Word: caesarean
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Dates: during 1980-1989
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...Stoeckle, and here the bond of doctor and patient may be most fragile. Doctors order expensive tests and uncomfortable procedures as protection against future suits. The costs to expectant parents are exorbitant, and discomfort during delivery is heightened: nearly one-quarter of all U.S. births are currently by caesarean section, which can be less risky to the baby than vaginal delivery and makes the doctor less vulnerable in court...
...Once a C-section, always a C-section." That is the snappy guideline most obstetricians have followed since World War I. By the mid-1980s, 1 baby out of every 4 born in the U.S. was delivered by caesarean, making the U.S. the world leader in surgical deliveries. In 1987 an estimated 35% of the procedures were done only because the mother had previously delivered by C-section. Last week the American College of Obstetricians and Gynecologists officially declared new guidelines on caesareans for the first time in 70 years. Its recommendation: doctors should encourage mothers who have...
Another significant factor is that many doctors perform caesareans at the first signs of fetal distress to protect themselves from malpractice suits. Moreover, caesareans demand less time for physicians in the delivery room. "It's a lot easier for a doctor to schedule a woman for caesarean and come in at 8 in the morning and be done by 8:30," says Mortimer Rosen, director of obstetrics and gynecology at New York's Presbyterian Hospital...
...past decade, studies have shown that vaginal births are possible for 50% to 80% of women who have had C-sections. At the same time, the case against the surgical procedure has mounted. Caesarean sections carry all the risks of major surgery, including complications associated with anesthesia, blood transfusions and infection, especially of the uterus. The incidence of maternal mortality is twice as high for women who undergo repeat caesareans, and infants are at increased risk for respiratory problems and distress caused by anesthesia given to the mother. On balance, the benefits of vaginal deliveries after C-sections have long...
MEDICINE: New guidelines for caesarean sections...