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Dates: during 2000-2009
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...Five hundred years later, surgical delivery seems as trifling as tooth extraction. In Chile, which is currently believed to have the world's highest cesarean rate, 40% of all births are in the operating theater. But larger populations in Asia mean that greater numbers of C-sections are performed in this region, particularly in South Korea (36.4% of all births in the first half of 2006), Taiwan (with a rate of roughly 33%), Singapore (about 30%) and China (approximately 26%). In Thailand, Dr. Stephen Atwood of the maternal and child-health section of UNICEF's regional office, says...

Author: /time Magazine | Title: The Labor Market | 3/20/2008 | See Source »

...Eugene Declercq of the Boston University School of Public Health cautions against giving too much weight to the cesarean-mortality connection, but concedes that "there is some evidence of higher maternal mortality rates in cases of cesareans to low-risk mothers," and suggests that a woman contemplating a C-section should ask herself why she should undergo major surgery "when she and her baby are healthy...

Author: /time Magazine | Title: The Labor Market | 3/20/2008 | See Source »

...days following a C-section, a woman will be at an elevated risk of potentially fatal blood clots or infections. This is common to all major surgery, but means that more women die as a result of cesarean section than in natural childbirth. The U.S. figure of 12.1 maternal deaths per 100,000 births in 2003 becomes 36 if only cesareans are considered - and the difference, according to Obstetrics and Gynecology, is "attributable to the surgery itself, not any complications that might have led to the need for surgery...

Author: /time Magazine | Title: The Labor Market | 3/20/2008 | See Source »

...childbirth once she has had a cesarean - because the uterine scar may rupture during labor with potentially dire consequences - it is likely that her subsequent children will also be surgically delivered, multiplying all of these risk factors each time. "If there is no medical reason to have a C-section, we would advise [women] to have a vaginal delivery," says Professor Tan Kok Hian of KK Women's and Children's Hospital in Singapore...

Author: /time Magazine | Title: The Labor Market | 3/20/2008 | See Source »

...Thailand, the pleas of natural-birth advocates do not find a large audience. "It's like pushing a stone uphill," says veteran campaigner Dr. Tanit Habanananda of the Childbirth and Breastfeeding Foundation of Thailand. "We're frustrated. It's very easy to get a C-section in Thailand. We have some colleagues at hospitals trying to change things but it's very hard." His spouse, Dr. Melanie Habanananda, adds: "If you use the term 'natural birth' here, people think it means you have to go sit in a paddy field to have your baby." Cesareans, she says, "have become very...

Author: /time Magazine | Title: The Labor Market | 3/20/2008 | See Source »

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