Reduction of unwarranted operative incidence in obstetrics

Cosgrove, S.A.

doi:10.1016/s0002-9378(40)90566-x

Cited by 2 publications

(1 citation statement)

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“…Any attempt to define an ideal CSR is futile as it is a consequence of individual value laden clinical decisions and it is not amenable to the methods of evidence-based medicine. As early as 1939, Cosgrove [43] had observed that 'no case should ever be decided with one eye on the statistics of the hospital' but still the obstetricians are greatly influenced by the theory of the elusive ideal rate of CS being related to the quality of obstetric care. The key question centers on both the number needed to treat to avoid one adverse neonatal outcome and the level of risk that is currently considered acceptable by both the parturient and the obstetrician.…”

Section: Is Csr a Performance Indicator?mentioning

confidence: 99%

Is the caesarean section rate a performance indicator of an obstetric unit?

Singh

Trivedi

2010

The Journal of Maternal-Fetal & Neonatal Medicine

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The indications of caesarean section are increasing. The need to respect maternal desire in the decision making has been supported by law and ethics. Some of the other contributors to the increasing caesarean section rate are breech with failed external cephalic version, decreasing rate of trial of scar, increasing induction rate and electronic fetal heart rate monitoring and changing demography. Despite the adverse effects of caesarean section, the incidence of severe morbidity and mortality is low. The strategies put forward to reduce the caesarean section rate (CSR) have not been effective and in no country or province, the CSR has come down. CSR should not be looked at in isolation or as high or low. It is the product of changing obstetric practice and societal norms and demographics. CSR not reflect the performance of a maternity unit.

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Section: Is Csr a Performance Indicator?mentioning

confidence: 99%