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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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 & 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</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>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23327973$$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 & numerical data</subject><subject>Cesarean Section, Repeat - statistics & 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 & 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. 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</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 & numerical data</topic><topic>Cesarean Section, Repeat - statistics & 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 & 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. 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><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Jun, PhD, MD</au><au>Troendle, James, PhD</au><au>Reddy, Uma M., MD, MPH</au><au>Laughon, S. 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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