In 1985, the Journal published an article advocating electivecesarean delivery.1 Although it was provocative, the articlehad little effect on obstetrical standards. At that time, mostefforts within the discipline were focused on arresting theescalation of the rate of cesarean deliveries,2 which had increasedsharply during the preceding decade. Thus, despite that article,the rate of cesarean deliveries peaked a few years after thearticle appeared and then declined slightly.
Two decades later, the discussion of elective cesarean deliveryhas been revitalized. The benefitrisk calculus associatedwith surgery has evolved, as techniques for surgery, anesthesia,infection control, and . . . [Full Text of this Article]
Benefits of Elective Cesarean Delivery
Benefits to the Mother
Benefits to the Fetus
Risks Associated with Elective Cesarean Delivery
Risks to the Mother
Risks to the Fetus
Conclusions
Source Information
From the Department of Obstetrics and Gynecology, Maimonides Medical Center (H.M.), and the Department of Obstetrics and Gynecology, State University of New York Downstate Medical Center (H.M.) both in Brooklyn, N.Y.; and the Department of Obstetrics and Gynecology at Weill Medical College of Cornell University and New York Presbyterian Hospital, New York (F.A.C.).
Address reprint requests to Dr. Minkoff at the Department of Obstetrics and Gynecology, Maimonides Medical Center, 967 48th St., Brooklyn, NY 11219, or at hminkoff@maimonidesmed.org.
Related Letters:
Elective Primary Cesarean Delivery
Sheldon R. E., Escobedo M. B., Cole D. S., Dayal A. K., Chazotte C., Minkoff H., Chervenak F. A.
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N Engl J Med 2003;
348:2364-2365, Jun 5, 2003.
Correspondence
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