cesarean delivery rates

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.
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.
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?
Your lettersReaders weigh in on the best forceps for a Scanzoni rotation and the reasons behind our high cesarean rate.
The cesarean epidemic: Are we too quick to cut?
The cesarean epidemic: Are we too quick to cut?In 2014, 1.3 million women in the United States delivered via cesarean, placing the rate at 32.2%, down just .7% from the peak in 2009.
Strategies for lowering C-section rates
Strategies for lowering C-section ratesNearly a year after two medical societies released a national consensus statement on the safe prevention of certain C-sections, broad consensus seems to boil down to this: Steps must be taken to lower C-section rates in the U.S., and strong outreach to ob/gyns is critical for success.
What’s behind the wide variation in US cesarean rates?A study of nearly 1.5 million births in the United States shows that while rates of cesarean delivery vary widely from hospital to hospital, identifying the underlying cause with existing data is difficult. The findings underscore a need for collection by hospitals of comprehensive patient data in order to fully understand and optimize use of cesarean delivery.
Patience: The answer to the cesarean epidemic“The c-section you do today impacts the future health of the woman you’re caring for.” So said Aaron B. Caughey, MD, of Oregon Health & Science University, Portland, in his lunch-and-learn “The Cesarean Epidemic: Etiologies, Outcomes and Potential Solutions” on Monday. What’s more, he pointed out, “the c-section you do today leads to the repeat … [which] leads to the repeat … [which] leads to the accreta in 8 years.” But Caughey did not place blame for the so-called epidemic with either doctors or patients.
Cesarean delivery rate levels offAfter rising steadily for nearly a decade, the rate of cesarean deliveries appears to have stabilized, according to a new report (www.cdc.gov/nchs/data/databriefs/db124.pdf) from the National Center for Health Statistics. New guidelines and policies encouraging longer gestations have led to a trend of cesarean deliveries occurring more frequently at 39 weeks than at 38 weeks.