Monday, August 3, 2015

Induced labor increases risk of c-section

The steady increase in births by cesarean section in this country has led to a growing debate among medical experts over when surgical births are necessary and how many such deliveries are too many. In 2008, the c-section rate in the eight-county Philadelphia region was 34 percent compared with 21 percent a decade earlier, according to an Inquirer analysis of state data. At some hospitals - Virtua Voorhees in South Jersey and at Doylestown and Lankenau hospitals in suburban Philadelphia - the c-section rates exceeded 40 percent. A new study by researchers at the Christiana Health System in Delaware and Johns Hopkins University in Maryland found that when doctors use drugs to induce labor in women, the likelihood of a c-section delivery increases dramatically.

Induced labor increases risk of c-section

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The steady increase in births by cesarean section in this country has led to a growing debate among medical experts over when surgical births are necessary and how many such deliveries are too many.

In 2008, the c-section rate in the eight-county Philadelphia region was 34 percent compared with 21 percent a decade earlier, according to an Inquirer analysis of state data. At some hospitals - Virtua Voorhees in South Jersey and at  Doylestown and Lankenau hospitals in suburban Philadelphia - the c-section rates exceeded 40 percent.

A new study by researchers at the Christiana Health System in Delaware and Johns Hopkins University in Maryland found that when doctors use drugs to induce labor in women, the likelihood of a c-section delivery increases dramatically.

The researchers examined the deliveries of 7,804 women of whom, 43.6 percent were induced; and nearly 40 percent of those were induced at the mother's request. After adjusting for various risk factors, the women who were induced had nearly double rate of c-sections.

"Labor induction is significantly associated with a cesarean delivery at term for those with and without medical or obstetric complications," the researchers concluded. "Reducing the use of elective labor induction may lead to decreased rates of cesarean delivery for a population."

The study was published in the current issue of the journal Obstetrics & Gynecology.

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Check Up covers regional health news and a wide array of healthcare topics from pharmaceutical happenings to patient safety. Read about some of our bloggers here.

Portions of this blog may also be found in the Inquirer's Sunday Health Section.

Michael R. Cohen, R.Ph. President, Institute for Safe Medication Practices
Daniel R. Hoffman, Ph.D. President, Pharmaceutical Business Research Associates
Hooman Noorchashm, M.D., Ph.D. Cardiothoracic surgeon in the Philadelphia area
Amy J. Reed, M.D., Ph.D. Anesthesiologist and Surgical Intensivist in the Philadelphia Area
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