Main description:

Cesarean section rates Percentage Indication Low High Failure to progress 2. 0 4. 0 Repeat cesarean section 2. 0 6. 0 Breech and abnormal lie 1. 3 3. 5 Fetal distress 1. 5 3. 0 Third-trimester bleeding 1. 0 1. 0 Totals 7. 8 17. 5 l From Quilligan, by permission of Contemporary Obstetrics and Gynecology. vaginal delivery, I have yet to meet a physician who would do something they believed would harm their patient even if they were paid ten times as much for a section. On the other hand, there are fears and misconceptions. I have heard many doctors say "I have never been sued for a section I did, but I have been sued for the section I did not do. " The fear of not having performed a section in my opinion is real, although difficult to prove, and until the public can be educated that cesarean section delivery cannot eradicate fetal death and damage, this fear will remain and will be responsible for some unnecessary cesarean sections. Bruce Flamm and I hope this book will correct misconceptions that have been responsible for many unnecessary cesarean sections. I am still frequently asked the same old question: What is an ideal cesarean section rate? I still give an answer similar to the 1983 answer, perhaps somewhat modified.

Contents:

1 Cesarean Delivery in the United States: A Summary of the Past 20 Years.- 2 Worldwide Utilization of Cesarean Section.- 3 Dystocia and "Failure to Progress" in Labor.- 4 Active Management of Labor.- 5 Vaginal Birth After Cesarean Section.- 6 Breech Presentation.- 7 Cesarean Section for Fetal Distress.- 8 Fetal Macrosomia.- 9 Twin Gestation and Multiple Births.- 10 Genital Herpes: Contemporary Management.- 11 Methods for Safe Reduction of Cesarean Section Rates.- 12 Cesarean Delivery: A Medical-Legal Perspective.- 13 Economic Considerations in Cesarean Section Use.- 14 Ethical Issues in the Utilization of Cesarean Section.- 15 The Patient Who Demands Cesarean Delivery.- 16 The Impact of Midwifery Care, Childbirth Preparation, and Labor Support on Cesarean Section Rates.- 17 Cesarean Projects at the State and National Level.- 18 Guidelines for Appropriate Utilization of Cesarean Operations.