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Caesarean Section has become the most common major operation in the world, and with the increasing number there are many serious and long-term healthcare implications for gynaecology, general surgery, neonatology, and epigenetics. A full perspective of the procedure and its consequences is therefore essential for practitioners, residents, and trainees alike. The Textbook of Caesarean Section is the key textbook on this subject, and is an informative and practical tool for clinicians performing this procedure in all areas of the world. The accompanying professional medical videos demonstrate in clear and expert detail the two alternative procedures for caesarean section, ensuring that readers of this book gain an in-depth understanding of the techniques involved, and supporting blended learning in postgraduate education globally. Written by a distinguished team of expert contributors, this book carefully describes current best practice for caesarean section alongside key chapters on the history of caesarean section, and other important and related issues that obstetricians must be aware of, such as anaesthesia, prevention of complications of surgery, reproduction after C-section, and perinatal outcomes. The text is extensively illustrated with colour images, and fully referenced throughout, providing all the information essential for the reader to perform the optimal caesarean delivery procedures, and diagnose and manage the short- and long-term complications associated with different methods of caesarean sections.
Twenty-one vivid, moving essays on caesarean birth “No one talks about C-sections as surgery,” writes SooJin Pate. “They talk about it as if it’s just another way—albeit more convenient way—of giving birth.” The twenty-one essays in My Caesarean add back to the conversation the missing voices of a vast, invisible sisterhood. Robin Schoenthaler reflects: “A C-section for us meant life.” And yet, women who don’t give birth vaginally—by choice or necessity—often feel stigmatized. “My son’s birth was not a test I needed to pass,” writes Sara Bates. “As if growing a human inside another human for nine months then caring for it the rest of its life isn’t enough,” adds Mary Pan, herself a physician. Alongside their personal stories, the writers—decorated novelists, poets, and essayists—address the history of the C-section as well as its risks, social inequities, impact on the body, and psychological aftermath. My Caesarean is a heartfelt meditation, offering much-needed comfort through shared experience. Contributors include: Catherine Newman, Judy Batalion, Nicole Cooley, Aimee Nezhukumatathil, Lisa Solod, Misty Urban, Jacinda Townsend, Mary Pan, Robin Schoenthaler, Elizabeth Noll, Jen Fitzgerald, Tyrese Coleman, SooJin Pate, Daniela Montoya-Barthelemy, Cameron Dezen Hammon, LaToya Jordan, Sara Bates, Susan Hoffmann, and Alicia Jo Rabins.
Why have cesarean sections become so commonplace in the United States? Between 1965 and 1987, the cesarean section rate in the United States rose precipitously—from 4.5 percent to 25 percent of births. By 2009, one in three births was by cesarean, a far higher number than the 5–10% rate that the World Health Organization suggests is optimal. While physicians largely avoided cesareans through the mid-twentieth century, by the early twenty-first century, cesarean section was the most commonly performed surgery in the country. Although the procedure can be lifesaving, how—and why—did it become so ubiquitous? Cesarean Section is the first book to chronicle this history. In exploring the creation of the complex social, cultural, economic, and medical factors leading to the surgery's increase, Jacqueline H. Wolf describes obstetricians' reliance on assorted medical technologies that weakened the skills they had traditionally employed to foster vaginal birth. She also reflects on an unsettling malpractice climate—prompted in part by a raft of dubious diagnoses—that helped to legitimize "defensive medicine," and a health care system that ensured cesarean birth would be more lucrative than vaginal birth. In exaggerating the risks of vaginal birth, doctors and patients alike came to view cesareans as normal and, increasingly, as essential. Sweeping change in women's lives beginning in the 1970s cemented this markedly different approach to childbirth. Wolf examines the public health effects of a high cesarean rate and explains how the language of reproductive choice has been used to discourage debate about cesareans and the risks associated with the surgery. Drawing on data from nineteenth- and early twentieth-century obstetric logs to better represent the experience of cesarean surgery for women of all classes and races, as well as interviews with obstetricians who have performed cesareans and women who have given birth by cesarean, Cesarean Section is the definitive history of the use of this surgical procedure and its effects on women's and children's health in the United States.
"Not of woman born, the Fortunate, the Unborn"—the terms designating those born by Caesarean section in medieval and Renaissance Europe were mysterious and ambiguous. Examining representations of Caesarean birth in legend and art and tracing its history in medical writing, Renate Blumenfeld-Kosinski addresses the web of religious, ethical, and cultural questions concerning abdominal delivery in the Middle Ages and the Renaissance. Not of Woman Born increases our understanding of the history of the medical profession, of medical iconography, and of ideas surrounding "unnatural" childbirth. Blumenfeld-Kosinski compares texts and visual images in order to trace the evolution of Caesarean birth as it was perceived by the main actors involved—pregnant women, medical practitioners, and artistic or literary interpreters. Bringing together medical treatises and texts as well as hitherto unexplored primary sources such as manuscript illuminations, she provides a fresh perspective on attitudes toward pregnancy and birth in the Middle Ages and the Renaissance; the meaning and consequences of medieval medicine for women as both patients and practitioners, and the professionalization of medicine. She discusses writings on Caesarean birth from the twelfth and thirteenth centuries, when Church Councils ordered midwives to perform the operation if a mother died during childbirth in order that the child might be baptized; to the fourteenth century, when the first medical text, Bernard of Gordon's Lilium medicinae, mentioned the operation; up to the gradual replacement of midwives by male surgeons in the fifteenth and sixteenth centuries. Not of Woman Born offers the first close analysis of Frarnois Rousset's 1581 treatise on the operation as an example of sixteenth-century medical discourse. It also considers the ambiguous nature of Caesarean birth, drawing on accounts of such miraculous examples as the birth of the Antichrist. An appendix reviews the complex etymological history of the term "Caesarean section." Richly interdisciplinary, Not of Woman Born will enliven discussions of the controversial issues surrounding Caesarean delivery today. Medical, social, and cultural historians interested in the Middle Ages and the Renaissance, historians, literary scholars, midwives, obstetricians, nurses, and others concerned with women's history will want to read it.
Trusted physicians reassure mothers and mothers-to-be: It's okay to say yes. One in four babies born in the United States and Europe comes into the world via Cesarean section. Yet this procedure has been described by critics as an unnecessary and potentially dangerous medical intervention. Consequently, expectant mothers often fear this option, and women who have had C-sections can feel a sense of failure. In Cesarean Section: Understanding and Celebrating Your Baby's Birth, Drs. Michele Moore and Caroline de Costa emphasize the joy of delivering a healthy baby, however that is best achieved. They explain why Cesarean births are sometimes preferable to vaginal delivery for both mother and baby, and they help women understand the issues behind the decision to perform the procedure. From anesthesia, surgery, and recovery through at-home care of mother and child, the authors offer reassurance and practical information for all mothers and mothers-to-be. They also discuss the latest findings on postpartum depression and planning for future births, including the possibility of vaginal birth after a Cesarean section. For every woman who has a planned—or unplanned—Cesarean section, this book provides the information they need to alleviate their fears and come to value this delivery option. "Because up to a quarter of all births are Cesarean births, prenatal preparation should include information about Cesarean sections for every woman. And that is why we have written this guide. . . . We believe strongly that it is time to speak out and say that Cesarean section is a normal birth method and that women who have a Cesarean section should not be made to feel that they have failed. . . . We hope you find the information in this book useful and helpful in thinking about C-section, whether you have already had a Cesarean and want to understand the experience better, you wish to plan for another C-section birth, or you are expecting a baby and want to be informed about all the possibilities ahead, including this other normal way of bringing a baby into the world."—from the Introduction
This book examines every aspect of anesthesia in patients undergoing cesarean section. Anesthetic and surgical techniques are clearly described, with detailed guidance on indications and contraindications and identification of potential complications. Practical information is provided on postoperative analgesia, postoperative course and nursing, the significance of cesarean section for breastfeeding, and the occurrence of long-term problems and chronic pain after cesarean section. Other topics to be addressed include the history and epidemiology of cesarean delivery, effects on the fetus and neonate, ethical issues, the humanization of childbirth, and maternal expectations and satisfaction. While many books are available on obstetric anesthesia, none is exclusively devoted to cesarean section although it is one of the most frequently performed surgeries. Anesthesia for Cesarean Section will be appreciated by all anesthesiologists and will be a useful source of information for obstetricians, gynecologists, midwives, nurses, medical students, and trainees.
Of comparative developed countries, only Brazil and Italy have higher c-section rates; c-sections occur in only 19 percent of births in France, seventeen percent of births in Japan, and sixteen percent of births in Finland. How did this happen? Here the author challenges most existing explanations of the unprecedented rise in c-section rates, which locate the cause of this trend in physicians practicing defensive medicine, women choosing c-sections for scheduling reasons, or women's poor health and older ages. The explanation of the c-section epidemic is more complicated, taking into account the power and structure of legal, political, medical, and professional organizations; gendered ideas that devalue women; hospital organizational structures and protocols; and professional standards in the medical and insurance communities.
Rising numbers of Cesarean sections and maternal obesity and associated health risks have resulted in increasingly complex Cesarean deliveries and outcomes, requiring today’s surgeon to stay attuned to evolving best practices and master new surgical techniques. This first-of-its-kind reference provides step-by-step, highly illustrated guidance on managing challenging Cesarean sections with a focus on the challenges of abnormal placentation and strategies to manage it. In a concise, readable format, this text is designed to help surgeons anticipate intraoperative and postoperative challenges and optimize outcomes for mother and baby.
This comprehensive reference provides veterinarians with everything they need to know about performing surgeries such as spaying and neutering in busy animal shelters. It includes surgical and anesthetic techniques, perioperative procedures, reproductive medicine, and program management regarding dogs, cats, rabbits, and other small mammals. With more than 550 full-color images, High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries provides spay-neuter and shelter veterinarians with information on the most current clinical techniques. Dozens of veterinary experts offer their expert advice and knowledge on perioperative care, surgery instrumentation, infectious disease control, anesthesia protocols, CPR, the fundamentals of HQHVSN, and more. Covers all aspects of common shelter surgeries, including surgical and anesthetic techniques, perioperative procedures, reproductive medicine, and program management Provides coverage of dogs, cats, rabbits, and other small mammals Written by leaders in the field with experience in surgery, medicine, spay-neuter practice, teaching, and research High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries is an excellent resource for veterinarians, veterinary technicians, and students, as well as clinic and shelter owners.