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http://consensus.nih.gov/1980/1980Cesarean027html.htm
Based on maternal and neonatal mortality rates, the practice of routine repeat cesarean birth is open to question. Repeat cesarean carries two times the risk for maternal mortality of vaginal delivery, and the maternal mortality rate for repeat cesarean has not …
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2019/01/Cesarean%20Delivery%20on%20Maternal%20Request
Cesarean delivery on maternal request is defined as a primary cesarean delivery on maternal request in the absence of any maternal or fetal indications. Cesarean delivery rates in the United States are at the highest levels ever, with more than 1.3 million cesarean deliveries (32% of …
https://www.cdc.gov/nchs/pressroom/sosmap/cesarean_births/cesareans.htm
Jan 15, 2019 · Links with this icon indicate that you are leaving the CDC website.. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
https://manual.jointcommission.org/releases/TJC2013A/MIF0167.html
Rationale: The removal of any pressure to not perform a cesarean birth has led to a skyrocketing of hospital, state and national cesarean section (CS) rates. Some hospitals now have CS rates over 50%.
https://www.cbsnews.com/news/c-section-cesarean-rates-nearly-doubled-since-2000-worldwide/
Oct 12, 2018 · The number of women delivering babies via cesarean section has nearly doubled worldwide since 2000, to about 21 percent, new research shows. That's significantly higher than the 10 percent to 15 percent considered medically necessary, …
https://www.hqinstitute.org/sites/main/files/file-attachments/ntsv_cs_reduction_san_diego.pdf
Percent of the Increase in Primary Cesarean Rate Attributable to this Indication Cesarean Indication Yale (2003 v. 2009) (Total: 26% to 36.5%) Focus: all primary Cesareans Kaiser So. Cal. (1991 v. 2008) (Primary: 12.5% to 20%) Focus: all primary singleton Cesareans Labor complications (CPD/FTP) 28% ~38% Fetal Intolerance of Labor 32% ~24%
https://www.acog.org/en/Clinical/Clinical%20Guidance/Obstetric%20Care%20Consensus/Articles/2014/03/Safe%20Prevention%20of%20the%20Primary%20Cesarean%20Delivery
There also is substantial hospital-level variation. Studies have shown a 10-fold variation in the cesarean delivery rate across hospitals in the United States, from 7.1% to 69.9%, and a 15-fold variation among low-risk women, from 2.4% to 36.5% 12.
https://manual.jointcommission.org/releases/TJC2016A/MIF0167.html
Rationale: The removal of any pressure to not perform a cesarean birth has led to a skyrocketing of hospital, state and national cesarean birth (CB) rates. Some hospitals now have CB rates over 50%. Some hospitals now have CB rates over 50%.
https://www.cmqcc.org/VBirthToolkit
The Toolkit to Support Vaginal Birth and Reduce Primary Cesareans is a comprehensive, evidence-based “how-to” guide designed to educate and motivate maternity clinicians to apply best practices for supporting vaginal birth. Cesarean births among low-risk, first-time mothers have been the largest contributor to the recent rise in cesarean rates, and accounts for the greatest
OB Hemorrhage Task Force and Update Task Force; Preeclampsia Toolkit. Preeclampsia Task Force; Sepsis Toolkit. Maternal Sepsis Task Force Advisory Group; Supporting Vaginal Birth and Reducing Primary Cesareans Toolkit. Supporting Vaginal Birth and Reducing Primary Cesarean Delivery Taskforce; Task Force Advisory Group; Venous Thromboembolism ...
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