Contemporary cesarean delivery practice in the United States

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 deli...

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Veröffentlicht in:American journal of obstetrics and gynecology 2010-10, Vol.203 (4), p.326.e1-326.e10
Hauptverfasser: Zhang, Jun, PhD, MD, Troendle, James, PhD, Reddy, Uma M., MD, MPH, Laughon, S. Katherine, MD, MS, Branch, D. Ware, MD, Burkman, Ronald, MD, Landy, Helain J., MD, Hibbard, Judith U., MD, Haberman, Shoshana, MD, PhD, Ramirez, Mildred M., MD, Bailit, Jennifer L., MD, MPH, Hoffman, Matthew K., MD, MPH, Gregory, Kimberly D., MD, MPH, Gonzalez-Quintero, Victor H., MD, MPH, Kominiarek, Michelle, MD, Learman, Lee A., MD, PhD, Hatjis, Christos G., MD, van Veldhuisen, Paul, PhD
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container_end_page 326.e10
container_issue 4
container_start_page 326.e1
container_title American journal of obstetrics and gynecology
container_volume 203
creator Zhang, Jun, PhD, MD
Troendle, James, PhD
Reddy, Uma M., MD, MPH
Laughon, S. Katherine, MD, MS
Branch, D. Ware, MD
Burkman, Ronald, MD
Landy, Helain J., MD
Hibbard, Judith U., MD
Haberman, Shoshana, MD, PhD
Ramirez, Mildred M., MD
Bailit, Jennifer L., MD, MPH
Hoffman, Matthew K., MD, MPH
Gregory, Kimberly D., MD, MPH
Gonzalez-Quintero, Victor H., MD, MPH
Kominiarek, Michelle, MD
Learman, Lee A., MD, PhD
Hatjis, Christos G., MD
van Veldhuisen, Paul, PhD
description 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.
doi_str_mv 10.1016/j.ajog.2010.06.058
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Katherine, MD, MS ; Branch, D. Ware, MD ; Burkman, Ronald, MD ; Landy, Helain J., MD ; Hibbard, Judith U., MD ; Haberman, Shoshana, MD, PhD ; Ramirez, Mildred M., MD ; Bailit, Jennifer L., MD, MPH ; Hoffman, Matthew K., MD, MPH ; Gregory, Kimberly D., MD, MPH ; Gonzalez-Quintero, Victor H., MD, MPH ; Kominiarek, Michelle, MD ; Learman, Lee A., MD, PhD ; Hatjis, Christos G., MD ; van Veldhuisen, Paul, PhD</creator><creatorcontrib>Zhang, Jun, PhD, MD ; Troendle, James, PhD ; Reddy, Uma M., MD, MPH ; Laughon, S. Katherine, MD, MS ; Branch, D. Ware, MD ; Burkman, Ronald, MD ; Landy, Helain J., MD ; Hibbard, Judith U., MD ; Haberman, Shoshana, MD, PhD ; Ramirez, Mildred M., MD ; Bailit, Jennifer L., MD, MPH ; Hoffman, Matthew K., MD, MPH ; Gregory, Kimberly D., MD, MPH ; Gonzalez-Quintero, Victor H., MD, MPH ; Kominiarek, Michelle, MD ; Learman, Lee A., MD, PhD ; Hatjis, Christos G., MD ; van Veldhuisen, Paul, PhD ; Consortium on Safe Labor</creatorcontrib><description>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.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2010.06.058</identifier><identifier>PMID: 20708166</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Biological and medical sciences ; cesarean delivery ; Cesarean Section - statistics &amp; numerical data ; Cesarean Section, Repeat - statistics &amp; numerical data ; Cicatrix - epidemiology ; Databases, Factual ; Dystocia - epidemiology ; Dystocia - surgery ; Female ; Fetal Distress - epidemiology ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; induction ; labor ; Labor Presentation ; Labor Stage, First ; Labor, Induced - statistics &amp; numerical data ; Maternal Age ; Medical sciences ; Obesity - epidemiology ; Obstetrics and Gynecology ; Parity ; Pregnancy ; Pregnancy, Multiple ; Trial of Labor ; United States - epidemiology ; vaginal birth after previous cesarean</subject><ispartof>American journal of obstetrics and gynecology, 2010-10, Vol.203 (4), p.326.e1-326.e10</ispartof><rights>2010</rights><rights>2015 INIST-CNRS</rights><rights>Published by Mosby, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c609t-56a1e648c6785e4400074fb8542f69cb9dc9024ddcba630dd6530b3d3d8a6b963</citedby><cites>FETCH-LOGICAL-c609t-56a1e648c6785e4400074fb8542f69cb9dc9024ddcba630dd6530b3d3d8a6b963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937810008380$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=23327973$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20708166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Jun, PhD, MD</creatorcontrib><creatorcontrib>Troendle, James, PhD</creatorcontrib><creatorcontrib>Reddy, Uma M., MD, MPH</creatorcontrib><creatorcontrib>Laughon, S. Katherine, MD, MS</creatorcontrib><creatorcontrib>Branch, D. Ware, MD</creatorcontrib><creatorcontrib>Burkman, Ronald, MD</creatorcontrib><creatorcontrib>Landy, Helain J., MD</creatorcontrib><creatorcontrib>Hibbard, Judith U., MD</creatorcontrib><creatorcontrib>Haberman, Shoshana, MD, PhD</creatorcontrib><creatorcontrib>Ramirez, Mildred M., MD</creatorcontrib><creatorcontrib>Bailit, Jennifer L., MD, MPH</creatorcontrib><creatorcontrib>Hoffman, Matthew K., MD, MPH</creatorcontrib><creatorcontrib>Gregory, Kimberly D., MD, MPH</creatorcontrib><creatorcontrib>Gonzalez-Quintero, Victor H., MD, MPH</creatorcontrib><creatorcontrib>Kominiarek, Michelle, MD</creatorcontrib><creatorcontrib>Learman, Lee A., MD, PhD</creatorcontrib><creatorcontrib>Hatjis, Christos G., MD</creatorcontrib><creatorcontrib>van Veldhuisen, Paul, PhD</creatorcontrib><creatorcontrib>Consortium on Safe Labor</creatorcontrib><title>Contemporary cesarean delivery practice in the United States</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>cesarean delivery</subject><subject>Cesarean Section - statistics &amp; numerical data</subject><subject>Cesarean Section, Repeat - statistics &amp; numerical data</subject><subject>Cicatrix - epidemiology</subject><subject>Databases, Factual</subject><subject>Dystocia - epidemiology</subject><subject>Dystocia - surgery</subject><subject>Female</subject><subject>Fetal Distress - epidemiology</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>induction</subject><subject>labor</subject><subject>Labor Presentation</subject><subject>Labor Stage, First</subject><subject>Labor, Induced - statistics &amp; numerical data</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Obesity - epidemiology</subject><subject>Obstetrics and Gynecology</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Pregnancy, Multiple</subject><subject>Trial of Labor</subject><subject>United States - epidemiology</subject><subject>vaginal birth after previous cesarean</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kslqHDEQhkVIiCdOXiCH0JeQU0-0dGsBYzBDNjDk4Pgs1FK1rU6PNJE0A377qJmJsxxyklT1VdXPr0LoNcFrggl_P63NFO_WFNcA5mvcyydoRbASLZdcPkUrjDFtFRPyDL3IeVqeVNHn6IxigSXhfIUuNjEU2O5iMumhsZBNAhMaB7M_QI3skrHFW2h8aMo9NLfBF3DNTTEF8kv0bDRzhlen8xzdfvzwbfO5vf766cvm6rq1HKvS9twQ4J20XMgeuq7qEN04yL6jI1d2UM4qTDvn7GA4w87xnuGBOeak4YPi7BxdHvvu9sMWnIVQkpn1LvltVa2j8frvTPD3-i4eNFWd6EVXG7w7NUjxxx5y0VufLcyzCRD3WYu-V4LQrq8kPZI2xZwTjI9TCNaL63rSi-t6cV1jrqvrtejNn_oeS37ZXIG3J8Bka-YxmWB9_s0xRoUSrHIXRw6qmwcPSWfrIVhwPoEt2kX_fx2X_5Tb2QdfJ36HB8hT3KdQ_0kTnanG-mZZiGU9SL1IJjH7CRsBtbQ</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Zhang, Jun, PhD, MD</creator><creator>Troendle, James, PhD</creator><creator>Reddy, Uma M., MD, MPH</creator><creator>Laughon, S. Katherine, MD, MS</creator><creator>Branch, D. Ware, MD</creator><creator>Burkman, Ronald, MD</creator><creator>Landy, Helain J., MD</creator><creator>Hibbard, Judith U., MD</creator><creator>Haberman, Shoshana, MD, PhD</creator><creator>Ramirez, Mildred M., MD</creator><creator>Bailit, Jennifer L., MD, MPH</creator><creator>Hoffman, Matthew K., MD, MPH</creator><creator>Gregory, Kimberly D., MD, MPH</creator><creator>Gonzalez-Quintero, Victor H., MD, MPH</creator><creator>Kominiarek, Michelle, MD</creator><creator>Learman, Lee A., MD, PhD</creator><creator>Hatjis, Christos G., MD</creator><creator>van Veldhuisen, Paul, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20101001</creationdate><title>Contemporary cesarean delivery practice in the United States</title><author>Zhang, Jun, PhD, MD ; Troendle, James, PhD ; Reddy, Uma M., MD, MPH ; Laughon, S. 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Ware, MD ; Burkman, Ronald, MD ; Landy, Helain J., MD ; Hibbard, Judith U., MD ; Haberman, Shoshana, MD, PhD ; Ramirez, Mildred M., MD ; Bailit, Jennifer L., MD, MPH ; Hoffman, Matthew K., MD, MPH ; Gregory, Kimberly D., MD, MPH ; Gonzalez-Quintero, Victor H., MD, MPH ; Kominiarek, Michelle, MD ; Learman, Lee A., MD, PhD ; Hatjis, Christos G., MD ; van Veldhuisen, Paul, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c609t-56a1e648c6785e4400074fb8542f69cb9dc9024ddcba630dd6530b3d3d8a6b963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>cesarean delivery</topic><topic>Cesarean Section - statistics &amp; numerical data</topic><topic>Cesarean Section, Repeat - statistics &amp; numerical data</topic><topic>Cicatrix - epidemiology</topic><topic>Databases, Factual</topic><topic>Dystocia - epidemiology</topic><topic>Dystocia - surgery</topic><topic>Female</topic><topic>Fetal Distress - epidemiology</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>induction</topic><topic>labor</topic><topic>Labor Presentation</topic><topic>Labor Stage, First</topic><topic>Labor, Induced - statistics &amp; numerical data</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Obesity - epidemiology</topic><topic>Obstetrics and Gynecology</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Pregnancy, Multiple</topic><topic>Trial of Labor</topic><topic>United States - epidemiology</topic><topic>vaginal birth after previous cesarean</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Jun, PhD, MD</creatorcontrib><creatorcontrib>Troendle, James, PhD</creatorcontrib><creatorcontrib>Reddy, Uma M., MD, MPH</creatorcontrib><creatorcontrib>Laughon, S. Katherine, MD, MS</creatorcontrib><creatorcontrib>Branch, D. 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Katherine, MD, MS</au><au>Branch, D. Ware, MD</au><au>Burkman, Ronald, MD</au><au>Landy, Helain J., MD</au><au>Hibbard, Judith U., MD</au><au>Haberman, Shoshana, MD, PhD</au><au>Ramirez, Mildred M., MD</au><au>Bailit, Jennifer L., MD, MPH</au><au>Hoffman, Matthew K., MD, MPH</au><au>Gregory, Kimberly D., MD, MPH</au><au>Gonzalez-Quintero, Victor H., MD, MPH</au><au>Kominiarek, Michelle, MD</au><au>Learman, Lee A., MD, PhD</au><au>Hatjis, Christos G., MD</au><au>van Veldhuisen, Paul, PhD</au><aucorp>Consortium on Safe Labor</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contemporary cesarean delivery practice in the United States</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>203</volume><issue>4</issue><spage>326.e1</spage><epage>326.e10</epage><pages>326.e1-326.e10</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>20708166</pmid><doi>10.1016/j.ajog.2010.06.058</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Biological and medical sciences
cesarean delivery
Cesarean Section - statistics & numerical data
Cesarean Section, Repeat - statistics & numerical data
Cicatrix - epidemiology
Databases, Factual
Dystocia - epidemiology
Dystocia - surgery
Female
Fetal Distress - epidemiology
Gestational Age
Gynecology. Andrology. Obstetrics
Humans
induction
labor
Labor Presentation
Labor Stage, First
Labor, Induced - statistics & numerical data
Maternal Age
Medical sciences
Obesity - epidemiology
Obstetrics and Gynecology
Parity
Pregnancy
Pregnancy, Multiple
Trial of Labor
United States - epidemiology
vaginal birth after previous cesarean
title Contemporary cesarean delivery practice in the United States
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