Showing posts with label Cesarean. Show all posts
Showing posts with label Cesarean. Show all posts

Wednesday, March 27, 2013

Delivering your baby: Why scheduling early is not a good idea

Sometimes there are medical reasons for a woman to deliver her baby before naturally
going into labor. For example, if a week or more passes after the due date and the baby does not come, doctors may need to start, or induce, labor. Or if the woman or her baby is at risk, doctors may need to deliver the baby by Cesarean delivery, or C-section.

These types of deliveries can save lives. But tohurry a baby’s birth—just to make it convenient for you or your doctor—can increase the risk of serious problems for both you and your baby.

In plain terms: Don't schedule a birth for convenience. Here's why:

http://bit.ly/16g8lBV



Tuesday, March 5, 2013

Advice to pregnant women: choose your hospital carefully

Consumer Reports: Advice to pregnant women: choose your hospital carefully


http://news.consumerreports.org/baby/2013/03/advice-to-pregnant-women-choose-your-hospital-carefully.html

Mar 4, 2013 4:01 PM

Where you deliver your baby is a big factor in determining whether you'll have a Cesarean section. Researchers who looked at nearly 600 hospitals nationwide found that C-section rates varied widely, from a low of 7 percent of all deliveries to 70 percent.

Women with low-risk pregnancies are much less likely to need a C-section, so you would expect smaller variations in that group. But the researchers, from the University of Minnesota and the University of British Columbia, found those numbers were even worse. Some low-risk women were 15 times more likely to undergo a C-section than others, depending on where they gave birth. And it's not just that a few hospitals were outliers. Researchers found striking variation in all sizes and types of hospitals and in all regions.

For advice on how to avoid unnecessary C-sections and other childbirth interventions, as well as tips on how to have the healthiest possible pregnancy, see our report What To Reject When You're Expecting.

The numbers matter because C-sections that are not medically necessary increase risks for both moms and babies and drive up health care costs. It's a situation in which no one wins, except perhaps hospitals and providers, who often make far more money from a surgical procedure than a routine vaginal delivery. The study points out that the average cost for a C-section in 2010 was $12,739 compared with $9,048 for a vaginal delivery.

Unfortunately, the study did not identify the hospitals with high and low C-section rates. But many states now publish C-section rates and other maternal-health data by hospital on the web. The study authors also list other websites that report on hospital performance, including CesearanRates.com, Choices in Childbirth, and the International Cesarean Awareness Network.

Source

Cesarean delivery rates vary tenfold among US hospitals; reducing variation may address quality and cost issues [Health Affairs]
—Teresa Carr