Caesarean section-past, present and what of the future?

Meehan, F. P.

doi:10.3109/01443618809012284

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At the Women's Hospital In Winnipeg Over A 5-1

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1997

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“…Circumstances have changed. The attitude is no longer one of attempting to justify doing a Caesarean section, but is one of justifying not doing the operation if the outcome is bad for the baby (51). In other fields of medicine it may be accepted that 'a single poor outcome .…”

Section: At the Women's Hospital In Winnipeg Over A 5-mentioning

confidence: 99%

Differences Among Obstetricians in Caesarean Section Rates

Menticoglou

1997

Aust NZ J Obst Gynaeco

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This retrospective study examined the Caesarean section rates of 15 obstetricians at 1 hospital delivering 5,559 nulliparas with a single cephalic baby of birth-weight > or = 2,500 g. There was a wide variation in obstetricians' Caesarean rates, whether considering all their deliveries (5.5% to 20.1%), deliveries of their own patients (8.9% to 28.2%), or deliveries of their colleagues' patients (4.5% to 17.9%). There was no relation between Caesarean rates and perinatal outcome. The different Caesarean section rates among the obstetricians could not be explained by institutional factors, physician convenience, patient differences, or self-serving economic incentives.

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Section: At the Women's Hospital In Winnipeg Over A 5-mentioning

confidence: 99%