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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.
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.
The definitive monograph on the world's most commonly performed obstetric surgical procedure, this text benefits from plentiful illustrations to show all the details a surgeon needs to know, and from expert international contributors to share their knowledge on the many specialist questions raised.
This book is meant to bridge the gap between small handbooks that do not contain enough material to understand why you are doing certain things and large textbooks that lack the practical information you need for how to do specific procedures, write notes, orders, and dictations. After reading it, you will be prepared to care for an obstetric patient from the moment they arrive in triage until the time they are discharged. You will understand not only how to perform both simple and complicated procedures, but also why they are necessary, and you will have the answers to the most common pimp questions that are asked of students and residents. The most up-to-date literature and evidence-based recommendations have been used to create simple treatment algorithms for the most common issues you will face, and numerous illustrations are included for clarity as well. Because of its focus, this book is also valuable resource for staff physicians who need an updated text on current obstetric care as well as for those who regularly interact with and teach medical students and residents.
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.
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
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.
Recent Advances in Cesarean Delivery is a collection of research chapters on cesarean delivery and related developments within the field of obstetrics. Written by experts in the field, chapters cover such topics as prediction of cesarean delivery, hemostasis for massive hemorrhage during C-section, maternal and fetal risks, cesarean scar defect manifestations, obesity and C-section, and C-sections in low-, middle-, and high-income countries.
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.
In 1786, Guatemalan priest Pedro José de Arrese published a work instructing readers on their duty to perform the cesarean operation on the bodies of recently deceased pregnant women in order to extract the fetus while it was still alive. Although the fetus’s long-term survival was desired, the overarching goal was to cleanse the unborn child of original sin and ensure its place in heaven. Baptism Through Incision presents Arrese’s complete treatise—translated here into English for the first time—with a critical introduction and excerpts from related primary source texts. Inspired by priests’ writings published in Spain and Sicily beginning in the mid-eighteenth century, Arrese and writers like him in Peru, Mexico, Alta California, Guatemala, and the Philippines penned local medico-religious manuals and guides for performing the operation and baptism. Comparing these texts to one another and placing them in dialogue with archival cases and print culture references, this book traces the genealogy of the postmortem cesarean operation throughout the Spanish Empire and reconstructs the transatlantic circulation of obstetrical and scientific knowledge around childbirth and reproduction. In doing so, it shows that knowledge about cesarean operations and fetal baptism intersected with local beliefs and quickly became part of the new ideas and scientific-medical advancements circulating broadly among transatlantic Enlightenment cultures. A valuable resource for scholars and students of colonial Latin American history, the history of medicine, and the history of women, reproduction, and childbirth, Baptism Through Incision includes translated excerpts of works by Spanish surgeon Jaime Alcalá y Martínez, Mexican physician Ignacio Segura, and Peruvian friar Francisco González Laguna, as well as late colonial Guatemalan instructions, and newspaper articles published in the Gazeta de México, the Gazeta de Guatemala, and the Mercurio Peruano.