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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Currently 3059 records
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Created on : 23 Feb 2006
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Elective Cesarean Surgery Versus Planned Vaginal Birth: What Are the Consequences? Lamaze International.

Author(s) :

Lamaze International

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Résumé (français)  :

Abstract (English)  :

Over the past few years, far from expressing alarm over the soaring cesarean rate, a growing number of U.S. obstetricians have begun claiming that the potential harms of planned cesarean surgery and planned vaginal birth are so balanced that it should be left up to women to choose between the two. Let us examine whether the claim is, in fact, true. Using research data on the incidence of complications, let us follow two hypothetical populations, each consisting of 100,000 healthy, low-risk first-time mothers, through three pregnancies, comparing outcomes based on whether they have elective cesarean surgery for the first delivery or plan vaginal birth. Keep in mind that the rates of a number of serious and life-threatening complications for mothers and babies continue to rise with accumulating cesarean surgeries (Makoha 2004; Seidman 1994; Silver 2004). This is a vital concern for women planning large families.

Assumptions are as follows:

• All women are healthy and are carrying healthy, full-term babies at the point at which they either have their planned surgery or begin labor.
• All women having cesarean surgery for the first delivery, whether planned or unplanned, will continue having planned cesarean surgeries for the subsequent two deliveries.
• In the planned vaginal birth group, 10,000 women will have an unplanned cesarean. The actual rate among low-risk, first-time mothers in the U.S. was 23.6% —1 in 4—in 2003 (Menacker 2005), but studies show that a cesarean rate of 10% or less is achievable in this population with care supportive of normal birth (Johnson 2005; Rooks 1989).
• All women having vaginal birth at the first birth will go on having vaginal births for the subsequent two births. The rate of first cesareans in women with prior vaginal births should be a minor perturbation.

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Keywords :

➡ c-section/caesarean ; vaginal birth after caesarean

Author of this record :

Bernard Bel — 23 Feb 2006

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