Skip to main content
  1. News
  2. Top News

OB/GYN groups issue new guidelines to lower c-section rates

See also

According to HealthDay News on Thursday, two major medical groups representing America's obstetricians/gynecologists issued joint guidelines on Wednesday aimed at curbing the overuse of cesarean sections in first-time mothers.

The biggest change in the guidelines is extending the length of time a woman should be allowed to be in labor, to help lower the odds she will require a C-section.

Many doctors and hospitals have a policy in place that forbids a woman to have a vaginal birth after cesarean (or VBAC). However, multiple cesarean sections put women at higher risks for complications, such as abnormal placental adherence, bleeding and even hysterectomy.

According to an American College of Obstetricians and Gynecologists news release, about one-third of American women gave birth by C-section in 2011, a 60 percent rise since 1996. And the doctors' group said that women having their first child account for about 60 percent of all cesarean deliveries in the United States.

Among the other guidelines:

  • Active labor should be considered to begin at a cervical dilation of 6 centimeters, rather than the previous 4 centimeters.
  • Women should be allowed to push for at least two hours if they've given birth before, three hours if they are first-time mothers, and even longer in certain cases, such as when an epidural is used for pain relief.
  • Vaginal delivery is the preferred option whenever possible and doctors should use techniques -- forceps, for example -- to assist with natural birth.
  • Women should be advised to avoid excessive weight gain during pregnancy.

Safe Prevention of the Primary Cesarean Delivery is the first in a new Obstetric Care Consensus series from the College and SMFM; the series will provide high-quality, consistent, and concise clinical recommendations for practicing obstetricians and maternal-fetal medicine subspecialists.

Like what you’ve read? Subscribe to receive (spam free) email notifications for top news articles.

Emily Sutherlin is also the Pregnancy Examiner.

Got something to say? Say it on Examiner by following this link to sign up.

©2014 Emily M. Sutherlin. All Rights Reserved.

Advertisement

News

  • Mt. Everest avalanche
    Disaster strikes Mt. Everest as at least 12 people were killed in an avalanche
    Video
    Watch Video
  • Most Earthlike planet discovered
    The Kepler telescope has discovered the most Earthlike, possibly habitable planet yet
    Space News
  • Easter crosses create debate
    Easter crosses spark a debate of separation of church and state in Ohio
    Headlines
  • Chelsea Clinton is preggers
    Former first daughter Chelsea Clinton is pregnant with her first child
    Headlines
  • Stanley Cup playoffs
    The battle for Lord Stanley's Cup is on, don't miss a minute of playoff action
    Sports
  • Ukraine discussed amongst U.S., E.U., Russia
    The U.S., E.U. and Russia agree on ways to diffuse the tension in Ukraine
    Video
    Watch Video

Related Videos:

  • Loch Ness Monster satellite photo: Image finally captures proof of the beast?
    <div class="video-info" data-id="518202054" data-param-name="playList" data-provider="5min" data-url="http://pshared.5min.com/Scripts/PlayerSeed.js?sid=1304&width=480&height=401&playList=518202054&autoStart=true"></div>
  • Has the Loch Ness Monster been sighted after a long 18 months?
    <div class="video-info" data-id="518078332" data-param-name="playList" data-provider="5min" data-url="http://pshared.5min.com/Scripts/PlayerSeed.js?sid=1304&width=480&height=401&playList=518078332&autoStart=true"></div>
  • Utah plane in Iran: Plane spotted at Iran airport draws terrorism concerns
    <div class="video-info" data-id="518201463" data-param-name="playList" data-provider="5min" data-url="http://pshared.5min.com/Scripts/PlayerSeed.js?sid=1304&width=480&height=401&playList=518201463&autoStart=true"></div>

User login

Log in
Sign in with your email and password. Or reset your password.
Write for us
Interested in becoming an Examiner and sharing your experience and passion? We're always looking for quality writers. Find out more about Examiner.com and apply today!