Cesarean Delivery

被引：13
作者：
Dresang, Lee T. [1 ]
Leeman, Lawrence [2 ,3 ]
机构：
[1] Univ Wisconsin, Sch Med & Publ Hlth, Dept Family Med, Madison, WI 53715 USA
[2] Univ New Mexico, Sch Med, Dept Family & Community Med, Albuquerque, NM 87131 USA
[3] Univ New Mexico, Sch Med, Dept Obstet & Gynecol, Albuquerque, NM 87131 USA
来源：
PRIMARY CARE | 2012年 / 39卷 / 01期
关键词：
Cesarean section; Obstetrics; Delivery; Complications; Obstetric labor; PLANNED VAGINAL BIRTH; EXTERNAL CEPHALIC VERSION; BREECH PRESENTATION; VENOUS THROMBOEMBOLISM; PLACENTA PREVIA; POSTPARTUM HEMORRHAGE; MATERNAL MORBIDITY; SINGLE-LAYER; SECTION; WOMEN;
D O I：
10.1016/j.pop.2011.11.007
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Cesarean delivery rates rose from 20 to 33% of births in the United States from 2006-2009 without an accompanying improvement in neonatal outcomes. The cesarean rate may be safely decreased by increasing vaginal birth after cesarean, encouraging external cephalic version for breech presentation, maintaining operative vaginal delivery skills, and applying stricter criteria for operative intervention in labor dystocia. A variety of cesarean operative techniques are supported by randomized controlled trials. Optimal maternity care outcomes depend on sound medical decision-making, appropriate operative technique and skills, and effective communication between maternity care team members.
引用
收藏
页码：145 / +
页数：22
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