Cesarean delivery.
Cesarean delivery rates rose from 20 to 33% of births in the United States from 2006-2009 without an accompanying improvement in neonatal outcomes. The cesarean rate may be safely decreased by increasing vaginal birth after cesarean, encouraging external cephalic version for breech presentation, maintaining operative vaginal delivery skills, and applying stricter criteria for operative intervention in labor dystocia. A variety of cesarean operative techniques are supported by randomized controlled trials. Optimal maternity care outcomes depend on sound medical decision-making, appropriate operative technique and skills, and effective communication between maternity care team members.
Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, 1100 Delaplaine Ct, Madison, WI 53715, USA. lee.dresang@fammed.wisc.edu
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D001946:Breech Presentation; D002585:Cesarean Section / Q000009:adverse effects* / Q000941:ethics / Q000706:statistics & numerical data; D003657:Decision Making; D036861:Delivery, Obstetric / Q000009:adverse effects* / Q000941:ethics / Q000706:statistics & numerical data; D004420:Dystocia; D005260:Female; D005316:Fetal Distress; D006801:Humans; D007258:Informed Consent; D011247:Pregnancy; D012306:Risk; D014481:United States; D054556:Venous Thromboembolism