First-time cesarean rates dipped in 2012 - 21 News Now, More Local News for Youngstown, Ohio -

First-time cesarean rates dipped in 2012

Updated: Jan 23, 2014 10:02 AM

By Steven Reinberg
HealthDay Reporter

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Efforts to curb cesarean birth rates in the United States might be working, with health officials reporting a 2 percent decline in the number of first-time surgical deliveries between 2009 and 2012.

Cesarean delivery rates in 19 states reporting to the U.S. Centers for Disease Control and Prevention averaged 21.9 percent in 2012, the CDC said in a report released Thursday. This represented a return to the rate last recorded for those states in 2006.

Report co-author Michelle Osterman, a statistician at the CDC's National Center for Health Statistics, said the turnaround was significant. "The rates had been going up every year, but in 2009 they either stabilized or started to come down," she said.

The real impact might be felt in the overall cesarean rate, Osterman said.

"Because primary cesareans are starting to decline, the overall cesarean rate will be impacted because there is only a 10 percent chance that a woman who has had a cesarean is going to have a vaginal birth afterward," she said. The overall rate has stabilized at about 33 percent of all births in the United States, Osterman said.

One expert said the report indicates slight progress.

"At least the rate stopped going up," said Dr. Mitchell Maiman, chairman of obstetrics and gynecology at Staten Island University Hospital in New York City. "After decades of climbing, there seems to be a hold to it. But we could do a lot better."

The risks to the mother and baby are much higher in a cesarean birth than in a vaginal birth, Maiman said.

"Once you have the first cesarean, you're overwhelmingly likely to have repeat cesareans," he said, noting the odds for complications and death rise dramatically with each additional C-section. "It's also worse for the baby as multiple studies have proven."

Risks to the mother include infection, excessive bleeding and blood clots traveling to the legs or lungs. Risks to the baby include injury during delivery, breathing problems and the potential need for intensive care.

"Vaginal delivery is the preferred method for having a baby," Maiman said. "Cesarean should only be resorted to when it's absolutely necessary."

Maiman said the cesarean rate is so high because doctors fear malpractice lawsuits.

"The pressure is on physician practices because it takes so much time and energy to stay with a patient for hours for a vaginal delivery, compared to the quickness of a cesarean," he said. "Most of the lawsuits are for the failure to do a cesarean in a timely fashion."

In a separate reporting region, the researchers found that in 28 states and New York City, the first-time cesarean rate dropped from 22.1 percent in 2009 to 21.5 percent in 2012.

Declines were reported in 16 of those 29 areas, while the remaining states' rates remained the same, according to the report.

Some areas reported dramatic declines. C-sections in Delaware, North Dakota, Oregon, New York State and New York City decreased by 5 percent to 10 percent from 2009 to 2012. In Utah, the rate fell by 15 percent.

Cesarean rates also varied depending on the stage of pregnancy. Each week from 37 weeks' gestation and beyond saw declines in C-sections, with the biggest drop at 38 weeks, when the baby is nearly ready to be born. Full term is usually considered 40 weeks.

The researchers said these findings cannot be generalized to the entire country, because the reporting states aren't a random sample of U.S. births.

Putting financial pressure on hospitals could reduce the cesarean rate further, Maiman said. "If you introduce financial incentives or disincentives to hospitals for overall cesarean rates, then they will pass that on to the physicians," he said.

Changes regarding medical malpractice laws could also make a major impact on the cesarean rate, he said.

More information

For more information on cesarean delivery, visit the U.S. National Library of Medicine.

Copyright © 2014 HealthDay. All rights reserved.

*DISCLAIMER*: The information contained in or provided through this site section is intended for general consumer understanding and education only and is not intended to be and is not a substitute for professional advice. Use of this site section and any information contained on or provided through this site section is at your own risk and any information contained on or provided through this site section is provided on an "as is" basis without any representations or warranties.
  • More From wfmj.comMore>>

  • $2M offered to Ohio farmers to help reduce algae

    $2M offered to Ohio farmers to help reduce algae

    Tuesday, August 19 2014 10:07 PM EDT2014-08-20 02:07:19 GMT
    TOLEDO, Ohio (AP) - The federal government is offering $2 million to Ohio farmers to help prevent farm runoff that contributes to potentially harmful algae blooms. Farmers in 20 counties in the western Lake Erie watershed can apply for some of the funds to plant cover crops to reduce nutrient runoff and erosion. The federal money, provided by the Natural Resources Conservation Service, is aimed at reducing future algae blooms. U.S. Sen. Sherrod Brown and Toledo Rep. Marcy Kaptur announced th...More >>
    TOLEDO, Ohio (AP) - The federal government is offering $2 million to Ohio farmers to help prevent farm runoff that contributes to potentially harmful algae blooms. Farmers in 20 counties in the western Lake Erie watershed can apply for some of the funds to plant cover crops to reduce nutrient runoff and erosion. The federal money, provided by the Natural Resources Conservation Service, is aimed at reducing future algae blooms. U.S. Sen. Sherrod Brown and Toledo Rep. Marcy Kaptur announced th...More >>
  • 5K-8K gallons of fuel oil spills into Ohio River

    5K-8K gallons of fuel oil spills into Ohio River

    Tuesday, August 19 2014 10:06 PM EDT2014-08-20 02:06:15 GMT
    CINCINNATI (AP) - An estimated 5,000 to 8,000 gallons of fuel oil spilled into the Ohio River, closing about a 15-mile section of the waterway southeast of Cincinnati. A Coast Guard spokeswoman says that the section of river was closed to river traffic Tuesday to enable cleanup and response. A Duke Energy spokeswoman says the spill from a Duke power plant in New Richmond, about 20 miles southeast of Cincinnati, happened late Monday night. Duke Energy spokeswoman Sally Thelen says the spill oc...More >>
    CINCINNATI (AP) - An estimated 5,000 to 8,000 gallons of fuel oil spilled into the Ohio River, closing about a 15-mile section of the waterway southeast of Cincinnati. A Coast Guard spokeswoman says that the section of river was closed to river traffic Tuesday to enable cleanup and response. A Duke Energy spokeswoman says the spill from a Duke power plant in New Richmond, about 20 miles southeast of Cincinnati, happened late Monday night. Duke Energy spokeswoman Sally Thelen says the spill oc...More >>
  • Couple stabbed at Ohio home; adult son charged

    Couple stabbed at Ohio home; adult son charged

    Tuesday, August 19 2014 10:03 PM EDT2014-08-20 02:03:06 GMT
    WESTLAKE, Ohio (AP) - A 22-year-old man suspected of stabbing his parents at their suburban Cleveland home has been charged with felonious assault. Westlake police said in a statement Tuesday that a 58-year-old man was flown to a Cleveland hospital with life-threatening injuries, and his 56-year-old wife was in stable condition. Police say authorities learned about the stabbings after a hang-up 911 call Monday night and a subsequent callback by a dispatcher. The couple's son was arrested wit...More >>
    WESTLAKE, Ohio (AP) - A 22-year-old man suspected of stabbing his parents at their suburban Cleveland home has been charged with felonious assault. Westlake police said in a statement Tuesday that a 58-year-old man was flown to a Cleveland hospital with life-threatening injuries, and his 56-year-old wife was in stable condition. Police say authorities learned about the stabbings after a hang-up 911 call Monday night and a subsequent callback by a dispatcher. The couple's son was arrested wit...More >>
Powered by WorldNow
All content © Copyright 2000 - 2014 Worldnow and WFMJ. All Rights Reserved. For more information on this site, please read our Privacy Policy and Terms