Cesarean Section

1. Front Matter

   Pages i-xvi

   PDF

2. Cesarean Delivery in the United States: A Summary of the Past 20 Years

   • Bruce L. Flamm

   Pages 1-7

3. Worldwide Utilization of Cesarean Section

   • T. J. Broadhead, D. K. James

   Pages 9-21

4. Dystocia and “Failure to Progress” in Labor

   • Emanuel A. Friedman

   Pages 23-42

5. Active Management of Labor

   • Peter Boylan

   Pages 43-49

6. Vaginal Birth After Cesarean Section

   • Bruce L. Flamm

   Pages 51-64

7. Breech Presentation

   • Luis A. Cibils

   Pages 65-93

8. Cesarean Section for Fetal Distress

   • David A. Miller, Richard H. Paul

   Pages 95-114

9. Fetal Macrosomia

   • Hung N. Winn, John C. Hobbins

   Pages 115-124

10. Twin Gestation and Multiple Births

    • Cornelia R. Graves, Frank H. Boehm

    Pages 125-129

11. Genital Herpes: Contemporary Management

    • Zane A. Brown

    Pages 131-139

12. Methods for Safe Reduction of Cesarean Section Rates

    • Norbert Gleicher, Richard H. Demir, Jeanne B. Novas, Stephen A. Myers

    Pages 141-162

13. Cesarean Delivery: A Medical-Legal Perspective

    • Jeffrey P. Phelan

    Pages 163-171

14. Economic Considerations in Cesarean Section Use

    • Laura B. Gardner

    Pages 173-190

15. Ethical Issues in the Utilization of Cesarean Section

    • Thomas E. Elkins, Douglas Brown

    Pages 191-205

16. The Patient Who Demands Cesarean Delivery

    • Bruce L. Flamm

    Pages 207-221

17. The Impact of Midwifery Care, Childbirth Preparation, and Labor Support on Cesarean Section Rates

    • Janice R. Goings

    Pages 223-245

18. Cesarean Projects at the State and National Level

    • Bruce L. Flamm

    Pages 247-253

19. Guidelines for Appropriate Utilization of Cesarean Operations

    • Bruce L. Flamm

    Pages 255-262

20. Back Matter

    Pages 263-278

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Cesarean section rates Percentage Indication Low High Failure to progress 2. 0 4. 0 Repeat cesarean section 2. 0 6. 0 Breech and abnormal lie 1. 3 3. 5 Fetal distress 1. 5 3. 0 Third-trimester bleeding 1. 0 1. 0 Totals 7. 8 17. 5 l From Quilligan, by permission of Contemporary Obstetrics and Gynecology. vaginal delivery, I have yet to meet a physician who would do something they believed would harm their patient even if they were paid ten times as much for a section. On the other hand, there are fears and misconceptions. I have heard many doctors say "I have never been sued for a section I did, but I have been sued for the section I did not do. " The fear of not having performed a section in my opinion is real, although difficult to prove, and until the public can be educated that cesarean section delivery cannot eradicate fetal death and damage, this fear will remain and will be responsible for some unnecessary cesarean sections. Bruce Flamm and I hope this book will correct misconceptions that have been responsible for many unnecessary cesarean sections. I am still frequently asked the same old question: What is an ideal cesarean section rate? I still give an answer similar to the 1983 answer, perhaps somewhat modified.

• ETA
• Mac OS X 10.7 (Lion)
• USA
• birth
• care
• eXist
• ethical issues
• issue
• management
• opera
• presentation
• projects
• reduction
• review
• stress

• Kaiser Permanente, Southern California Permanente Medical Group, Riverside, USA

  Bruce L. Flamm

• Department of Obstetrics and Gynecology, University of California-Irvine Medical Center, Orange, USA

  Edward J. Quilligan

Policies and ethics