Word: cesareans
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Dates: during 2000-2009
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...hospital and request major abdominal surgery than it is to give birth as nature intended. Jessica Barton knows this all too well. At 33, the curriculum developer in Santa Barbara, Calif., is expecting her second child in June. But since her first child ended up being delivered by cesarean section, she can't find an obstetrician in her county who will let her even try to push this go-round. And she could locate only one doctor in nearby Ventura County who allows the option of vaginal birth after cesarean (VBAC). But what if he's not on call...
Multiples, as opposed to singletons, are more likely to be born premature (the more fetuses, the earlier labor occurs). The risk of miscarriage is higher. Cesarean sections are utilized more frequently. Gestational diabetes, hypertension and preeclampsia can all occur. Multiple births can also create potential long-term health implications for the children, like cerebral palsy. In the short term, in many multiple-birth situations, newborns are at greater risk of birth complications and death, though notably, all eight of the kids born to "Octomom" Nadya Suleman earlier this year survived...
Experts point out, however, that there is a difference between an elective cesarean, in which the doctor and mother are deciding when a baby will emerge from the womb, and a labor-induced delivery, which can occur any time after 37 weeks and in which the baby is initiating the process. "In a vaginal delivery, that baby instigated the labor, and is therefore ready and can be healthy at 37 weeks," says Dr. Catherine Spong, chief of the pregnancy and perinatology branch at NICHD and one of the co-authors of the paper. These results also do not apply...
...comes down to convenience - to accommodate their work schedules or to avoid being pregnant any longer than necessary. Part of the trend may also be traced to women's confusion over the official guidelines: While ACOG recommends that 39 weeks of gestation is ideal for both vaginal and Cesarean deliveries, 37 weeks is technically considered full term. So, many women question why they have to wait an additional two weeks to schedule a c-section if their baby is at term...
...data will likely have the most impact on discussions between doctors and women who are planning a repeat elective cesarean. Although most obstetricians are disinclined to schedule c-sections prior to 39 weeks, they still feel pressured by their patients to do so. The new study ought to shift the substance of that dialogue, the authors hope. "This will be one more piece of useful information in any discussion about deciding when to schedule that delivery," says Tita, ideally in favor of the babies...