Majority of Caesareans Peformed BEFORE LABOR STARTS

3 September 2010 at 5:56 am Leave a comment

Not only do 32% of labors end in a Caesarean delivery, but recent data* shows that for most of those deliveries, mama doesn’t go into labor first. Remember when we were shocked that the Cesarean rate was 1 in 4?

Worries about the ever-increasing Caesarean rate led the National Institutes of Health to form a Consortium on Safe Labor, which performed a detailed analysis of electronic records from 228,668 births at 19 hospitals in the United States from 2002 to 2008. The study is the first to analyze how often Caesareans were performed before women went into labor (more than half the time) and how often after labor had begun.

The main reason for a Caesarean was a prior Caesarean. But in women who have not had Caesareans before, one factor that may increase the risk is the use of drugs to induce labor. The practice has been increasing, and the study found that induced labor, compared with spontaneous labor, was twice as likely to result in a Caesarean.

In the study, 44 percent of the women who were trying vaginal delivery had their labor induced. When Caesareans were done after induction, half were performed before the woman’s cervix had dilated to six centimeters, “suggesting that clinical impatience may play a role,” the authors wrote. Full dilation is 10 centimeters, and a Caesarean before six centimeters may be too soon, the researchers said.
All the more reason to consider a homebirth, I say 😉

*apologies for linking to an article you have to register to read

Entry filed under: Articles to read.

Whip ’em out! Just a spoonful of sugar?

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September 2010
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