 |
|
UT Southwestern-led study finds doctors' judgment as important as guideline for Cesarean sections
June 30, 2006DALLAS — U.S. hospitals have long been required to be able to start emergency Cesarean sections within 30 minutes, but neither compliance with this "decision-to-incision" time nor the associated rate of complications have ever been clinically measured.
Now, a multicenter trial of thousands of women, headed by researchers at UT Southwestern Medical Center, found that in severe emergencies, doctors appropriately performed deliveries well within 30 minutes. In less-threatening cases, exceeding that time didn't increase complications.
"Clearly, physician judgment plays a critical role in determining the speed with which an emergency Cesarean is performed," said Dr. Steven Bloom, interim chairman of the department of obstetrics and gynecology at UT Southwestern and the trial's lead investigator.
The study is published in the July issue of Obstetrics and Gynecology.
The researchers collected data on 2,808 women who had emergency Cesareans at hospitals belonging to the Maternal-Fetal Medicine Units Network of the National Institute of Child Health and Human Development. At the time of the data collection, 1999 and 2000, the network comprised 13 medical centers and a data-coordinating center.
The study included only women having a first-time Cesarean and giving birth to single babies weighing 5.5 pounds or more.
About two-thirds of the cases, or 1,814, had their Cesarean deliveries begin within the 30-minute time frame, with most of those starting within 20 minutes.
In the group that met the time limit, 92.6 percent of the infants had no complications, while in the one-third who went over the limit, 95.4 percent had no complications. Statistically, there was no significant difference between those groups.
There was also no significant difference in the rates of maternal complications between the over- and under-30-minute groups.
In more obviously life-threatening cases, 98 percent of Cesarean deliveries were performed within 30 minutes.
In 1989, the American College of Obstetricians and Gynecologists set the guideline that a hospital offering obstetric care should have the capability of beginning a Cesarean delivery within 30 minutes. The important word is capability, not requirement, the researchers note.
"Having this potential should not be misconstrued to mean that it is required that all Cesareans commence within 30 minutes," said Dr. Kenneth Leveno, professor of obstetrics and gynecology at UT Southwestern and study co-investigator.
UT Southwestern Medical Center
The study is published in the July issue of Obstetrics and Gynecology.
The researchers collected data on 2,808 women who had emergency Cesareans at hospitals belonging to the Maternal-Fetal Medicine Units Network of the National Institute of Child Health and Human Development. At the time of the data collection, 1999 and 2000, the network comprised 13 medical centers and a data-coordinating center.
The study included only women having a first-time Cesarean and giving birth to single babies weighing 5.5 pounds or more.
About two-thirds of the cases, or 1,814, had their Cesarean deliveries begin within the 30-minute time frame, with most of those starting within 20 minutes.
In the group that met the time limit, 92.6 percent of the infants had no complications, while in the one-third who went over the limit, 95.4 percent had no complications. Statistically, there was no significant difference between those groups.
There was also no significant difference in the rates of maternal complications between the over- and under-30-minute groups.
In more obviously life-threatening cases, 98 percent of Cesarean deliveries were performed within 30 minutes.
In 1989, the American College of Obstetricians and Gynecologists set the guideline that a hospital offering obstetric care should have the capability of beginning a Cesarean delivery within 30 minutes. The important word is capability, not requirement, the researchers note.
"Having this potential should not be misconstrued to mean that it is required that all Cesareans commence within 30 minutes," said Dr. Kenneth Leveno, professor of obstetrics and gynecology at UT Southwestern and study co-investigator.
UT Southwestern Medical Center
Science News and Science Current Events Tag Cloud
This tag cloud is a visual representation of term frequencies of random science news topics with common terms grouped together and emphasized by their display size.
Video Games Human Evolution New Species Cardiovascular Disease Blindness Pathogen Maize Adiponectin Helium Pulmonary Embolism Beta Cells Hysterectomy Postpartum Depression Sharks Drug Abuse Bone Formation Pneumococcal Ultrasound Lyme Disease Hydrogen Depleted Uranium Cardiovascular Neck Cancer Iron Deficiency Working Memory
See More: Science News Tags
Cesarean Sections Current Events and Cesarean Sections News RSSChildren's Hospital Oakland scientists first to discover new source for harvesting stem cells
A groundbreaking study conducted by Children's Hospital & Research Center Oakland is the first to reveal a new avenue for harvesting stem cells from a woman's placenta, or more specifically the discarded placentas of healthy newborns.
Regional blocks superior to general anesthesia for cesarean section
General anesthesia (GA) is associated with an increased risk of infant intubation and low Apgar scores, relative to regional anesthesia.
Study: Health undervalued in reproductive rights debate
Women's health is increasingly undervalued in conflicts over reproductive rights, including clashes based on moral objections under so-called conscience clauses, a new study by a University of Illinois legal expert found.
Repeat C-section before 39 weeks raises risk of neonatal illness
Women choosing repeat cesarean deliveries and having them at term but before completing 39 weeks gestation are up to two times more likely to have a baby with serious complications including respiratory distress resulting in mechanical ventilation and NICU admission.
Preterm birth contributes to growing number of infant deaths
Babies born too soon and too small accounted for a growing proportion of infant deaths, according to new statistics released today from the National Center for Health Statistics, (NCHS).
C-sections a critical factor in preterm birth increase
Cesarean sections account for nearly all of the increase in U.S. singleton preterm births, according to an analysis of nine years of national birth data.
More Cesarean Sections Current Events and Cesarean Sections News Articles
 |
Cesarean Recovery by Chrissie Gallagher-Mundy (Author) The complete guide to a healthy recovery from the effects of C-section birthing. Almost 1 out of 4 deliveries is by cesarean section. Whether or not the procedure is planned, cesarean section must be considered major abdominal surgery and surgical recovery is a necessary process towards complete healing. Cesarean Recovery guides new mothers through the healing process in conjunction with her medical care. The new mother will discover when and how to start her recovery -- from her first attempts at sitting up in the hospital bed, through to standing and on to mastering her first exercises. This special guide includes straightforward and detailed information on: - Safe and effective exercises for regaining pre-pregnancy shape - Regaining vitality and strength with daily... |
 |
The Essential C-Section Guide: Pain Control, Healing at Home, Getting Your Body Back, and Everything Else You Need to Know About a Cesarean Birth by Broadway Childbirth is a life-altering experience for any woman, but a Cesarean delivery can be overwhelming, whether it's unexpected or planned. Despite the fact that roughly one in four babies in the United States is delivered by c-section, very little information about the experience is included in typical pregnancy books and physicians and childbirth educators often gloss over the details. The Essential C-Section Guide is written not only for women to read in preparation for a scheduled c-section and for those considered “high risk” who know that a c-section may become necessary but also for women recovering from an unexpected surgical delivery. This book provides answers to important questions about what the surgery entails, what a woman can expect as she recovers, and what... |
 |
The Essential C-Section Guide: Pain Control, Healing at Home, Getting Your Body Back, and Everything Else You Need to Know About a Cesarean Birth by Maureen Connolly (Author), Dana Sullivan (Author) The rate of c-section births has risen dramatically in the United States, accounting for more than twenty-four percent of deliveries in 2001. Yet there is no up-to-date book on the market dedicated to undergoing and recovering from the most commonly performed surgery in the U.S. Now two veteran journalists in health, parenting, and fitness have teamed up to create a candid and carefully researched guide for the nearly one million mothers facing or recovering from a cesarean. |
|
Healing exercises for Diastasis recti and C sections Starring: Gary Dillon; Mary Roderique Directed By: Carolyne Anthony New and improved version. Using Pilates based exercises learn how to identify a separation of the recti muscles and the simple routine to help heal the split. Men as well as post partum women are targeted in this half hour section. Early rehabilitation of a c section will enable the client to recover more completely from major abdominal surgery. Safe and simple breathing techniques plus pilates based exercises are included in this half hour | |
 |
What If I Have a C-Section? by Rita Rubin (Author), Mark Landon M.D. (Foreword) An award-winning health writer answers all the questions a pregnant mom may have about this increasingly performed procedure-now used in nearly one in every four births Thirty years ago, 1 in 20 babies was born by a c-section. Today that number has swelled to almost 1 in 4. Yet despite the steep rise in C-sections, there are very few books available to help moms-to-be sort out their options, allay their fears, and navigate their way through this serious and emotionally complex procedure. Rita Rubin, USA Today's medical reporter, tells women: - The main reason Cesareans are performed - Exactly what the procedure entails - How to communicate with their doctors-to insure the birth experience they want - Strategies that will help them recover from the surgery... |
 |
Earth Mama-Angel Baby C-Section Recovery, 1 cd by Earth Mama Angel Baby Guided relaxation techniques to encourage your body's natural healing process after a cesarean section. Includes: C-section recovery visualizations; new mama recovery; healing music. C-Sections Recovery CD provides guided relaxation techniques to help energize your body to heal more quickly and increase your energy following a cesarean sections. Get back on your feet more quickly with these gentle guided relaxation techniques. Includes these tracks: C-Section Recovery Visualizations to encourage the natural process of healing; New Mama Companion to provide much-needed support and encouragement; Healing Music to help you relax and allow time for yourself to recover. Lori Dorman, author and narrator, has worked with thousands of expectant parents and has attended over 1,100 births as a... |
 |
The Operation: Cesarean Section - The Learning Channel Also With: The Learning Channel (Primary Contributor) WHEN YOU WATCH ``The Operation'' on The Learning Channel, you are elbow to elbow with surgeons in starched masks and gowns who perform open-heart surgery, remove gall bladders, repair tears in the abdominal wall and reverse vasectomies with the help of high-powered microscopes. This episode: Cesarean Section |
 |
Cesarean Section Awareness Ribbon Mouse Pad by MyHeritageWear.com The Cesarean Section Ribbon proudly displayed on a mouse pad. There is no better way to achieve awareness for the meaning of the Cesarean Section Ribbon than to display it on your mouse pad for everyone to see. The mouse pad measures at 9.25 x 7.75, it is machine washable, and the colors will not fade or run. Start gaining awareness today by presenting your Cesarean Section Ribbon mouse pad at work or at home. It is certain to keep your mouse rolling in style all while gaining support and awareness! |
 |
Understanding the Dangers of Cesarean Birth: Making Informed Decisions by Praeger Cesarean delivery - childbirth through an incision in the mother's lower abdomen - is now the most common major surgical procedure performed in the United States. No one argues over the fact that it can be a life-saving procedure when the baby or mother is at risk. But for almost three decades in this nation, cesarean deliveries have increased, without substantially better outcomes for babies or mothers. Experts warn that up to 50 percent of the more than 1 million C-sections performed here each year are unnecessary. And that is where Nicette Jukelevics, a certified childbirth educator, researcher and writer, steps in with this book. Jukelevics aims to give women the insights they need to make an informed decision about whether natural or C-section birth is best for them and their... |
 |
Nobody's Baby Also With: Warner Bros. (Producer) |
| © 2009 BrightSurf.com |