Soaring cesarean section rates: a cause for alarm.

J Obstet Gynecol Neonatal Nurs

Published: August 2003

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http://dx.doi.org/10.1111/j.1552-6909.2003.tb00154.xDOI Listing

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Article Synopsis
  • The study investigates the rising rate of caesarean sections (CS) over three years at University College Hospital, Ibadan, Nigeria, using the Robson 10-Group Classification System to identify key contributors to this trend.
  • Findings reveal a caesarean section rate of 46.9%, with the highest contributions from specific groups: parous women with a previous CS, nulliparous women with a single foetus, and women delivering before 37 weeks.
  • The study concludes that to lower overall CS rates, strategies should be implemented to promote vaginal deliveries, particularly for women with prior CS histories.
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Background: Haemorrhagic morbidity is more common in women with abnormal placentation, that is placenta praevia or morbidly adherent placenta. The incidence of abnormal placentation is increasing due to rising caesarean section rates. Concerns regarding blood safety, blood shortages and soaring costs of blood processing have generated growing enthusiasm for blood conservation strategies.

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Nurses struggle with conflicting priorities regarding the care of women during childbirth and the expectations of physicians and employers. Nurses are expected to perform technologically sophisticated interventions that were once performed by physicians, which can affect the perception of comfort that nurses traditionally offered. In this historical overview, I suggest that scientific childbirth advances have contributed to soaring cesarean rates and identify the role of the nurse as a contributor to this trend.

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