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Strengthen the Evidence for Maternal and Child Health Programs

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Van Tuinen I, Wolfe SM. 1992. Unnecessary cesarean sections: Halting a national epidemic. Washington, DC: Public Citizen's Health Research Group, 184 pp.

Annotation: This report analyzes the cesarean section rate in the United States for the period 1989-1990. It includes discussions of cesarean safety for both the mother and child, the clinical reasons given for performing cesareans, the nonmedical factors linked to cesarean operations, and the development of clinical guidelines for both cesarean sections and vaginal births after cesarean sections. Charts list cesarean rates for 48 states plus the District of Columbia as well as the number of cesarean operations performed at 2,657 U.S. hospitals during that time period. Sets of questions for consumers to use with obstetricians and hospital administrators are included along with a model for maternity information legislation.

Keywords: Cesarean section, Childbirth, Cost containment, Dystocia, Fetal distress, Guidelines, Legislation, Malpractice insurance, Maternal health, Mortality, Newborn infants, Repeat cesarean birth, Vaginal birth after cesarean

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