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Cesarean Births

Cesarean Births. Ashley Gately , Katie Hamerly , Jocelyn Schaffer. What is a C-section?. Major surgery Requires consent Multiple risks involved for both mom and baby. Caesareans by the Numbers. From 1996-2007, the rate increased every year  maxed out at around 34%

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Cesarean Births

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  1. Cesarean Births Ashley Gately, Katie Hamerly, Jocelyn Schaffer

  2. What is a C-section? • Major surgery • Requires consent • Multiple risks involved for both mom and baby

  3. Caesareans by the Numbers • From 1996-2007, the rate increased every year  maxed out at around 34% • 2010 = first decrease seen in a decade • WHO recommends a rate of 15% as ideal • 60 minutes  average procedure time • 6 weeks  recovery time

  4. Social Implications • Perks of scheduling it • Generally accepted, commonplace • Positive experiences

  5. Ethical Implications • Maternal request • Physician convenience • Not medically necessary • Abuse of authority • Cost

  6. Legal Implications • Malpractice • Waivers (consent forms) • Case examples

  7. References • Menacker F, Hamilton BE. Recent trends in cesarean delivery in the United States. NCHS data brief, no 35. Hyattsville, MD: National Center for Health Statistics. 2010. • Hamilton BE, Martin JA, Ventura SJ. Births: Preliminary data for 2010. National vital statistics reports; vol 60 no 2. Hyattsville, MD: National Center for Health Statistics. 2011. • Althabe F, Belizan JF. Caesarean section: The paradox. The Lancet 2006; 368: 1472-3. • Yang Y, Mello M, Subramanian S, Studdert DM. Relationship between malpractice litigation pressure and rates of cesarean section and vaginal birth after cesarean section. Med Care. February 2009; 47(2): 234-242. Doi: 10.1097/MLR.0b013e31818475de. • Chervenak FA, McCullough LB. The professional responsibility model of obstetric ethics and cesarean delivery. Best Practice & Research Clinical Obstetrics and Gynaecology. (2012). http://dx.doi.org/10.1016/j.bpogyn.2012.09.001. • Lavender T, Hofmeyr GJ, Neilson JP, Kingdon C, Gyte GML. Caesarean section for non-medical reasons at term (review). The Cochrane Library. 2012. • Sahlin, M., et al. First-time mothers’ wish for a planned caesarean section---Deeply rooted emotions. Midwifery (2012). http://dx.doi.org/10.1016/j.midw.2012.02.009. • Ehrenthal, D, Jiang, X, Strobino, D. Labor induction and the risk of a cesarean delivery among nulliparious women at term. American College of Obstetricians and Gynecologists. July 2010 • Mayo Clinic. C-Section. June 2012. Accessed from: http://www.mayoclinic.com/health/c-section/MY00214.

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