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"This is an extremely important initiative to prevent the first cesarean delivery," said one expert, Dr. Joanne Stone, director of maternal fetal medicine at The Mount Sinai Hospital in New York City.
According to an American College of Obstetricians and Gynecologists news release, about one third of American women gave birth by C section in 2011, a 60 percent rise since 1996. And the doctors' group said that women having their first child account for about 60 percent of all cesarean deliveries in the United States.
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now shows that labor actually progresses slower than we thought in the past, so many women might just need a little more time to labor and deliver vaginally instead Michael Kors Jet Set Brown Pvc Large Messenger Bag
Dr. Mitchell Maiman is chairman of obstetrics and gynecology at Staten Island University Hospital, in New York City. He said that "as long as the fetal heart patterns are being safely monitored, low risk [first pregnancy] patients need not exactly follow strict guidelines and labor curves established decades ago, and that time, patience, clinical individualization and a hands off approach are preferable to decrease the rate of unnecessary cesarean sections."
One major change: Extending the length of time a woman should be allowed to be in labor, to help lower the odds she will require a C section.
computer even when you exit or close your browser which may reduce Michael Kors Blue Bag your levels of privacy and security. You should never select this option if you're using a publicly accessible computer, or if you're sharing a computer with others. 19, 2014 (HealthDay News) Two major medical groups representing America's obstetricians/gynecologists issued joint guidelines on Wednesday aimed at curbing the overuse of cesarean sections in first time mothers.
Dr. Vincenzo Berghella, who is president of the Society for Maternal Fetal Medicine and a contributor to the new guidelines, added in the news release: "Physicians do need to balance risks and benefits, and for some clinical conditions, cesarean is definitely the best mode of delivery. But for most pregnancies that are low risk, cesarean delivery may pose greater risk than vaginal delivery, especially risks related to future pregnancies."
"Multiple cesarean sections put women at higher risks for complications, such as abnormal placental adherence, bleeding and even hysterectomy," she said. Also, "by preventing the first cesarean, we can prevent future cesareans."
However, the new guidelines now say that first time mothers with low risk pregnancies should be allowed to have more time in labor, to help lower their risk of having an unnecessary cesarean delivery.
of moving to a cesarean delivery," Dr. Aaron Caughey, a member of ACOG's committee on obstetric practice who helped develop the new recommendations, explained in the news release.
"Most women who have had a cesarean with their first baby end up having repeat cesarean deliveries for subsequent babies, and this is what we're trying to avoid. By preventing the first cesarean delivery, we should be able to reduce the nation's overall cesarean delivery rate," Caughey said.
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