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Expert opinion: Consider active management of labor to reduce C-sections. (Obstetrics).
KAUAI, HAWAII -- There's room for improvement if cesarean-section rates are higher than 11% for nulliparous women who are pregnant with singletons in the vertex position and go into spontaneous labor at term.
Dr. Michael L. Socol made that assessment at a conference on obstetrics, gynecology; perinatal medicine, neonatology; and the law
He based his assessment on two randomized studies--one in 1992 with 705 women and the other in 1995 with 1,263 women--that found C-section rates below 11% in this select population of women who received active management of labor.
If a physician's C-section rate in comparable women already hovers around 10%-11%, active management of labor probably won't improve it. Physicians with higher C-section rates should be able to lower them through active management of labor, an approach that most obstetricians in the United States probably aren't using, said Dr. Socol, head of maternal-fetal medicine and professor of ob.gyn. at Northwestern University, Chicago.
"This is not for [vaginal births after cesarean section]. This is not for inductions," he cautioned.
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Source: HighBeam Research, Expert opinion: Consider active management of labor to reduce...