Caesarean section in Britain and the United States 12% or 24%: Is either the right rate?

作者: Colin Francome , Wendy Savage

DOI: 10.1016/0277-9536(93)90332-X

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摘要: Abstract The rate of caesarean section (CSR) in Great Britain (GB) and the U.S.A., 12% England 1989 ascertained from a survey performed by authors, 24% according to official U.S. figures, is higher than warranted known agreed obstetric indications for this operation, which suggest 6–8% would be adequate. It argued that fall perinatal mortality has occurred over period during CS risen not main reason fall. training obstetricians deal with anxiety, provision primary maternity care appropriately trained midwives general or family practitioners, changes management protocols could cut CSR. number women undergoing surgery every year U.K. reduced 20,000 U.S.A. 470,000 if 6% were achieved. In studies midwifery CSR even lower it possible labour proceeds more efficiently woman knows her caregivers labours at home, as Netherlands. Although much safer past still likely result death significant morbidity economic costs society.

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