Contemporary cesarean delivery practice in the United States.
Contemporary cesarean delivery practice in the United States.
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DOI：
10.1016/j.ajog.2010.06.058
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发表时间：
2010-10
影响因子：
9.8
通讯作者：
Consortium on Safe Labor
中科院分区：
文献类型：
--
作者：
Zhang J;Troendle J;Reddy UM;Laughon SK;Branch DW;Burkman R;Landy HJ;Hibbard JU;Haberman S;Ramirez MM;Bailit JL;Hoffman MK;Gregory KD;Gonzalez-Quintero VH;Kominiarek M;Learman LA;Hatjis CG;van Veldhuisen P;Consortium on Safe Labor
为了描述美国安全劳动联盟的当代剖腹产实践，该联盟从美国19家医院的228，668份电子病历中收集了详细的分娩和分娩信息，2002 - 2008年。剖宫产率为30.5%。初产妇剖宫产率为31.2%。由于先前的子宫瘢痕导致的Prelabor重复剖宫产占所有剖宫产的30.9%。28.8%的瘢痕子宫妇女进行了试产，成功率为57.1%。43.8%的阴道分娩妇女有引产史。引产中因难产而进行的剖宫产有一半是在宫颈扩张6厘米之前进行的。为了降低美国的剖腹产率，减少初次剖宫产是关键。提高VBAC率是迫切需要的。在活跃期建立之前，应避免难产剖宫产，尤其是初产妇和引产。
To describe contemporary cesarean delivery practice in the U.S. Consortium on Safe Labor collected detailed labor and delivery information from 228,668 electronic medical records from 19 hospitals across the U.S., 2002 – 2008. The overall cesarean delivery rate was 30.5%. 31.2% of nulliparas were delivered by cesarean section. Prelabor repeat cesarean delivery due to a previous uterine scar contributed 30.9% of all cesarean sections. 28.8% of women with a uterine scar had a trial of labor and the success rate was 57.1%. 43.8% women attempting vaginal delivery had induction. Half of cesarean for dystocia in induced labor were performed before 6 cm of cervical dilation. To decrease cesarean delivery rate in the U.S., reducing primary cesarean delivery is the key. Increasing VBAC rate is urgently needed. Cesarean section for dystocia should be avoided before the active phase is established, particularly in nulliparas and in induced labor.
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影响因子：
2.5
作者：
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通讯作者：
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影响因子：
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通讯作者：
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DOI：
10.1111/j.1471-0528.2006.00933.x
发表时间：
2006-06-01
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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