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Cesarean Section News

Are Hospitals Overusing Neonatal Intensive Care?

Posted 2 days 4 hours ago by Drugs.com

MONDAY, July 27, 2015 – A new report finds that more babies are being treated in neonatal intensive care units at many U.S. hospitals, and the infants are bigger and less premature. While they don't know for sure, researchers suggest this is a potential sign that these expensive interventions are being overused. The report authors analyzed nearly 18 million births from 2007-2012, and found that the number of babies who were treated in neonatal intensive care units grew from 6.4 percent to 7.8 percent. "An increase of this level over six years raises questions," said study author Wade Harrison, an urban health scholar at Geisel School of Medicine at Dartmouth, in New Hampshire. "Infants admitted to the units are increasingly likely to be of normal birth weight. More than half of all admissions are for normal or high-birth weight newborns. This suggests the need for further study since ... Read more

Related support groups: Delivery, Premature Labor, Cesarean Section, Prematurity/Underweight in Infancy, Labor and Delivery including Augmentation

New Moms Often Get Poor Advice on Baby Care: Study

Posted 2 days 4 hours ago by Drugs.com

MONDAY, July 27, 2015 – New mothers get conflicting advice from medical professionals, family members and the media when it comes to key parenting topics, a recent study found. And that advice often goes against American Academy of Pediatrics (AAP) recommendations for breast-feeding, vaccines, pacifier use and infant sleep, researchers say. "In order for parents to make informed decisions about their baby's health and safety, it is important that they get information, and that the information is accurate," said the study's lead author, Dr. Staci Eisenberg, a pediatrician at Boston Medical Center. "We know from prior studies that advice matters," Eisenberg said. Parents are more likely to follow the recommendations of medical professionals when they "receive appropriate advice from multiple sources, such as family and physicians," she added. The study was published online July 27 in ... Read more

Related support groups: Delivery, Premature Labor, Labor Pain, Cesarean Section, Prematurity/Underweight in Infancy, Labor and Delivery including Augmentation

New Moms Gain No Benefit From Eating Placenta, Studies Show

Posted 4 Jun 2015 by Drugs.com

THURSDAY, June 4, 2015 – While some celebrity moms swear by it and have made it trendy, doctors and scientists say consuming the placenta after birth offers women and their babies no benefit. In fact, the practice – known as placentophagy – may even pose unknown risks to mothers and infants, according to a team from Northwestern University in Chicago, who pored over the accumulated research on the issue. "Our sense is that women choosing placentophagy, who may otherwise be very careful about what they are putting into their bodies during pregnancy and nursing, are willing to ingest something without evidence of its benefits and, more importantly, of its potential risks to themselves and their nursing infants," study lead author and psychologist Cynthia Coyle said in a Northwestern news release. One expert agreed, saying the supposed benefits of placentophagy are vastly over-rated. ... Read more

Related support groups: Postpartum Depression, Delivery, Cesarean Section, Lactation Augmentation, Labor and Delivery including Augmentation

Breast-feeding May Lower Risk of Childhood Leukemia: Study

Posted 1 Jun 2015 by Drugs.com

MONDAY, June 1, 2015 – Breast-feeding – even for a short time – may lower a baby's later risk of childhood leukemia, a new study suggests. The researchers found that babies breast-fed for at least six months appear to have a 19 percent lower risk of childhood leukemia compared to children who were never breast-fed or were breast-fed for fewer months. "Breast-feeding is a highly accessible and low-cost preventive public health measure that has been found in numerous studies to be associated not only with lower risk for childhood leukemia but also with lower risk for Sudden Infant Death Syndrome (SIDS), gastrointestinal infection, ear infection, type 2 diabetes and obesity later in life," said the study's lead author, Efrat Amitay, of the School of Public Health at the University of Haifa in Israel. "There is, therefore, a distinct public benefit in breast-feeding and it should be ... Read more

Related support groups: Leukemia, Delivery, Premature Labor, Labor Induction, Lactation Suppression, Cesarean Section, Labor and Delivery including Augmentation

More Evidence C-Sections Riskier for Moms

Posted 20 May 2015 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 8 May 2015 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, Labor Pain, Cervical Ripening, 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

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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

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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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