A six year follow-up evaluation of our original cesarean section reduction program is presented.
While establishing obstetric practice guidelines was accomplished, two prerequisites remain critical: lowering cesarean utilization was to be accomplished without harm to mother or fetus, and a target rate was prospectively determined.
The results after 6 years indicate that total cesarean rates of 10-12% can consistently be achieved without adverse outcome.
Additionally, operative vaginal procedures were employed less that 3% of cases.
Separate analysis of 580 breech deliveries failed to show an effect of route of delivery on mortality.
Mots-clés Pascal : Césarienne, Technique obstétricale, Accouchement, Femme, Homme, Programme sanitaire, Etude longitudinale, Evaluation, Indication, Assurance qualité, Etats Unis, Amérique du Nord, Amérique, Statistique, Chirurgie
Mots-clés Pascal anglais : Cesarean section, Obstetrical technique, Delivery, Woman, Human, Sanitary program, Follow up study, Evaluation, Indication, Quality assurance, United States, North America, America, Statistics, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0014448
Code Inist : 002B20G02. Création : 199406.