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Recent Trends in Cesarean Birth and Trial of Labor in the United States.
Florida obstetricians seek the assistance of all stakeholders, citizens, legislators and responsible members of the media in our ongoing efforts not only to lower premature and Cesarean birth rates, but also to reach the more lofty goals of reducing maternal and perinatal mortality and morbidity in our state.
The analysts therefore estimate that cesarean births quadruple a woman's risk of pregnancy-related death (relative risk, 3.
The odds of perinatal death for this group are more than 11 times those associated with a planned repeat cesarean birth and more than twice those among infants born to other multiparous women who do not plan a cesarean delivery; however, the odds are similar to those among infants of nulliparous women who do not expect to deliver by this method.
This does not support the option of elective cesareans and women should be informed of this risk before choosing a cesarean birth.
If women are being counseled about cesarean birth with no clear obstetric advantage, such as cesarean section for maternal request, the possible effect on the risk of unexplained stillbirth in future pregnancies should be discussed.
Additionally, the rate of vaginal birth after a previous Cesarean birth (VBAC) has declined by 23 percent.
The number of cesarean births to women with no previous cesarean birth jumped 7 percent and the rate of vaginal births after previous cesarean delivery dropped 23 percent.
The trial was halted early after two interim analyses indicated that perinatal outcomes were significantly better with planned cesarean birth.