The 'Quiet Revolution' and the Cesarean Section in the United States

2021 ◽  
Author(s):  
Darren P. Grant
2020 ◽  
Vol 8 ◽  
pp. 2050313X2094553
Author(s):  
Krupa Daniel ◽  
Kiran Goli ◽  
Anita Sargent

In our report, we present a case of repeat cesarean section in a 29-year-old Ecuadorian mother who contracted COVID-19 and traveled to the United States during her last trimester of pregnancy. We assembled a multidisciplinary team to safely deliver the mother by cesarean section. She received supportive care for her COVID-19 infection. Infection prevention procedures were based on early available data, and the baby was delivered without complications.


JAMA ◽  
1985 ◽  
Vol 253 (22) ◽  
pp. 3248 ◽  
Author(s):  
Norbert Gleicher

JAMA ◽  
1984 ◽  
Vol 252 (23) ◽  
pp. 3273 ◽  
Author(s):  
Norbert Gleicher

JAMA ◽  
1985 ◽  
Vol 253 (22) ◽  
pp. 3247 ◽  
Author(s):  
Bruce A. Harris

2021 ◽  
Vol 49 (1) ◽  
pp. 5-16
Author(s):  
Clarel Antoine ◽  
Bruce K. Young

AbstractIn present-day obstetrics, cesarean delivery occurs in one in three women in the United States, and in up to four of five women in some regions of the world. The history of cesarean section extends well over four centuries. Up until the end of the nineteenth century, the operation was avoided because of its high mortality rate. In 1926, the Munro Kerr low transverse uterine incision was introduced and became the standard method for the next 50 years. Since the 1970’s, newer surgical techniques gradually became the most commonly used method today because of intraoperative and postpartum benefits. Concurrently, despite attempts to encourage vaginal birth after previous cesareans, the cesarean delivery rate increased steadily from 5 to 30–32% over the last 10 years, with a parallel increase in costs as well as short- and long-term maternal, neonatal and childhood complications. Attempts to reduce the rate of cesarean deliveries have been largely unsuccessful because of the perceived safety of the operation, short-term postpartum benefits, the legal climate and maternal request in the absence of indications. In the United States, as the cesarean delivery rate has increased, maternal mortality and morbidity have also risen steadily over the last three decades, disproportionately impacting black women as compared to other races. Extensive data on the prenatal diagnosis and management of cesarean-related abnormal placentation have improved outcomes of affected women. Fewer data are available however for the improvement of outcomes of cesarean-related gynecological conditions. In this review, the authors address the challenges and opportunities to research, educate and change health effects associated with cesarean delivery for all women.


2021 ◽  
pp. 70-71
Author(s):  
Stella Peter ◽  
Supriya Peter

Consistently, an expected 15 million infants are conceived preterm (before 37 nished a long time of growth), and this number is rising. Preterm birth inconveniences are the main source of death among kids under 5 years old, liable for roughly 1 million passings in 2015. 3/4 of these passings could be forestalled with current, savvy interventions. Across 184 nations, the pace of preterm birth goes from 5% to 18% of children born. Preterm birth, otherwise called untimely birth, is the introduction of a child at less than 37 weeks' gestational age, instead of the standard around 40 weeks. The reason for preterm birth is frequently not known. Hazard factors incorporate diabetes, hypertension, being pregnant with more than one child, being either corpulent or underweight, various vaginal contaminations, air contamination including tobacco smoking, and mental stress. It is suggested that work not be medicinally prompted before 39 weeks except if needed for other clinical reasons. The same proposal applies to cesarean section. Medical explanations behind early conveyance incorporate preeclampsia. Preterm birth is the most widely recognized reason for death among babies around the world. Around 15 million children are preterm every year (5% to 18% of all conveyances). In the United Kingdom they are about 7.9% and in the United States they are about 12.3% of all births.


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