infants with congenital abnormalities were excluded.
-- A prior cesarean
delivery can have an adverse effect on maternal and neonatal postpartum outcomes in subsequent births, according to a retrospective study of 10,600 live births.
None of the babies delivered via planned cesareans
had brain injury, the researchers report in the Dec.