Here's a copy of the article for those of you who don't wish to register on the site (thatnks for bringing it toour attention, Leanne):
Novel elective cesarean cause described
Source: Obstetrics & Gynecology 2004; 103: 1137-41
Researchers describe the "novel clinical entity" of intrapartum elective cesarean, and find that it is more often proposed by the physician than the patient.
Elective cesareans that are performed after the onset of labor are more frequently offered by the physician than they are requested by the patient, say researchers, in a finding that may add further fuel to the cesarean debate.
Despite recent concern about the rising rates of elective cesarean delivery, the incidence and causes of cesareans that are opted for during labor has previously been neglected, Robin Kalish (Weill Medical College of Cornell University, New York, USA) and colleagues observe.
To investigate, they asked obstetricians at the New York Weill Cornell Medical Center to complete a questionnaire after every cesarean they performed a! t the institution between May and October 2002. In addition, the researchers reviewed the patients' medical records and demographic information on the clinicians.
Of the 422 intrapartum cesarean deliveries performed, 18.7 percent were first suggested in the absence of a clear medical indication. The physician offered 13 percent of these, while 8.8 percent were requested by the patient, with both individuals proposing the alternative in 3.1 percent of cases.
Kalish and team conclude that their study documents "a heretofore unrecognized clinical entity: intrapartum elective cesarean delivery," and say that physician characteristics, as opposed to patient characteristics or intrapartum factors, largely determine its use.
Posted: 7 July 2004
[EMAIL PROTECTED] wrote:
Source: Obstetrics & Gynecology 2004; 103: 1137-41
Researchers describe the "novel clinical entity" of intrapartum elective cesarean, and find that it is more often proposed by the physician than the patient.
Elective cesareans that are performed after the onset of labor are more frequently offered by the physician than they are requested by the patient, say researchers, in a finding that may add further fuel to the cesarean debate.
Despite recent concern about the rising rates of elective cesarean delivery, the incidence and causes of cesareans that are opted for during labor has previously been neglected, Robin Kalish (Weill Medical College of Cornell University, New York, USA) and colleagues observe.
To investigate, they asked obstetricians at the New York Weill Cornell Medical Center to complete a questionnaire after every cesarean they performed a! t the institution between May and October 2002. In addition, the researchers reviewed the patients' medical records and demographic information on the clinicians.
Of the 422 intrapartum cesarean deliveries performed, 18.7 percent were first suggested in the absence of a clear medical indication. The physician offered 13 percent of these, while 8.8 percent were requested by the patient, with both individuals proposing the alternative in 3.1 percent of cases.
Kalish and team conclude that their study documents "a heretofore unrecognized clinical entity: intrapartum elective cesarean delivery," and say that physician characteristics, as opposed to patient characteristics or intrapartum factors, largely determine its use.
Posted: 7 July 2004
[EMAIL PROTECTED] wrote:
Dear Colleague,
I thought this article from ObGynWorld.com might interest you:
ObGynWorld-homepage
http://www.ObGynWorld.com/international/News/2004/Week_28/Day_3/Novel_elective_cesar.asp#undefined
ObGynWorld.com is the essential resource in obstetrics and gynecology, offering the latest news plus feature articles and an extensive range of clinical information. Visit the site at www.ObGynWorld.com.
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