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The number of women having primary cesarean sections without any apparent medical risk grew significantly during the 1990s and topped 80,000 in 2001, according to a new analysis of U.S. birth certificate data.
First-time C-sections in women with "no indicated risk" rose 67% between 1991 and 2001, from approximately 3.3% to 5.5%. The increase was gradual until 1996 and rapid toward the end of the study period. Increases were seen across all ages and parities.
Eugene Declercq, Ph.D., and his associates studied birth certificate data on approximately 4 million births per year between 1991 and 2001.
They looked specifically at women who had singleton, full-term, vertex-presentation births, without any medical risk factors or complications of labor or delivery listed on the birth certificate. They then focused on women who had a first-time cesarean.
The investigators declined to call these deliveries "elective" and instead used the term "no indicated risk" cesareans.
"Birth certificate data provide no record of the ...
Source: HighBeam Research, Steep rise seen in 'no indicated risk' primary C-sections.(Obstetrics)