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C-sections a critical factor in preterm birth increase
May 28, 2008Cesarean 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.
Between 1996 and 2004 there was an increase of nearly 60,000 singleton preterm births and 92 percent of those infants were delivered by a cesarean section, (c-section), according to research by investigators from the March of Dimes and the U.S. Centers for Disease Control and Prevention (CDC) that will be published in the June issue of Clinics in Perinatology.
Preterm birth is a serious and costly health concern and is the leading cause of death in the first month of life. More than 520,000 babies - one out of every eight - are born too soon each year in the United States.
Late preterm babies, those born 34-36 weeks gestation, account for most of the increase in the US singleton preterm birth rate. These infants have a greater risk of breathing problems, feeding difficulties, temperature instability (hypothermia), jaundice, delayed brain development and death than babies born at term. This new analysis shows that that these late preterm infants had the largest increase in c-section deliveries.
"While maternal and fetal complications during pregnancy may result in the need for a c-section, we're concerned that some early c-section deliveries may be occurring for non-medically indicated reasons," said Alan R. Fleischman, M.D., the March of Dimes medical director and senior vice president. "We need research to determine how many c-sections that result in preterm babies are not medically indicated and may place both mother and baby at risk for little or no medical benefit. "
C-sections are the most common major surgical procedure for women. More than 30 percent of the 4.1 million U.S. live births are delivered via c-section and the rate has increased dramatically since 1996. A c-section delivery can be lifesaving when there are complications during pregnancy, but it is a major operation with potential risks to the mother from the surgery and anesthesia and to the baby, if the delivery occurs too soon. The March of Dimes is concerned that some early deliveries may occur without good medical justification and may be done at the request of the mother or based on an inappropriate recommendation from the doctor.
March of Dimes Foundation
C-section Current Events and C-section News RSSMayo researchers find anesthesia not harmful for babies during birth process
Mayo Clinic researchers have found that children exposed to anesthesia during Cesarean section are not at any higher risk for learning disabilities later in life than children not delivered by C-section.
Studies link maternity leave with fewer C-sections and increased breastfeeding
Two new studies led by researchers at the University of California, Berkeley, suggest that taking maternity leave before and after the birth of a baby is a good investment in terms of health benefits for both mothers and newborns.
A card-swipe for medical tests
University of Utah scientists successfully created a sensitive prototype device that could test for dozens or even hundreds of diseases simultaneously by acting like a credit card-swipe machine to scan a card loaded with microscopic blood, saliva or urine samples.
Scientists discover why a mother's high-fat diet contributes to obesity in her children
New research published online in The FASEB Journal suggests that pregnant women should think twice about high-fat foods.
Possible biological explanation for C-Section-linked allergies and asthma found
Scientists believe they may have identified a biological explanation for the link between cesarean-section delivery and risk of allergy and asthma in childhood.
Baby boys are more likely to die than baby girls
Male infants in developed nations are more likely to die than female infants, a fact that is partially responsible for men's shorter lifespans, reveals a new study by researchers from University of Pennsylvania and University of Southern California.
Fetal surgeon shows for first time that laser procedure may treat vasa previa
A University of South Florida fetal surgeon at Tampa General Hospital successfully treated in utero a rare but potentially devastating condition in which placental blood vessels block the birth canal and can rupture during labor, leaving the baby without vital blood and oxygen. If undiagnosed, the condition known as vasa previa is frequently deadly for newborns.
Penn study shows lower Cesarean rates associated with preventive labor induction
At a time when national rates of cesarean delivery have climbed above 30%, a four-year study of patients receiving an alternative method of obstetric care experienced a significantly lower rate of cesarean births, according to a study published in the current issue of the Annals of Family Medicine.
Aggressive efforts needed to curb maternal obesity
Most women get it - smoking and drinking don't mix with pregnancy, but not so with excess weight before and during pregnancy.
Research with a twist -- When to turn breech babies
An international study led by a McMaster researcher aims to determine if a manual procedure to turn breech babies in the uterus can result in fewer births by caesarean section.
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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. |
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