Contemporary cesarean delivery practice in the United States

被引:396
|
作者
Zhang, Jun [1 ]
Troendle, James [1 ]
Reddy, Uma M. [1 ]
Laughon, S. Katherine [1 ]
Branch, D. Ware [2 ]
Burkman, Ronald [3 ]
Landy, Helain J. [4 ]
Hibbard, Judith U. [5 ]
Haberman, Shoshana [6 ]
Ramirez, Mildred M. [7 ]
Bailit, Jennifer L. [8 ]
Hoffman, Matthew K. [9 ]
Gregory, Kimberly D. [10 ]
Gonzalez-Quintero, Victor H. [11 ]
Kominiarek, Michelle [12 ]
Learman, Lee A. [12 ]
Hatjis, Christos G. [13 ]
van Veldhuisen, Paul [14 ]
机构
[1] NICHHD, NIH, Bethesda, MD 20892 USA
[2] Intermountain HealthCare & Univ Utah, Salt Lake City, UT USA
[3] Baystate Med Ctr, Springfield, MA USA
[4] Georgetown Univ Hosp, MedStar Hlth, Washington, DC 20007 USA
[5] Univ Illinois, Chicago, IL USA
[6] Maimonides Hosp, Brooklyn, NY 11219 USA
[7] Univ Texas Hlth Sci Ctr Houston, Houston, TX USA
[8] MetroHlth Med Ctr, Cleveland, OH USA
[9] Christiana Care Hlth Syst, Wilmington, DE USA
[10] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA
[11] Univ Miami, Miami, FL USA
[12] Indiana Univ, Clarian Hlth, Indianapolis, IN 46204 USA
[13] Akron City Hosp, Summa Hlth Syst, Akron, OH USA
[14] EMMES Corp, Rockville, MD USA
基金
美国国家卫生研究院;
关键词
cesarean delivery; induction; labor; vaginal birth after previous cesarean; VAGINAL BIRTH; PREGNANCY OUTCOMES; PERINATAL HEALTH; GLOBAL SURVEY; LABOR; SECTION; RATES;
D O I
10.1016/j.ajog.2010.06.058
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: To describe contemporary cesarean delivery practice in the United States. STUDY DESIGN: Consortium on Safe Labor collected detailed labor and delivery information from 228,668 electronic medical records from 19 hospitals across the United States, 2002-2008. RESULTS: The overall cesarean delivery rate was 30.5%. The 31.2% of nulliparous women were delivered by cesarean section. Prelabor repeat cesarean delivery due to a previous uterine scar contributed 30.9% of all cesarean sections. The 28.8% of women with a uterine scar had a trial of labor and the success rate was 57.1%. The 43.8% women attempting vaginal delivery had induction. Half of cesarean for dystocia in induced labor were performed before 6 cm of cervical dilation. CONCLUSION: To decrease cesarean delivery rate in the United States, reducing primary cesarean delivery is the key. Increasing vaginal birth after previous cesarean rate is urgently needed. Cesarean section for dystocia should be avoided before the active phase is established, particularly in nulliparous women and in induced labor.
引用
收藏
页码:326.e1 / 326.e10
页数:10
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