| The cesarean delivery rate can be safely reduced in a developing country. | |
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MedLine Citation:
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PMID: 2304708 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In an attempt to reduce the cesarean rate without adverse effect on outcome, new guidelines for the management of dystocia, previous cesarean delivery, fetal distress, and breech presentation were introduced in September 1984 in a provincial hospital in Zimbabwe, Africa. Comparison of the 2-year periods before and after September 1984 showed that the cesarean rate had dropped from 16.8 to 8.0%, the maternal mortality rate from 202 to 57 per 100,000 births, and the perinatal mortality rate from 71.9 to 56.2 per 1000 births. During the latter period, use of oxytocin increased from 3.4 to 17.4%. These findings suggest that the adoption of strict guidelines can lead to a decrease in the cesarean rate and an improvement in obstetric outcome. |
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Authors:
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X de Muylder; M Thiery |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 75 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 1990 Mar |
Date Detail:
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Created Date: 1990-03-20 Completed Date: 1990-03-20 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 360-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, Gweru Provincial Hospital, Zimbabwe. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Breech Presentation Cesarean Section* / utilization Dystocia Female Fetal Distress Humans Pregnancy Reoperation Zimbabwe |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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