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The first cesarean: role of "fetal distress" diagnosis.
MedLine Citation:
PMID:  23009972     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The goal of this review is to synthesize the available information regarding factors leading to the first cesarean, especially as it relates to the role of electronic fetal heart rate monitoring (EFM) in the prevention of the first cesarean. The widespread use of EFM did not reduce perinatal or neonatal adverse outcomes. Coupled with its inherent problems, such as poor sensitivity and reliability, this has led to a dramatic increase in cesarean delivery rates. To be realistic in any attempt to lower the current cesarean rate, we must address the inherent limitations in our current EFM methods.
Authors:
Maged M Costantine; George R Saade
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in perinatology     Volume:  36     ISSN:  1558-075X     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  379-83     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, TX. Electronic address: mmcostan@utmb.edu.
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