Document Detail

A review of issues surrounding medically elective cesarean delivery.
MedLine Citation:
PMID:  17973706     Owner:  NLM     Status:  MEDLINE    
The rate of cesarean delivery has increased dramatically over the past decade. Medically elective cesareans are a major factor contributing to this rise. This article discusses the most recent evidence on the perinatal risks of cesarean delivery versus vaginal birth, the economic impact of elective cesarean delivery, and ethical principles related to cesareans performed without medical indication. Physicians' rationales and responses to the issues are reviewed and the recommendations and guidelines of professional organizations are summarized. Available evidence does not lend support to a current shift in clinical practice. Research is needed to adequately compare outcomes of planned cesarean delivery and planned vaginal birth. Until evidence supports medically elective cesarean as a birth option that optimizes outcomes for low-risk mothers and their infants, obstetric care providers should continue to support evidenced-based decision making that includes advocacy for vaginal delivery as the optimal mode of birth.
Susan R Miesnik; Barbara J Reale
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  36     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2007-11-01     Completed Date:  2008-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  605-15     Citation Subset:  IM; N    
The Center for Fetal Diagnosis and Treatment, The Children's Hospital of Philadelphia, PA 19104, USA.
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MeSH Terms
Attitude of Health Personnel
Cesarean Section* / adverse effects,  ethics,  statistics & numerical data
Cost of Illness
Decision Making
Evidence-Based Medicine
Guideline Adherence
Health Knowledge, Attitudes, Practice
Health Services Needs and Demand
Maternal Mortality
Nurse's Role
Obstetrical Nursing
Patient Participation
Patient Selection* / ethics
Practice Guidelines as Topic
Pregnancy Outcome
Principle-Based Ethics
Risk Factors
Surgical Procedures, Elective* / adverse effects,  ethics,  statistics & numerical data
Unnecessary Procedures

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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