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Maternal-fetal medicine professionals identify ways to reduce first cesarean
Date:1/24/2014

WASHINGTON--A recently published article, based on a workshop, Preventing the First Cesarean Delivery: Summary of a Joint Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, and the American College of Obstetricians and Gynecologists Workshop, outlines a collaboration of specialists providing obstetrical care in helping to identify opportunities to reduce unnecessary first cesarean deliveries.

With over one-third of pregnancies in the United States being delivered by cesarean and the growing knowledge of morbidities associated with repeat cesarean deliveries, the group thought it was important to convene a workshop to address the concept of preventing the first cesarean.

Brian M. Mercer, M.D., with the Department of Obstetrics and Gynecology at MetroHealth Medical Center Case Western Reserve University in Cleveland, Ohio and George R. Saade, M.D., of the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas, were two of the five physicians who authored the article. Mercer is also on the executive committee of the Society for Maternal-Fetal Medicine, and Saade is the chair of the Society's Health Policy Committee.

"Given the risks associated with the initial cesarean and its implications in subsequent pregnancies, the most effective approach to reducing overall morbidities related to cesarean delivery is to avoid the first cesarean," explained Saade. "The implications of a cesarean rate of 30 percent or moresince approximately one in three pregnancies are delivered by cesareanhave significant effects on the medical system as well as on the health of women and children. It is essential to embrace this concern and provide guidance on strategies to lower the primary cesarean rate."

The rise in the rate of cesarean delivery compared to 1995 is due in part to an increase in the frequency o
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Contact: Vicki Bendure
vicki@bendurepr.com
202-374-9259
Society for Maternal-Fetal Medicine
Source:Eurekalert

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