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Volume 348:946-950 March 6, 2003 Number 10
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Elective Primary Cesarean Delivery
Howard Minkoff, M.D., and Frank A. Chervenak, M.D.

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In 1985, the Journal published an article advocating elective cesarean delivery.1 Although it was provocative, the article had little effect on obstetrical standards. At that time, most efforts within the discipline were focused on arresting the escalation of the rate of cesarean deliveries,2 which had increased sharply during the preceding decade. Thus, despite that article, the rate of cesarean deliveries peaked a few years after the article appeared and then declined slightly.

Two decades later, the discussion of elective cesarean delivery has been revitalized. The benefit–risk calculus associated with 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.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:2364-2365, Jun 5, 2003. Correspondence

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