Obstetric care consensus no. 1: safe prevention of the primary cesarean delivery

Obstetrics and Gynecology
American College of Obstetricians and Gynecologists, Society for Maternal-Fetal Medicine

Abstract

In 2011, one in three women who gave birth in the United States did so by cesarean delivery. Cesarean birth can be life-saving for the fetus, the mother, or both in certain cases. However, the rapid increase in cesarean birth rates from 1996 to 2011 without clear evidence of concomitant decreases in maternal or neonatal morbidity or mortality raises significant concern that cesarean delivery is overused. Variation in the rates of nulliparous, term, singleton, vertex cesarean births also indicates that clinical practice patterns affect the number of cesarean births performed. The most common indications for primary cesarean delivery include, in order of frequency, labor dystocia, abnormal or indeterminate (formerly, nonreassuring) fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia. Safe reduction of the rate of primary cesarean deliveries will require different approaches for each of these, as well as other, indications. For example, it may be necessary to revisit the definition of labor dystocia because recent data show that contemporary labor progresses at a rate substantially slower than what was historically taught. Additionally, improved and standardized fetal heart rate inte...Continue Reading

References

Jul 1, 1992·American Journal of Obstetrics and Gynecology·C J MacriR H Paul
Oct 1, 1991·American Journal of Obstetrics and Gynecology·J M PiperE R Newton
May 1, 1990·American Journal of Obstetrics and Gynecology·J OwenJ C Hauth
Aug 1, 1986·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M ItoS Fujisaki
Nov 1, 1987·The Australian & New Zealand Journal of Obstetrics & Gynaecology·S ArulkumaranS S Ratnam
Oct 1, 1985·American Journal of Obstetrics and Gynecology·F S Miyazaki, F Nevarez
Feb 1, 1984·American Journal of Obstetrics and Gynecology·S L ClarkF C Miller
Nov 15, 1982·American Journal of Obstetrics and Gynecology·S L ClarkF C Miller
Mar 7, 1996·The New England Journal of Medicine·K B NelsonJ K Grether
Nov 13, 1996·JAMA : the Journal of the American Medical Association·D J RouseS P Cliver
Mar 13, 1999·Obstetrics and Gynecology·D J RouseJ C Hauth
Dec 2, 1999·The New England Journal of Medicine·D TownerW M Gilbert
Jun 28, 2000·American Journal of Obstetrics and Gynecology·M D PearlmanJ Ashton-Miller
Oct 24, 2000·Obstetrics and Gynecology·D J RouseJ C Hauth
Sep 29, 2001·Obstetrics and Gynecology·D J RouseJ C Hauth
Jan 5, 2002·Obstetrics and Gynecology·Daniel W SkupskiGary S Eglinton
Apr 10, 2002·JAMA : the Journal of the American Medical Association·Mary E HannahUNKNOWN Term Breech Trial 3-Month Follow-up Collaborative Group
Jul 9, 2002·Obstetrics and Gynecology·William F Rayburn, Jun Zhang
Oct 18, 2002·Obstetrics and Gynecology·Daniel W Skupski, Gary S Eglinton
Dec 1, 1954·American Journal of Obstetrics and Gynecology·E FRIEDMAN
Dec 5, 2003·Lancet·Gordon C S SmithRichard Dobbie
Aug 6, 2004·American Journal of Obstetrics and Gynecology·Dwight J RouseUNKNOWN National Institute of Child Health And Human Development, Maternal-Fetal Medicine Units Network
Aug 17, 2004·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Yvonne M CargillUNKNOWN Clinical Practice Obstetrics Committee
Sep 3, 2004·American Journal of Obstetrics and Gynecology·Margaret R ChouYasser Y El-Sayed
Oct 2, 2004·Obstetrics and Gynecology·Naomi E StotlandAaron B Caughey
Oct 7, 2004·American Journal of Obstetrics and Gynecology·Mary E HannahUNKNOWN Term Breech Trial Collaborative Group
Oct 7, 2004·American Journal of Obstetrics and Gynecology·Yvonne W ChengAaron B Caughey
Nov 24, 2004·BMJ : British Medical Journal·Eugene DeclercqMarian MacDorman
Jan 26, 2005·American Journal of Perinatology·Hiroshi Sameshima, Tsuyomu Ikenoue
Apr 2, 2005·Obstetrics and Gynecology·Charla E Simon, William A Grobman
May 3, 2005·Obstetrics and Gynecology·Ellice LiebermanElizabeth Shearer
Jun 4, 2005·Obstetrics and Gynecology·Kathleen Rice Simpson, Dotti C James
Sep 15, 2005·American Journal of Obstetrics and Gynecology·Sarah E Little, Aaron B Caughey
Mar 31, 2006·American Journal of Public Health·Eugene DeclercqMarian Macdorman
Jun 2, 2006·Obstetrics and Gynecology·Robert M SilverUNKNOWN National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network
Jul 4, 2006·Obstetrics and Gynecology·Jeanne S SheffieldGeorge D Wendel
Jul 4, 2006·Obstetrics and Gynecology·UNKNOWN ACOG Committee on Obstetric Practice
Sep 5, 2006·American Journal of Obstetrics and Gynecology·Aaron B CaugheyA Eugene Washington
Nov 25, 2006·The New England Journal of Medicine·Steven L BloomUNKNOWN National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network
Feb 14, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Shiliang LiuUNKNOWN Maternal Health Study Group of the Canadian Perinatal Surveillance System
Feb 28, 2007·Birth·Nils Chaillet, Alexandre Dumont
Mar 21, 2007·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Orna ReichmanArnon Samueloff
Mar 30, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·J PowellJ P Lavin
May 25, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·B L Shaffer, A B Caughey

❮ Previous
Next ❯

Citations

Jun 3, 2014·BMC Pregnancy and Childbirth·Patricia A Janssen, Sandra Weissinger
Sep 6, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Enrico FerrazziCinzia Piola
Mar 12, 2015·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Hugh MillerOlof Rugarn
Feb 24, 2015·Nursing and Midwifery Studies·Zohreh Sadat
Oct 7, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Pierluigi CaboniLuigi Atzori
Jul 25, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Mirella MouradNathan S Fox
Jun 4, 2015·The New England Journal of Medicine·Neel Shah
Apr 4, 2016·BMC Pregnancy and Childbirth·Gillian E HanleyPatricia A Janssen
May 10, 2017·Obstetrics and Gynecology·Thomas SchmitzUNKNOWN JUmeaux MODe dʼAccouchement (JUMODA) Study Group and the Groupe de Recherche en Obstétrique et Gynécologie (GROG)
Aug 18, 2016·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Louise WhiteMichael Beckmann
Oct 16, 2014·International Urogynecology Journal·H P DietzH Murray
Sep 13, 2014·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Katy Backes KozhimannilPatricia M McGovern
Feb 9, 2017·Obstetrics and Gynecology·Jonah BardosNathan S Fox
Mar 18, 2017·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Liam DunnMichael Beckmann
Jun 5, 2017·American Journal of Obstetrics and Gynecology·Laura I ParikhUma M Reddy
Jul 14, 2017·Journal of Midwifery & Women's Health·Julie A Javernick, Amy Dempsey
Jun 12, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Maria I RodriguezMichelle J Hindin
May 24, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Dana Sadeh-MestechkinTal Biron-Shental
Dec 29, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Paul GuerbyFabien Vidal
Nov 26, 2015·American Journal of Obstetrics and Gynecology·Joanne C ArmstrongUNKNOWN Society for Maternal-Fetal Medicine Health Policy Committee
Feb 25, 2018·Acta Obstetricia Et Gynecologica Scandinavica·Natali Schachter-SafraiShay Porat
Sep 9, 2017·Obstetrics and Gynecology·Sarah Rae EasterLaura E Riley
Sep 25, 2017·Obstetrics and Gynecology·Ryan HodgesEuan Wallace
Mar 13, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Paola AlgeriPatrizia Vergani
Oct 11, 2017·Obstetrics and Gynecology·Danielle M PanelliDaniela A Carusi
Oct 11, 2017·Obstetrics and Gynecology·Amy D BellEleanor Stevenson
Mar 5, 2016·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists' Committee on Practice Bulletins--Obstetrics
May 19, 2017·The Journal of Perinatal & Neonatal Nursing·Jenna Shaw-Battista
Dec 1, 2017·Obstetrics & Gynecology Science·Jihan Jeon, Sunghun Na
Nov 8, 2017·Obstetrics and Gynecology·Lynn M YeeUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU)
May 10, 2018·Obstetrics and Gynecology·Daniel N PaskoUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU)
Oct 26, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·J C PhillippiK Bennett
Jan 23, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·A BasuS Kumar
Dec 29, 2017·Journal of Midwifery & Women's Health·Julia C Phillippi, Katherine E Hartmann
Feb 9, 2018·Journal of Midwifery & Women's Health·Julia C PhillippiR David Phillippi
Feb 9, 2018·Journal of Midwifery & Women's Health·Karin ÄngebyAnn-Kristin Sandin-Bojö

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