)��t@ X�Q��4Y@�� O��u� ��&`yI~�9�W�-�z �����x�Æ�C�ᘣ�Æ� Sign Up to Receive Our Free Coroanvirus Newsletter, Pregnant With Allergies? When complications develop, C-sections can save the lives of mothers and their babies. Fiocruz’s most recent studies, the results of which were collected in 2016 and are still being analysed, show an improvement from past childbirth practices. Motives for - and prevalence of - cesarean delivery on maternal request: A survey in Saudi Arabia. HHS The World Health Organization suggests it lies between 10 and 15 percent, while a more recent study found it is a little higher, around 19 percent. How do I vote in my state in the 2020 election? The procedure also affects the makeup of the baby’s gut microbiome, and increases their risk of obesity and asthma. The authors note that the risks are generally small and depend on where in the world the operation is taking place. By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts.  |  Doctors treat a baby whose mother underwent a cesarean section in Sierra Leone.

Rates of cesarean sections have been on the rise over the past three decades all over the world, despite the ideal rate of 10-15% that had been set by the World Health Organization (WHO) in 1985, in Fortaleza, Brazil. Women of a lower social class were more likely to give birth in a public unit, and health insurance plans used for private maternity hospitals often only cover caesarean births. 0000010645 00000 n One study dealt with disparities around the world.

This procedure involves the surgical removal of a baby as an alternative means of delivery. In the study, half of all C-section deliveries to women whose labors were induced were performed before cervical dilation had progressed to 6 centimeters in diameter. A C-section is medically necessary when complications develop such as bleeding, high blood pressure or the baby is in an abnormal position in the womb, endangering mother or child.

The primary Cesarean section rate has increased partly because of Cesareand delivery on maternal request which accounts for 4%-18% of all Cesarean deliveries. C-sections were also overused in the North America, Western Europe, Latin America and the Caribbean, where rates rose about 2 percent a year over the study period of 2000 to 2015. A new report raises concerns about rising rates of this procedure around the world, from Brazil to China. The fastest rise (6 percent) took place in South Asia, where researchers said C-section deliveries were underused in 2000 but overused 15 years later.

For babies, C-sections raise the chance of obesity and autoimmune diseases later in life. startxref 0000005146 00000 n "One message from this study is that physicians should use induction more judiciously," study researcher Jun Zhang, MD, PhD, tells WebMD. In the UK the figure stands at just over 26%, but in some countries more than half of births involve the procedure: in the Dominican Republic over 58% of babies are delivered this way, while in Egypt the figure is 63% when looking just at births in institutional settings. Please enable it to take advantage of the complete set of features! Qatar Med J. That translates to 16 million of the 132 million live births in 2000 and 30 million of the 141 million live births in 2015. “It’s quite worrying,” said Silvana Granada, one of the lead childbirth researchers at Brazil’s Oswaldo Cruz Foundation (Fiocruz). The team add that while globally the proportion of caesarean sections is excessive, use of the procedure varies from country to country, with greater use in wealthier regions. 0000093437 00000 n 0000001768 00000 n When it comes to C-sections, there seems to be an optimal rate that provides the most benefit to women and babies. In the United States, however, about one in three births happen by C-section, a rate that has risen dramatically over the past few decades, from 5 percent in 1970 and 20 percent in 1996. 0000019762 00000 n Surgeons perform a cesarean section. Surgeons perform a cesarean section. In some hospitals, more than 70 percent of births occur by C-section, putting moms and babies at risk. In the Middle East and many African and Asian countries women tend to have large families. 2020 Election Live Updates: Trump and Biden head to the Midwest, Walmart returns guns to store floors as unrest "isolated", Officer sues Breonna Taylor's boyfriend over emotional distress, Deadly 7.0-magnitude quake rocks Turkey and Greek island, NASCAR stars unveil new car for Michael Jordan's racing team, Lori Loughlin begins prison sentence in college admissions scandal, Second suspect in custody in suspected terror attack in France, Amazon says it now has more than 1 million employees, Trump Jr. says COVID deaths are "almost nothing" on day when 1,000 died, Battleground Tracker: Latest polls, state of the race and more, 5 things to know about CBS News' 2020 Battleground Tracker, CBS News coverage of voting rights issues. The rate has alarmingly increased in all socioeconomic groups including the poor, the uneducated and the rural population. / HealthDay. More than half of all births in Brazil are via caesarean section, according to the latest data from the Lancet. There is no doubt that cesarean delivery is a safe procedure and it is getting safer and safer for many reasons. “In many settings, young obstetricians have become experts in [caesarean sections], but are losing confidence in undertaking vaginal-assisted deliveries and breech deliveries,” the experts warn. But in a new series of studies and commentaries published in the Lancet, a team of researchers have revealed that in many countries caesarean sections are rising rapidly, accounting for more than 21% of births globally in 2015, up from just over 12% at the turn of the millennium. Election Day could turn into "Election Week" with rise in mail ballots, How Americans felt about masks during the 1918 flu pandemic, 56 get COVID after "superspreader" wedding, birthday party, Germany imposes partial lockdown to control COVID's spread, Study: Multi-layer face masks work better. 0000110503 00000 n

“Those who have the economic capacity choose caesareans.”. 0000109882 00000 n It is very important that women make their decisions based on the best available evidence.”. Why the rate of cesarean delivery has increased so dramatically in the United States is not entirely clear. 0000001439 00000 n 0000019843 00000 n

Although cesareans are designed to rescue babies from danger, rates … In July 2016, the federal government passed a resolution that advised caesarean sections should only be planned for high-risk pregnancies, and only after the 39th week. 0000012696 00000 n © 2020 Guardian News & Media Limited or its affiliated companies. What is ballot harvesting — and should you hand your ballot to a stranger? Long Q, Kingdon C, Yang F, Renecle MD, Jahanfar S, Bohren MA, Betran AP. The new research suggests the global rise in caesarean sections is down to more women giving birth in medical institutions such as hospitals, combined with increased use of the procedures there. But the surgery is not risk-free and has been linked to difficulties with future births. The countries where more than half of births are by C-section … 0000012860 00000 n 0000019692 00000 n %PDF-1.4 %����

And it increases a woman's risk of life-threatening complications during childbirth, such as bleeding, uterine rupture, hysterectomy and cardiac arrest by about fivefold. The introduction of the “one child policy” in 1979, may have contributed indirectly to the rise of the incidence rate. We Insist: A Timeline Of Protest Music In 2020. “Obstetricians are the most sued doctors in our country, after plastic surgeons,” he said. Researchers from the National Institute of Child Health and Human Development analyzed data from more than 228,000 deliveries at 19 hospitals across the U.S. from 2002 to 2008. The C-section rate among older moms was double that of younger ones.

Doctors Without Borders has worked to help reduce the country's high maternal mortality rate. In some countries more than half of births now involve the procedure, experts say. “For the mother, for her future pregnancy there is an increased risk of preterm birth, ruptured uterus and the placenta embedding in the wrong part of the uterus, which means she is at risk of postpartum haemorrhage and needing a hysterectomy,” said Jane Sandall, professor of social science and women’s health at King’s College London and a co-author of one of the studies. The new analysis also found that longer labor times and an increase in induced labors are also factors. endstream endobj 330 0 obj <>/Metadata 48 0 R/Pages 47 0 R/StructTreeRoot 50 0 R/Type/Catalog/ViewerPreferences<>>> endobj 331 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 332 0 obj <> endobj 333 0 obj <> endobj 334 0 obj <> endobj 335 0 obj <> endobj 336 0 obj <> endobj 337 0 obj [357 0 R] endobj 338 0 obj <>stream According to Granada, as many as 70% of women first say they want a natural birth. About one in 10 planned surgical deliveries was performed in women who had no obvious medical reason for having a C-section, but it was not clear if these were cases of "C-section on demand" by the patient. In urban areas in 2008, the rate of Cesarean sections was over 40%. “It is our job to provide as accurate information as we can … it is not our job to tell women what to do,” she added. Since then, caesarean sections have become increasingly common in both … endstream endobj 364 0 obj <>/Filter/FlateDecode/Index[50 279]/Length 31/Size 329/Type/XRef/W[1 1 1]>>stream Keywords: "As an obstetrician told me ... 'You're going to pay me more [to do a C-section], you're not going to sue me and I'll be done in a hour,' " Kennedy says. October 12, 2018 / 2:25 PM Mandy Forrester of the Royal College of Midwives said it was “crucial that women are aware of the potential complications of having a caesarean section in the short and long term. “It’s getting better,” she said. For example, in Brazil, 80-90 percent of births in private clinics are now C-sections, compared with about 30-40 percent of births in public hospitals. By contrast, 47 of the 169 countries studied by the researchers have levels of caesarean section use below what is considered medically necessary: in west and central Africa the figure is just over 4%, suggesting some women and babies are missing out on life-saving care. hide caption. 0000110148 00000 n 0000002397 00000 n 0000004342 00000 n NIH For the three studies, researchers used data from 169 countries in World Health Organization and UNICEF databases. However, below a caesarean section rate of 10%, maternal and neonatal mortality decreased when caesarean section rates increased. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/.

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