First Ever Systematic Review Evaluating Long-Term Benefits Vs. Harms of Cesarean Delivery

Recent years have seen publication of a series of large database analyses comparing outcomes of vaginal birth with cesarean delivery. They have provided sufficient data for reviewers to conduct a [...]


Labor & Delivery Unit Management Approach Impacts Cesarean Rate

Research has long established that hospital-level cesarean rates vary widely for reasons that cannot be explained by variations in their patient populations. Theorizing that the challenges of [...]


Previous Cesarean Increases Likelihood of Future Hysterectomy Complications

If the list of cesarean harms weren’t long enough already, Consumer Reports points to another one: women who have hysterectomies are more likely to experience complications if they have [...]


Reducing First Cesareans: It Can Be Done!

If you’ve ever wondered how much could be accomplished if a hospital made a concerted effort to reduce cesareans—and not because an insurance company held a metaphorical gun to its head—this [...]


Why Are Cesarean Rates Are So High? Perspectives from the Trenches

A study in the most recent issue of Birth provides eye-opening illumination on non-medical reasons for high cesarean rates (Kennedy 2016). Investigators at Yale’s med-school affiliated hospital [...]


Cesarean Surgery Increases Likelihood of Deep Venous Clots and Pulmonary Embolism

A UPI report summarizes the findings of a systematic review (a study of studies) of 60 studies comparing the likelihood of deep venous clots and pulmonary embolism (venous thromboembolism) after [...]


Cesarean Surgery May Lead to Long-Term Pain and Opioid Addiction

A study reporting on chronic opioid use after surgery, defined by study investigators as “having filled 10 or more prescriptions or more than 120 days’ supply of an opioid in the first year after [...]


CMQCC Releases Toolkit on How to Reduce Cesareans in 1st-Time Mothers

The California Maternal Quality Care Collaborative has released Toolkit to Support Vaginal Birth & Reduce Primary Cesareans. Reading it inspired “shock and awe,” “awe” of the herculean effort [...]


CONSUMER REPORTS Targets Overuse of Cesarean Surgery

In an article entitled “Your Biggest C-Section Risk May Be Your Hospital,” Consumer Reports looks at the variation in cesarean rates among more than 1200 U.S. hospitals in 1st-time mothers [...]


Laborists Don’t Solve the Problem of High Cesarean Rates

One theory behind laborists, obstetricians employed by hospitals to provide 24/7 coverage, is that it will reduce cesarean rates by removing time management considerations from the decision. [...]

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