NIH State-of-the-science Conference Statement on Cesarean Delivery on Maternal Request PDF Download
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Author: National Institutes of Health (U.S.)
Publisher:
ISBN:
Category : Cesarean section
Languages : en
Pages : 29
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Book Description
Author: National Institutes of Health (U.S.)
Publisher:
ISBN:
Category : Cesarean section
Languages : en
Pages : 29
Get Book Here
Book Description
Author: National Institute of Health (U.S.)
Publisher:
ISBN:
Category : Cesarean section
Languages : en
Pages : 29
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Book Description
Author: Department of Human Services
Publisher: CreateSpace
ISBN: 9781499520194
Category :
Languages : en
Pages : 48
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Book Description
Vaginal birth after cesarean (VBAC) describes vaginal delivery by a woman who has had a previous cesarean delivery. For most of the 20th century, once a woman had undergone a cesarean delivery, clinicians believed that her future pregnancies required cesarean delivery. Studies from the 1960s suggested that this practice may not always be necessary. In 1980, a National Institutes of Health (NIH) Consensus Development Conference Panel questioned the necessity of routine repeat cesarean deliveries and outlined situations in which VBAC could be considered. The option for a woman with a previous cesarean delivery to have a trial of labor was offered and exercised more often in the 1980s through 1996. Since 1996, however, the number of VBACs has declined, contributing to the overall increase in cesarean delivery (Figure 1). Although we recognize that primary cesarean deliveries are the driving force behind the total cesarean delivery rates, the focus of this report is on trial of labor and repeat cesarean deliveries. A number of medical and nonmedical factors have contributed to this decline in the VBAC rate since the mid-1990s, although many of these factors are not well understood. A significant medical factor that is frequently cited as a reason to avoid trial of labor is concern about the possibility of uterine rupture-because an unsuccessful trial of labor, in which a woman undergoes a repeat cesarean delivery instead of a vaginal delivery, has a a higher rate of complications compared to VBAC or elective repeat cesarean delivery. Nonmedical factors include, among other things, restrictions on access to a trial of labor and the effect of the current medical-legal climate on relevant practice patterns. To advance understanding of these important issues, the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the Office of Medical Applications of Research of NIH convened a Consensus Development Conference on March 8-10, 2010. The conference was grounded in the view that a thorough evaluation of the relevant research would help pregnant women and their maternity care providers when making decisions about the mode of delivery after a previous cesarean delivery. Improved understanding of the clinical risks and benefits and how they interact with nonmedical factors also may have important implications for informed decisionmaking and health services planning. The following key questions were addressed by the Consensus Development Conference: 1. What are the rates and patterns of utilization of trial of labor after prior cesarean delivery, vaginal birth after cesarean delivery, and repeat cesarean delivery in the United States? 2. Among women who attempt a trial of labor after prior cesarean delivery, what is the vaginal delivery rate and the factors that influence it? 3. What are the short-and long-term benefits and harms to the mother of attempting trial of labor after prior cesarean versus elective repeat cesarean delivery, and what factors influence benefits and harms? 4. What are the short- and long-term benefits and harms to the baby of maternal attempt at trial of labor after prior cesarean versus elective repeat cesarean delivery, and what factors influence benefits and harms? 5. What are the nonmedical factors that influence the patterns and utilization of trial of labor after prior cesarean delivery? 6. What are the critical gaps in the evidence for decisionmaking, and what are the priority investigations needed to address these gaps?
Author:
Publisher:
ISBN:
Category : Medical innovations
Languages : en
Pages : 36
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Author:
Publisher:
ISBN:
Category : Medical innovations
Languages : en
Pages : 36
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Author: Nicette Jukelevics
Publisher: Bloomsbury Publishing USA
ISBN: 0275999076
Category : Health & Fitness
Languages : en
Pages : 299
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Book Description
Cesarean delivery - childbirth through an incision in the mother's lower abdomen - is now the most common major surgical procedure performed in the United States. No one argues over the fact that it can be a life-saving procedure when the baby or mother is at risk. But for almost three decades in this nation, cesarean deliveries have increased, without substantially better outcomes for babies or mothers. Experts warn that up to 50 percent of the more than 1 million C-sections performed here each year are unnecessary. And that is where Nicette Jukelevics, a certified childbirth educator, researcher and writer, steps in with this book. Jukelevics aims to give women the insights they need to make an informed decision about whether natural or C-section birth is best for them and their babies. She explains when C-sections are necessary, and when they are not needed. She also addresses the overuse and misuse of medical procedures that can complicate labor and lead to C-sections, as well as reasons doctors may support or suggest C-sections, including outdated medical information, fear of liability, and economic advantages measured in doctors' time. This work also examines midwifery practices shown to safely reduce cesarean deliveries, but ignored or resisted by hospitals. Understanding the Dangers of Cesarean Birth will interest not only expectant and future parents, but also to students and scholars of women's health, nursing, and public health.
Author:
Publisher:
ISBN:
Category : Cesarean section
Languages : en
Pages : 42
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Book Description
Author: Eric Jauniaux
Publisher: Oxford University Press
ISBN: 0191076317
Category : Medical
Languages : en
Pages : 217
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Book Description
Caesarean Section has become the most common major operation in the world, and with the increasing number there are many serious and long-term healthcare implications for gynaecology, general surgery, neonatology, and epigenetics. A full perspective of the procedure and its consequences is therefore essential for practitioners, residents, and trainees alike. The Textbook of Caesarean Section is the key textbook on this subject, and is an informative and practical tool for clinicians performing this procedure in all areas of the world. The accompanying professional medical videos demonstrate in clear and expert detail the two alternative procedures for caesarean section, ensuring that readers of this book gain an in-depth understanding of the techniques involved, and supporting blended learning in postgraduate education globally. Written by a distinguished team of expert contributors, this book carefully describes current best practice for caesarean section alongside key chapters on the history of caesarean section, and other important and related issues that obstetricians must be aware of, such as anaesthesia, prevention of complications of surgery, reproduction after C-section, and perinatal outcomes. The text is extensively illustrated with colour images, and fully referenced throughout, providing all the information essential for the reader to perform the optimal caesarean delivery procedures, and diagnose and manage the short- and long-term complications associated with different methods of caesarean sections.
Author: Magnus Murphy, M.D.
Publisher: Prometheus Books
ISBN: 1616145129
Category : Health & Fitness
Languages : en
Pages : 339
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Book Description
Obstetrician and gynecologist Magnus Murphy, MD, and journalist/advocate Pauline McDonagh Hull offer a compelling case for surgical delivery as a legitimate birth choice for informed women. By offering a wealth of medical evidence from around the world and thoughtfully countering the many objections detractors have lodged against it, the authors convincingly demonstrate that a planned cesarean birth at thirty-nine- plus weeks is a safe and often preferred alternative to a planned vaginal delivery. An indispensable guide for women, their families, and medical professionals.
Author: Kathleen Rice Simpson
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781767590
Category : Medical
Languages : en
Pages : 750
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Book Description
Co-published with the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), this book is a comprehensive clinical resource for practicing perinatal nurses and an excellent staff educator's guide and textbook. It provides commonly accepted guidelines for practice and evidence-based care and includes algorithms to support decision-making. Numerous photographs complement the text and summary boxes highlight key points. Appendices provide patient care examples and practice guidelines. This edition has been extensively revised and updated. New features include more than 650 end-of-chapter review questions and answers and selected AWHONN protocols.
