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The Mount Sinai cesarean section reduction program: An update after 6 years

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  • Myers, Stephen A.
  • Gleicher, Norbert

Abstract

A six year follow-up evaluation of our original cesarean section reduction program is presented. While establishing obstetric practice guidelines was accomplished, two prerequisites remain critical: lowering cesarean utilization was to be accomplished without harm to mother or fetus, and a target rate was prospectively determined. The results after 6 years indicate that total cesarean rates of 10-12% can consistently be achieved without adverse outcome. Additionally, operative vaginal procedures were employed less that 3% of cases. Separate analysis of 580 breech deliveries failed to show an effect of route of delivery on mortality. This effort indicates that long-term reductions and cesarean utilization are possible with a comprehensive departmental program designed to accomplish achieving a target rate of 11%.

Suggested Citation

  • Myers, Stephen A. & Gleicher, Norbert, 1993. "The Mount Sinai cesarean section reduction program: An update after 6 years," Social Science & Medicine, Elsevier, vol. 37(10), pages 1219-1222, November.
    • Handle: RePEc:eee:socmed:v:37:y:1993:i:10:p:1219-1222
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