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Cesarean Section Blog

More Evidence C-Sections Riskier for Moms

Posted 6 days ago by Drugs.com

WEDNESDAY, May 20, 2015 – Women who deliver their first baby by cesarean section are more likely to need blood transfusions and be admitted to intensive care units than women who opt for a vaginal delivery, U.S. health officials reported Wednesday. In addition, after that first C-section, nine out of 10 women will have their next infant delivered the same way, said report author Sally Curtin, a statistician at the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics. "Having that first cesarean changes everything," she said. "It changes the picture of whether you are even going to attempt labor next time." There are more health risks for mothers for repeat cesarean than vaginal deliveries, Curtin said. These risks include the need for transfusions, a ruptured uterus, the need to be admitted to an intensive care unit and an increased likelihood of ... Read more

Related support groups: Delivery, Labor Induction, Postpartum Bleeding, Cesarean Section, Labor and Delivery including Augmentation

Morning, Midday Most Common Time for Babies' Arrival, Study Finds

Posted 18 days ago by Drugs.com

FRIDAY, May 8, 2015 – Just in time for Mother's Day, a new study looks at when during the day the stork brings American parents that bundle of joy. Research into 2013 data finds that as rates of elective c-section and induced vaginal births rise, American babies are increasingly being born during the morning and midday working hours at hospitals. On the other hand, the study of more than 90 percent of U.S. births in 2013 found that out-of-hospital births typically occurred in the early morning – after 1 a.m. "In general, these births have fewer interventions, and thus likely exhibit a more natural time-of-day delivery pattern compared with births delivered in hospitals," wrote co-authors T.J. Mathew and Sally Curtin of the National Center for Health Statistics, part of the U.S. Centers for Disease Control and Prevention. The study, released May 8, looked at U.S. birth certificate data ... Read more

Related support groups: Delivery, Premature Labor, Labor Induction, Cervical Ripening, Labor Pain, Cesarean Section, Labor and Delivery including Augmentation

C-Section Rates Drop Slightly With Hospital Review Program

Posted 29 Apr 2015 by Drugs.com

WEDNESDAY, April 29, 2015 – Fewer pregnant women had cesarean section births in Canadian hospitals that took part in a C-section review program, a new study reports. The intervention program included onsite training in best-practice guidelines for C-sections, audits by a committee, and feedback for doctors. "The benefit was driven by the effect of the intervention in low-risk pregnancies," said lead author Nils Chaillet, an associate professor of obstetrics and gynecology at the University of Sherbrooke in Quebec, Canada. In hospitals with the program, fewer serious complications occurred in newborns, too, "suggesting that the reduction in the cesarean section rate is safe and that the program could improve the health of children," Chaillet added. "The results suggested that by improving our knowledge about prenatal care programs and effectiveness, we can help reduce the rate of ... Read more

Related support groups: Cesarean Section

Nearly 1 in 3 U.S. Babies Delivered by C-Section, Study Finds

Posted 23 Oct 2014 by Drugs.com

THURSDAY, Oct. 23, 2014 – Cesarean delivery was the most common inpatient surgery in the United States in 2011 and was used in nearly one-third of all deliveries, research shows. The new study found that 1.3 million babies were delivered by cesarean section in 2011. The findings also revealed wide variations in C-section rates at hospitals across the United States, but the reasons for such differences are unclear. "We found that the variability in hospital cesarean rates was not driven by differences in maternal diagnoses or pregnancy complexity. This means there was significantly higher variation in hospital rates than would be expected based on women's health conditions," lead author Katy Kozhimannil, an assistant professor in the School of Public Health at the University of Minnesota, said in a university news release. The researchers analyzed data from more than 1,300 hospitals in ... Read more

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For Breech Baby, C-Section May Be Safer Option: Study

Posted 11 Aug 2014 by Drugs.com

MONDAY, Aug. 11, 2014 – Breech babies are much more likely to die during vaginal delivery compared with cesarean section, according to a new study. Breech deliveries – when the baby is positioned to come out with the legs and buttocks first instead of the head – account for up to 4 percent of births. Researchers looked at more than 58,000 women in the Netherlands who had term breech deliveries between 1999 and 2007. They found that the risk of death was 10 times higher for breech babies delivered vaginally than for those delivered by C-section. Elective C-section rates for breech deliveries rose from 24 percent to 60 percent during the study period, resulting in a decrease in infant deaths from 1.3 to 0.7 per 1,000, the study found. The researchers concluded that there needed to be 338 C-sections to prevent one death. However, the investigators were unable to identify ... Read more

Related support groups: Cesarean Section

Sutures Bested Staples After C-Section in Study

Posted 8 Jul 2014 by Drugs.com

TUESDAY, July 8, 2014 – Women who deliver their baby by cesarean section are less likely to suffer complications if sutures – rather than staples – are used to close the incision, a new study says. "This study clearly shows that women who undergo C-section have fewer wound complications after suture closure than after staple closure," study first author Dr. Dhanya Mackeen, said in a university news release. Mackeen was a fellow at Thomas Jefferson University in Philadelphia at the time of the study. The study included almost 750 women who had C-sections at three U.S. hospitals. Those whose C-section incisions were closed with sutures (stitches) were 57 percent less likely to develop wound complications than those whose incisions were closed with staples. Specifically, wound complications occurred in 18 out of 370 women who received sutures and in 40 of the 376 who received staples. ... Read more

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C-Section May Raise Odds of Failed Pregnancy Later: Study

Posted 1 Jul 2014 by Drugs.com

TUESDAY, July 1, 2014 – A cesarean delivery might put women at a slightly increased risk for ectopic pregnancy and stillbirth in future pregnancies, a new study finds. However, the risk for either complication is still very low, researchers said. The researchers analyzed data from nearly 833,000 first-time mothers in Denmark. Those whose baby was delivered by cesarean section had a 14 percent higher rate of stillbirth in their next pregnancy than those who had a vaginal delivery. A stillbirth is described as the death of a fetus at more than 20 weeks of gestation. That works out to an absolute risk increase of 0.03 percent. That means that for every 3,000 cesarean deliveries, there would be one extra stillbirth in future pregnancies, the researchers explained. They also found that women who had a cesarean delivery for their first baby were 9 percent more likely to have a future ectopic ... Read more

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Induced Labor May Lower Risk for C-Section, Study Finds

Posted 28 Apr 2014 by Drugs.com

MONDAY, April 28, 2014 – Pregnant women whose labor is induced are 12 percent less likely to need a cesarean delivery than those whose doctors take a "wait-and-see" approach, a new review of the data shows. The findings challenge the widely held view that inducing labor actually boosts the odds that a woman will require a C-section, the authors said. "These findings show that induction is a way to increase the likelihood of a vaginal birth," wrote a team led by Khalid Khan of Queen Mary University of London in England. In the study, Khan's group analyzed 157 studies involving more than 31,000 births. The 12 percent lower risk of cesarean delivery was seen in term or post-term pregnancies that were induced, but not in preterm births, the authors noted. Inducing labor lowered the chance of cesarean delivery in both high- and low-risk pregnancies, and it also reduced the risk of fetal ... Read more

Related support groups: Labor Induction, Cesarean Section

C-Section Birth May Raise Risk of Adult Obesity: Study

Posted 26 Feb 2014 by Drugs.com

WEDNESDAY, Feb. 26, 2014 – Babies born by cesarean section seem more likely to be overweight or obese later in life, a new study contends. The odds of being overweight are 26 percent higher for cesarean babies than those born vaginally, found researchers at Imperial College London, in England. As the number of cesarean deliveries increases in many countries, pregnant women should be advised about the possible long-term consequences, the researchers said. "There are good reasons why C-section may be the best option for many mothers and their babies, and C-sections can, on occasion, be lifesaving," senior study author Neena Modi said in a college news release. "However, we need to understand the long-term outcomes in order to provide the best advice to women who are considering cesarean delivery." Previous studies have suggested that long-term health effects linked to cesarean births ... Read more

Related support groups: Obesity, Cesarean Section

Ob/Gyn Groups Issue Guidelines to Lower C-Section Rates

Posted 19 Feb 2014 by Drugs.com

WEDNESDAY, Feb. 19, 2014 – Two major medical groups representing America's obstetricians/gynecologists issued joint guidelines on Wednesday aimed at curbing the overuse of cesarean sections in first-time mothers. One major change: Extending the length of time a woman should be allowed to be in labor, to help lower the odds she will require a C-section. "This is an extremely important initiative to prevent the first cesarean delivery," said one expert, Dr. Joanne Stone, director of maternal-fetal medicine at The Mount Sinai Hospital in New York City. "Multiple cesarean sections put women at higher risks for complications, such as abnormal placental adherence, bleeding and even hysterectomy," she said. Also, "by preventing the first cesarean, we can prevent future cesareans." According to an American College of Obstetricians and Gynecologists news release, about one-third of American ... Read more

Related support groups: Cesarean Section

First-Time Cesarean Rates Dipped in 2012: CDC

Posted 23 Jan 2014 by Drugs.com

THURSDAY, Jan. 23, 2014 – Efforts to curb cesarean birth rates in the United States might be working, with health officials reporting a 2 percent decline in the number of first-time surgical deliveries between 2009 and 2012. Cesarean delivery rates in 19 states reporting to the U.S. Centers for Disease Control and Prevention averaged 21.9 percent in 2012, the CDC said in a report released Thursday. This represented a return to the rate last recorded for those states in 2006. Report co-author Michelle Osterman, a statistician at the CDC's National Center for Health Statistics, said the turnaround was significant. "The rates had been going up every year, but in 2009 they either stabilized or started to come down," she said. The real impact might be felt in the overall cesarean rate, Osterman said. "Because primary cesareans are starting to decline, the overall cesarean rate will be ... Read more

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Natural Delivery After a C-Section Often Successful: Study

Posted 20 Nov 2013 by Drugs.com

WEDNESDAY, Nov. 20, 2013 – Nearly two-thirds of women who had a cesarean delivery for their first child were successful when they attempted a natural birth for their second baby, British researchers found. The study, published Nov. 20 in BJOG: An International Journal of Obstetrics and Gynaecology, used data on almost 144,000 British women who had their first baby by C-section between 2004 and 2011. The researchers found that 52 percent of them attempted a vaginal birth for their second baby. "This study shows encouraging results with the majority of women who attempted a natural delivery after a primary C-section being successful," journal deputy editor John Thorp said in a journal news release. Of the women who attempted a vaginal birth for their second baby, 63 percent had a successful delivery. Black women had a lower success rate than white women (50 percent vs. 66 percent), and ... Read more

Related support groups: Cesarean Section

Hospitals Enact Policies to Curb Early Childbirth

Posted 6 May 2013 by Drugs.com

MONDAY, May 6 – Hoping to curb elective Cesarean births and labor inductions, two-thirds of U.S. hospitals have implemented policies to eliminate medically unnecessary pre-term births, a new study reports. Pre-term deliveries (before 39 weeks' gestation) carry an increased risk of neonatal respiratory distress and admission to neonatal intensive care units (NICU), researchers from the University of Pennsylvania Perelman School of Medicine said. For the study, the researchers questioned nearly 2,400 hospitals about their policies on early deliveries that weren't necessary for medical reasons. They found that 66.5 percent of the hospitals had a formal policy against the practice, and more than two-thirds of these hospitals had a "hard-stop" policy, or a strictly enforced rule, against elective deliveries before 39 weeks of gestation. "There is reason to be encouraged that hospital ... Read more

Related support groups: Cesarean Section

Hospitals Work to Reduce Unnecessary Early Births

Posted 9 Apr 2013 by Drugs.com

TUESDAY, April 9 – Early elective deliveries of babies were significantly reduced at hospitals that implemented quality-improvement programs, according to a new study. These types of deliveries – which include cesarean section and induction of labor without a medical reason – fell 83 percent (from 27.8 percent to 4.8 percent) in the 25 hospitals that took part in the year-long study. The hospitals were located in California, Florida, Illinois, New York and Texas. Together, these five states account for about 38 percent of all births in the United States. The results are good news because babies delivered before full term are at increased risk for serious health problems and death in their first year, according to the March of Dimes, which partially funded the study. "This quality-improvement program demonstrates that we can create a change in medical culture to prevent unneeded early ... Read more

Related support groups: Cesarean Section, Prematurity/Underweight in Infancy

Heavier Pregnant Women May Face Higher C-Section Risk

Posted 8 Mar 2013 by Drugs.com

FRIDAY, March 8 – Overweight and obese pregnant women are at increased risk for cesarean delivery, according to a new study. Researchers examined data from more than 50,000 women in Norway who gave birth to one child. Women with preeclampsia, high blood pressure, diabetes, gestational diabetes and placenta previa were not included in the study. The findings were published online recently in the journal Acta Obstetricia et Gynecologica Scandinavica. Women who were overweight and obese before pregnancy had an increased risk of C-section. Those who were extremely obese had the strongest risk of C-section and also had an increased risk of vacuum-extraction delivery. The researchers also found that women who gained 35 pounds or more during pregnancy had a significantly increased risk of forceps, vacuum-extraction and C-section deliveries. This finding was independent of a woman's weight ... Read more

Related support groups: Obesity, Cesarean Section

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