cesarean delivery

Decreasing cesareans: VBAC and patient empowermentExpert commentary on Practice Bulletin No. 184: Vaginal Birth After Cesarean Delivery.
ARRIVE study: 39-week induction reduces frequency of cesarean in healthy womenResults of a large randomized clinical trial indicate that in low-risk nulliparas, elective induction of labor (IOL) at 39 weeks lowers rates of cesarean delivery (CD) without significantly increasing adverse perinatal outcomes. Plus, more coverage from The Pregnancy Meeting.
Were these infant’s delays secondary to fetal distress and hypoxia?A patient sues alleging that her child was in distress, became hypoxic and that a cesarean should have been performed much earlier.
Meta-analysis on oocyte donation and perinatal outcomesA systematic review and meta-analysis suggests that in pregnancies conceived via assisted reproduction, risk of adverse perinatal outcomes may be higher with donated than with autologous oocytes. Plus: Do post-cesarean antibiotics reduce infections in obese women? Also: Researchers believe they have identified the genes associated with preterm delivery.
Do midpelvic vaginal operative deliveries lead to greater trauma?A new study looks at whether midpelvic operative deliveries have greater trauma than other delivery forms. Plus: A look at the long-term effects of using bisphosphonates. Also, is lithium use in early pregnancy as dangerous as previously thought?
Tools Test Drive: Sureglide, Überlube, and TruClearDr Greenberg reports his thoughts on the Sureglide device and preventing lacerations during cesarean, Überlube and helping women with vaginal dryness and dyspareunia, and TruClear ULTRA Mini tissue removal device for mechanical morcellation.
Readers reactReaders write in about their thoughts on the annual labor force survey, the conundrum presented by cesarean delivery and defensive medicine, more information on treating women who have been the victim of sexual assault, and what is adding to the stress of the job.
How quality measures can decrease cesareansCan adopting quality measures decrease the cesarean rate? Plus: The Government Accountability Office issues a report on power morcellators and the FDA's system of evaluation. Also, does the volume of one type of heart fat indicate the risk of heart disease?
Cesarean causes problems for mother and babyFollowing a cesarean delivery, a mother wonders why she hasn't become pregnant again and the neonate ends up in the NICU with skull fractures.
Maternal death from intracranial hemorrhageA 34-year-old Ohio woman was under the care of her longtime family physician, who had minor privileges to deliver uncomplicated pregnancies at a specific hospital, for her pregnancy. The woman is diagnosed with eclampsia in her third trimester and is immediately given a cesarean. After delivery, she is unresponsive having died from a massive intracranial hemorrhage. The physician is sued for fraudulently representing her abilities in obstetric care. What's the verdict?