While other factors may contribute to operative delivery
and further investigation of gestational weight gain is warranted, it is important obstetricians be aware of the impact of a high BMI on pregnancy and delivery to properly advise women considering motherhood.
The increase in caesarean section rates is in some circumstances based on scientific evidence; the use of electronic fetal monitoring during labour and the risks of dystocia due to operative vaginal delivery and vaginal breech delivery have legitimately increased the rates of operative delivery
26,27) Operative delivery
remains a major modifiable risk factor for anal sphincter injury in primiparous women.
Furthermore, studies show that healthy women, who should rarely need operative delivery
, undergo a large percentage of the cesarean sections performed in the U.
Their objective was to determine whether a policy of delayed pushing for these women with continuous-infusion epidural analgesia reduces the risk of difficult delivery (that is, cesarean delivery, operative delivery
from a midpelvic position, low-pelvic procedures with rotation greater than 45 degrees).
standard of care is that "decision to incision" should take no more than 30 minutes, and ACOG has said in a recent practice bulletin that once a decision for operative delivery
has been made in the context of a Category III EFM tracing, it should be accomplished as expeditiously as possible.
Although there's a possibility that some other unmeasured (confounding) factor may explain these results, the researchers concluded that elective induction of labour at term "has the potential to reduce perinatal mortality in developed countries without increasing the risk of operative delivery