Cesarean section : guidelines for appropriate utilization
Author(s)
Bibliographic Information
Cesarean section : guidelines for appropriate utilization
（Clinical perspectives in obstetrics and gynecology）
Springer-Verlag, c1995
- : us
- : gw
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Note
Includes bibliographical references and index
Description and Table of Contents
- Volume
-
: us ISBN 9780387942384
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.
Table of 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.
- Volume
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: gw ISBN 9783540942382
Description
With nearly one million procedures performed each year, the cesarean section is now the most common operation in the United States. Yet, much controversy exists. When is it and when is it not appropriate to perform a cesarean section? What is an "appropriate" cesarean section rate? Can the cesarean section rate be safely reduced? The authors answer these questions through a practical, comprehensive review of the clinical, medical-legal, social, ethical, and economic considerations involved. Plus, a special chapter with specific guidelines for appropriate utilization of cesarean operations makes this book the definitive guide for the physician who must determine whether to have a patient deliver vaginally or surgically.
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