There has been a gradual increase in cesarean births over the past 30 years.
As part of the campaign, professional medical societies identified practices within their own specialties that patients should avoid or question carefully.
Much work has already been done to spread the first message. Although ACOG has long advised against early elective deliveries, a confluence of quality improvement programs and public awareness campaigns have made it increasingly difficult for providers to perform non-medically indicated inductions or c-sections before 39 weeks.
Christine Morton, a researcher at the California Maternal Quality Care Collaborative, sums up concerns shared by many, including Childbirth Connection: It is possible that this measure may sensitize stakeholders to the wrong issue: The second Choosing Wisely statement aims to mitigate these unintended consequences.
Inducing with an unripe cervix significantly increases the chance of a c-section and its many associated harms. Women considering induction for a non-medical reason deserve to know about these excess risks, and should question whether it is worth any non-medical benefits of elective delivery they perceive or expect.
Although gestational age and the Bishop score are tools to estimate readiness for birth, the best indicator of readiness is still the spontaneous onset of labor at term, the culmination of an intricate interplay of hormonal signals between the fetus and the woman. Anytime we intervene with the timing of birth we have to weigh the potential benefits and harms of overriding that process in the context of the fully informed preferences and values of women.
This summer, our collaboration with the Informed Medical Decisions Foundation will culminate in the release of our first three Smart Decision Guides. These evidence-based, interactive decision support tools will help women learn the possible benefits and harms of scheduled delivery versus waiting for labor to start on its own and to weigh these based on what is most important to them.
These tools help women choose wisely — to identify when an option is not appropriate or safe for them, and to thoughtfully weigh options when there are both pros and cons to consider.
Interested in learning more about shared decision making in maternity care? Sign up for a free webinar on March 13 sponsored by the Informed Medical Decisions Foundation to hear more about what clinicians, consumers, employers, and others thinking about the importance of maternity care shared decision making.Aug 16, · Cesarean delivery is defined as the delivery of a fetus through surgical incisions made through the abdominal wall (laparotomy) and the uterine wall (hysterotomy).
Cesarean deliveries were initially performed to separate the mother and the fetus in an attempt to save the fetus of a moribund patient. Cesarean delivery, also known as c-section, is a major abdominal surgery involving two incisions (cuts): One is an incision through the abdominal wall, and the second is an incision involving the uterus to deliver the baby.
Why would a woman choose a c-section over a vaginal delivery? Is a planned cesarean really more "convenient" than a vaginal birth?
What . Cesarean sections are classified according to the technique and incision used in the procedure. Classical Cesarean Section: A midline vertical incision on the abdomen and the uterus is made to.
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BBW Birth Story Pages. BBW Birth Stories: Normal Vaginal Births BBW Birth Stories: C-Section Stories BBW Birth Stories: Vaginal Birth After Cesarean Stories BBW Birth Stories: Twins and More! . Obstetrics & Gynecology is the official publication of the American College of Obstetricians and Gynecologists (ACOG).
Popularly known as "The Green Journal," Obstetrics & Gynecology has been published since Then as is now, the goal of the journal is to promote excellence in the clinical practice of obstetrics and .